American Journal of Medical Sciences and Medicine
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American Journal of Medical Sciences and Medicine. 2020, 8(2), 54-61
DOI: 10.12691/ajmsm-8-2-3
Open AccessArticle

Epidemiology of Congenital Metatarsus Adductus: Experience from a Tertiary Health Institution

Phillip D. Eyimina1 and Richard C. Echem1,

1Department of Orthopaedic Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Post code - 500001, Rivers State, Nigeria

Pub. Date: April 30, 2020

Cite this paper:
Phillip D. Eyimina and Richard C. Echem. Epidemiology of Congenital Metatarsus Adductus: Experience from a Tertiary Health Institution. American Journal of Medical Sciences and Medicine. 2020; 8(2):54-61. doi: 10.12691/ajmsm-8-2-3

Abstract

Background: Congenital metatarsus adductus is a common foot deformity in children. It involves adduction of the metatarsals at the LisFranc’s joint. It can be primary (idiopathic) or secondary. Aim: To describe the epidemiology of idiopathic congenital metatarsus adductus as seen in a tertiary health institution. Methods: A prospective study of consecutive patients presenting with congenital metatarsus adductus in children at the University of Port Harcourt Teaching Hospital, Port Harcourt from January 2010 to December 2017. Diagnoses were made clinically. Data was obtained through a structured proforma and analysed using SPSS version 20. Results: Fifty children with congenital metatarsus adductus with a total of 82 feet were seen. Ages ranged from 2 weeks to 10 years. There were 27 females and 23 males. They were mostly first and second born in their families. Majority were from monogamous homes. All were Nigerians and mostly of Igbo tribe. No use of alcohol or tobacco during pregnancy. There was no consanguinity. The maternal age ranged from 24 to 36 years and paternal age from 30 to 45 years. Gestational age ranged from 34 to 40 weeks. Majority were singleton. Majority were born in public hospitals and by spontaneous vaginal delivery. Most were bilateral. Common Bleck’s severity grades were mild and moderate. Most frequent flexibility grade was the partially flexible. Conclusion: Idiopathic congenital metatarsus adductus is commonly diagnosed within the first few months of life and commonly occurs in females and first-born. Most are either mild or moderate in severity and most frequently partially flexible.

Keywords:
congenital metatarsus adductus epidemiology idiopathic

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