Vertical Talus

What is vertical talus?

Vertical talus is a rare congenital condition caused by the abnormal position of the talus bone of the ankle joint.

Commonly recognised at birth, it causes the foot to appear flat, lacking an arch and with a pronounced outward curve. 

What are the symptoms of vertical talus?

If left untreated, the deformity associated with vertical talus can cause severe mobility impairment in later life. As infants begin to walk, the abnormal alignment and deformity of the foot can cause significant pain, and also result in the formation of calluses on the affected limb.

What causes vertical talus?

The development of vertical talus has been associated with both genetic factors, including chromosomal conditions like Edwards syndrome and Down syndrome,  and the presence of certain neuromuscular disorders, including spina bifida, cerebral palsy and muscular dystrophy. 

Often, however, the development of vertical talus cannot be attributed to any underlying cause.

What non-surgical treatment options are available for vertical talus?

For very young infants, casting can be used to reposition the bones of the foot and correct the deformity. Physiotherapy can also be used to improve bone alignment, muscle strength and flexibility.

What surgical treatment options are available for vertical talus?

Where the deformity is very severe, or where the diagnosis is made beyond early infancy, there are a number of surgical treatment options available. These include: 

  • Soft tissue release: this involves the surgical release or lengthening of tendons, ligaments and joint capsules that may be contributing to the deformity.
  • Talonavicular joint reduction: involves the manual repositioning of the talus and navicular bones, which are then held in place using pins during the healing process.  
  • Talectomy: in very severe cases, it may be neccessary to remove the talus bone to enable the repositioning of the foot. This can limit mobility in the ankle, but can help to improve mobility overall. 

Contact Us

For further inquiries or to arrange a consultation, please contact Professor Al Muderis’ office at +61 2 88829011 or book an appointment online.