What is Metatarsus Adductus?

Refers to the shape of the foot. There is an inward slanting of the forefoot with a convex lateral border instead of being straight.

Metatarsus Adductus occurs in approximately 1-2 per 1000 births with Males being affected more than females. It can also be associated with other low limb deformities such as developmental dysplasia of the hip (10-15%) and occurs more with twins, premature babies and larger babies.

Metatarsus Adductus can be classified as follows:

Flexible: The foot will correct past vertical

Semi- Flexible: The foot will correct to vertical.

Rigid: No correction is possible

Treatment Options:

Rigid Metatarsus Adductus: Refer for a surgical opinion

Flexible Metatarsus Adductus: Treatment is often not required.

• Reassure parents that the condition normally resolves itself
• Stretching by parents at home by abducting the forefoot while controlling the rearfoot position
• Monitor sitting and sleeping positions that accentuate the adducted position
• Wear shoes with a straight last

Semi-flexible Metatarsus Adductus: Some treatment is recommended to realign the position of the foot. This is normally serial casting or splinting. Or often splinting might be used after casting to hold the position of the foot after casting has taken place. Once again parents can monitor sitting and sleeping positions and ensure the child is wearing a shoe with a straight last.

If you are concerned regarding your child’s Metatarsus Adductus or are not sure if your child has this deformity, a thorough physical examination by a trained practitioner is first recommend. Podiatrists are your foot health experts!