Definition
Forefoot adduction / hindfoot valgus
Etiology
Idiopathic - rare
Syndromes - Angelman's / Larsen's / osteogenesis imperfecta
Neurological - spina bifida
Clinical
S shaped foot / Z deformity
Hindfoot valgus / midfoot adduction
X-ray
AP xray
Increased first talo-metatarsal angle
Subluxation of the talonavicular joint
Lateral xray
Operative management
Technique
Calcaneal osteotomy - medial calcaneal sliding osteotomy / lateral calcaneal opening osteotomy
Lateral opening wedge cuboid osteotomy
Medial closing wedge cuneiform osteotomy
Metatarsal osteotomy
Tendoachilles lenthening
