Diagnosis and treatment of congenital vertical talus in children under 3 years old (review)

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Congenital vertical ram is a rare pathology, the incidence of it is 1 case per 10 thousand newborns. This anomaly is usually manifested by a severe planovalgus deformity of the foot. Moreover, it is often (in 50% of cases) associated with chromosomal syndromes (arthrogryposis, neurofibromatosis, myelodysplasia, etc.), with spinal, neuromuscular anomalies of development. As a result, it is necessary to focus the attention of pediatric orthopedists and radiologists on the parameters of the diagnosis in order to reduce false diagnoses and unreasonable surgical interventions in children, show options for surgical techniques for the treatment of feet with an inborn vertical position of the talus in children under 3 years. The presented review of domestic and foreign literature demonstrates the main advantages and disadvantages of existing approaches in the treatment of children under 3 years of age with congenital vertical ram. Demonstrate the main advantages and disadvantages of existing approaches in the treatment of this pathology. Analysis of the literature showed that the causes of the formation of the congenital vertical talus are not fully explored. In Russia, up to the present moment, its diagnosis is still difficult. Congenital vertical talus is one of the rare problems in world orthopedic practice in comparison with congenital clubfoot, but doctors who are constantly treating children with deformities of the feet have such patients regularly.

作者简介

Ekaterina Solovieva

Yaroslavl State Medical University

Email: cat.fomenko@yandex.ru

traumatologist-orthopedist

俄罗斯联邦, 27, Tutaevckoye highway, 150042, Yaroslavl

Maxim Vavilov

Regional Children’s Hospital

Email: maxtravma@mail.ru
ORCID iD: 0000-0001-8781-3693

Dr. Sci. (Med.), traumatologist-orthopedist

俄罗斯联邦, 27, Tutaevckoye highway, 150042, Yaroslavl

Valeriy Blandinsky

Yaroslavl State Medical University

Email: gromich_87@mail.ru
ORCID iD: 0000-0002-5644-6023

Dr. Sci. (Med.), professor, traumatologist-orthopedist

俄罗斯联邦, 27, Tutaevckoye highway, 150042, Yaroslavl

Ilya Gromov

Regional Children’s Hospital

Email: gromich_87@mail.ru
ORCID iD: 0000-0001-7696-7005
SPIN 代码: 8456-5656

Cand. Sci. (Med.), traumatologist-orthopedist

俄罗斯联邦, 27, Tutaevckoye highway, 150042

Alexandr Sokolov

Yaroslavl State Medical University

编辑信件的主要联系方式.
Email: sokolovalex96@icloud.com
ORCID iD: 0000-0003-3706-9928
SPIN 代码: 1164-1410

resident

俄罗斯联邦, 27, Tutaevckoye highway, 150042

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2. Fig. 1. Patient P., 17 years old. Vertical talus. Treatment in infancy with plaster casts at the place of residence, without surgery

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3. Fig. 2. Patient P., 17 years old. Direct and lateral radiographs of the feet with stress. The vertical position of the talus from 2 sides

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4. Fig. 3. Patient P., 2 months. Congenital 2-sided vertical talus

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5. Fig. 4. Patient S., 2 years old. Lateral radiograph with maximum plantar flexion. Congenital vertical talus on the right, oblique talus on the left

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6. Fig. 5. Patient S., 2 years old. Lateral radiograph with maximum dorsiflexion. Congenital vertical talus on the right, oblique talus on the left

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7. Fig. 6. Ultrasound sagittal image of three types of flat feet [47]

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