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Metatarsus varus; Forefoot varus
Treatment depends on how rigid the foot is when the doctor tries to straighten it.
If the foot is very flexible and easy to straighten or move in the other direction, no treatment may be needed. You child will be followed closely for a period of time.
In most children, the problem corrects itself as they use their feet normally. They don't need any further treatment.
If the problem does not improve or your child's foot is not flexible enough, other treatments will be tried:
Rarely, your child will need to have a cast on the foot and leg. Casts work best if they are put on before your child is 8 months old. The casts will probably be changed every 1 - 2 weeks.
Surgery may be needed, but not very often. Most of the time, your doctor will delay surgery until your child is between 4 and 6 years old.
A pediatric orthopaedic surgeon should be involved in treating more severe deformities.
The outcome is almost always excellent. Nearly all patients eventually have a normal looking and working foot.
A small number of infants with metatarsus adductus may have developmental dislocation of the hip.
Call your health care provider if you are concerned about the appearance or flexibility of your infant's feet.
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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