Rare presentation: concomitant incidence of congenital idiopathic clubfoot and simple metatarsus adductus

Abstract

Background Congenital idiopathic clubfoot and simple metatarsus adductus deformities have often been presented individually. In this series, we attempted to report a rare concomitant incidence of both deformities and explain the way they have been treated simultaneously. Patients and methods Four patients presented with idiopathic clubfoot on one side and simple metatarsus adductus deformity on the other side between January 2012 and October 2014. These patients were treated using Ponseti and Kite’s techniques for clubfoot and metatarsus adductus, respectively. Results Mean follow-up period was 39 months (range, 22–56). Patients’ mean precorrection Dimeglio score was 9.75 (range, 8–12), whereas the mean postcorrection score was 2.75 (range, 2–4). No relapses have been reported for both deformities. The clubfeet had a mean ankle dorsiflexion of 20°, and the contralateral feet showed normal heel bisector. Conclusion Concomitant incidence of clubfoot and metatarsus adductus deformities even if rare should be considered while evaluating newborns with bilateral foot deformities.