This is a follow up to our last post on forefoot varus, available here.

Remember, ou are looking at a person with an uncompensated, rigid fore foot varus. This individual is not able to get the head of the 1st ray to the ground at all, and he has a Morton’s foot to boot (no pun intended). 
So, what do we see?

  • 1st of all, you will note his 2nd metatarsal is longer than his 1st. When he goes up on his toes, you see his foot invert and will see curling of the toes 3-5 in an attempt to stabilize the foot. 
  • You will also see his foot looks pretty flat. He has an arch (you can see it as he goes up onto his toes) and the “flatness” is actually due to the fore foot varus.
  • You will see a bunion forming bilaterally, due again to the uncompensated fore foot varus, and his inability to anchor the head of the 1st metatarsal. 
  • The posterior view shows relatively vertical calcaneii (no no rearfoot valgus), but you can really see the effects of the fore foot varus, with medial fall of the midfoot.
  • note the prominent “pump bumps” on the lateral calcaneus biaterally, from chronic rubbing on the shoes. 
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