Positional defects of the leg

'Positional defects of the leg are caused by the position of the limbs during intrauterine development. They manifest as a number of deformities and are usually correctable immediately after birth by passive manipulation (i.e. they can be warmed up and relaxed).

Positional pes valgus

 * rarer defect
 * similar exercises, only redress exercises are opposite

Positional metatarsus adductus

 * congenital defect of the leg, where the forefoot is adducted against the back of the leg, which is in a normal position
 * must be distinguished from the varus position of the metatarsals (rigid, conditioned by subluxation in the Lisfranc joint, requires intensive treatment)

Therapy

 * again requires only RHB performed as instructed by the mother

Positional pes equinovarus congenitus

 * hard to distinguish from pes equinovarus congenitus
 * congenital defect, kt. responds well to conservative treatment → surgery is not necessary if the treatment is well managed
 * however, if the defect is left untreated, contractures will also occur here, kt. they maintain the deformity → necessity of surgery

Related Articles

 * Congenital limb defects
 * Arthrogryposis multiplex congenita
 * Non-positional leg defects
 * Pes equinovarus congenitus
 * Metatarsus varus
 * Congenital steep talus