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A varus deformity is an excessive inward angulation (medial angulation, that is, towards the body's midline) of the distal segment of a bone or joint. The opposite of varus is called valgus . The terms varus and valgus always refer to the direction that the distal segment of the joint points.
On projectional radiography, the degree of varus or valgus deformity can be quantified by the hip-knee-ankle angle, [7] which is an angle between the femoral mechanical axis and the center of the ankle joint. [8] It is normally between 1.0° and 1.5° of varus in adults. [9] Normal ranges are different in children. [10]
For feet with the typical components of deformity (cavus, forefoot adductus, hindfoot varus, and ankle equinus), the typical procedure is a Posteromedial Release (PMR) surgery. This is done through an incision across the medial side of the foot and ankle, that extends posteriorly, and sometimes around to the lateral side of the foot.
Pes cavus is a multiplanar foot deformity characterised by an abnormally high medial longitudinal arch. Pes cavus commonly features a varus (inverted) hindfoot, a plantarflexed position of the first metatarsal, an adducted forefoot, and dorsal contracture of the toes.
Bunion (hallux valgus) deformity is actually part of a complex of anatomical derangements of protruding mass (bunion), buckling of big toe (hallux valgus) and the bone behind it (metatarsus primus varus), displaced sesamoid bones (detrimental to the important walking function of big toe), collapsed metatarsal arch and several other secondary changes that are the domino effects of metatarsal ...
A foot deformity is a disorder of the foot that can be congenital or acquired. Above is a foot of a black boy who did not wear shoes, and below is another foot of a white boy. His feet were completely deformed due to wearing tight shoes for a long period of time. Such deformities can include hammer toe, club foot, flat feet, pes cavus, etc.
Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees. This results in the leg being shortened and the development of a limp. It may be congenital and is commonly caused by injury, such as a fracture.
Ponseti treatment was introduced in UK in the late 1990s and widely popularized around the country by NHS physiotherapist Steve Wildon. The manipulative treatment of club foot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of the deformity.
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