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It gets its name from the foot's resemblance to the bottom of a rocking chair. [1] [2] There are two subcategories of congenital vertical talus; namely idiopathic or isolated type, and non-idiopathic type, which may be seen in association with arthrogryposis multiplex congenital, genetic syndromes and other neuromuscular disorders. [1]
As mentioned above, distal 18q- is associated with an increased incidence of clubfoot and rocker bottom feet. Also, a significant chance of developing pes planus or pes cavus exists. People with distal 18q- frequently have overlapping toes. Scoliosis and genu varum are also known orthopedic complications in children and adults with distal 18q-.
Pes cavus can occur from four primary causes: neurological conditions, trauma, undertreated clubfoot, or idiopathic with other underlining conditions. [9]Bilateral presentation (i.e., in both feet) often occurs due to a hereditary or congenital source, whereas a unilateral presentation (i.e., in one foot) is often the result of trauma.
Rocker bottom shoes are also used to compensate for the lost range of motion, however caused, at the tibiotalar joint (ankle joint). In such cases, the wearer maintains solid and stable footing while standing, but the rock of the heel assists with the propulsive phase of gait, making walking more natural and less painful to the affected joints.
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A foot deformity is a disorder of the foot that can be congenital or acquired. Such deformities can include hammer toe , club foot , flat feet , pes cavus , etc. References
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.