Declaration of conflict of interest: The authors have no relevant conflict of interest to disclose.
Metatarsus adductus: Development of a non-surgical treatment pathway
Article first published online: 6 MAY 2013
© 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 49, Issue 9, pages E428–E433, September 2013
How to Cite
Williams, C. M., James, A. M. and Tran, T. (2013), Metatarsus adductus: Development of a non-surgical treatment pathway. Journal of Paediatrics and Child Health, 49: E428–E433. doi: 10.1111/jpc.12219
- Issue published online: 5 SEP 2013
- Article first published online: 6 MAY 2013
- Manuscript Accepted: 10 SEP 2012
- conservative treatment;
- metatarsus adductus;
Metatarsus adductus (MA) occurs in one to two cases per 1000 births and is the most common congenital foot deformity in newborns. The appearance is that of a curved or adducted forefoot with a normal hindfoot. A systematic literature review was conducted to answer the following question: For a child who presents with MA, what is the most evidence-based conservative treatment option? Thirteen articles were reviewed using the National Health and Medical Research Council levels of evidence and guidelines for clinical practice. Conservative treatment options reported on included the following: no treatment, stretching, splinting, serial casting, sitting and sleeping positions and footwear/orthotics. There was strong evidence supporting no treatment in the case of flexible MA. Some limited evidence was found for the treatment of semi-rigid MA. Clinicians should use these recommendations together with clinical experience when advising parents on treatment of MA.