Skew Foot

Associations

 

Larsen Syndrome 

- AD, very rare

- associated with ligamentous laxity and dislocations, amongst other things

 

X-ray

 

Hindfoot valgus

Talonavicular lateral subluxation

TMT adduction

 

Management

 

Difficult to treat

 

Technique

 

1.  Medial calcaneal sliding osteotomy

 

2.  Opening wedge cuboid osteotomy

 

3.  Closing wedge cuneiform osteotomy

 

4.  Metatarsal osteotomy