Kevin et al.
Having thought a little more and having revisited these images again I am
left with the feeling that this is not CCPV or VT. With CCPV the heel is
usually elevated and the calcaneum lies in equinus and valgus. The forefoot
is normally fixed in eversion and the plantar aspect of the foot is convex
(with the head of the talus forming the lowest point on the medial arch).
That is not the clinical picture here. Also I am concerned about the distal
end of the tibia. Can you look at this again and bear in mind my comment
about the medial malleolus? If it were a malformed tibia - possibly due to
a positional intra-uterine abnormality - wouldn't this displace the talus
anteriorally in the way the image shows? Just a thought.
Thanks once again for your time.
Mark Russell
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