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Metatarsus varus; Forefoot varus
The front of the foot is bent or angled in toward the middle of the foot. The back of the foot and the ankles are normal. About half of children with metatarsus adductus have the problem in both feet.
(Club foot is a different deformity. The foot is pointed down and the ankle is turned in.)
Physical examination is all that is needed to diagnose metatarsus adductus.
A careful exam of the hip should also be done to rule out other causes of metatarsal adductus.
Hosalkar HS, Spiegel DA, Davidson RS. The foot and toes. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 673.
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