Rocker bottom foot

Rocker bottom foot, also known as congenital vertical talus, is a rare deformity of the foot that is present at birth. This condition is characterized by a prominent heel and a convex rounded bottom of the foot, which gives it the appearance of the bottom of a rocking chair, hence the name.

Causes

Rocker bottom foot can be caused by a variety of genetic conditions, including Trisomy 18 (Edwards syndrome), Trisomy 13 (Patau syndrome), and Smith-Lemli-Opitz syndrome. It can also occur as a result of in utero exposure to certain drugs or toxins.

Symptoms

The most obvious symptom of rocker bottom foot is the abnormal shape of the foot. The foot is often rigid and lacks the normal flexibility. This can make walking difficult and may cause pain or discomfort. Other symptoms can include clubfoot, flatfoot, and calcaneovalgus foot.

Diagnosis

Diagnosis of rocker bottom foot is usually made at birth through a physical examination. X-ray imaging can be used to confirm the diagnosis and to assess the severity of the deformity. In some cases, genetic testing may be performed to identify any underlying genetic conditions.

Treatment

Treatment for rocker bottom foot typically involves surgery to correct the deformity. This is usually performed in the first year of life. The goal of surgery is to realign the bones of the foot and to improve function and appearance. Physical therapy and the use of special shoes or braces may also be part of the treatment plan.

Prognosis

The prognosis for individuals with rocker bottom foot varies depending on the severity of the deformity and the presence of any underlying conditions. With early treatment, many individuals are able to walk and function normally. However, some may have ongoing issues with mobility and may require additional treatments or surgeries in the future.