Astrágalo vertical congénito: revisión

Abstract

The congenital vertical talus is a rare entity that is why it is always necessary to investigate a neuromuscular patoplogy. Neitherless, the etiology is unknown. The physical examination must be well done for detected neuromuscular entities. It is necessary to evaluate the strengh in dorsiflexion and plantar flexion as a prognostic value. Dobbs et al initial treatment, tried to make an inverse Ponseti method. If this method failed minimal invasive surgery is indicated. A limited surgical release has better prognosis for function and pain when a dorsiflexion is produced.

In chronic patients is recommended an exerecises of talar navicular bone or wide soft tissues liberation through medial to lateral approach, with good results.