Metatarsus adductus

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Metatarsus adductus
• Flexible forefoot curve that corrects past neutral with gentle pressure
• Normal ankle motion and heel position, without signs of clubfoot
• Observation, since flexible metatarsus adductus usually improves on its own by 6-12 months of age
• Okay to gently stretch the forefoot during diaper changes
• Follow up at the next well child check

Metatarsus adductus is a curve in the front of the foot from the baby's position before birth. When the foot is flexible or partly flexible, it usually straightens on its own by 6 to 12 months of age; gentle stretching is fine to try, and special shoes, braces, or inserts are not needed. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Flexible, partially flexible, rigid
Clubfoot features: stiff, tight heel cord, heel turned in
Observation and stretching
Orthopedics for rigidity or persistence
Continue casting per orthopedics
Avoid corrective shoes, braces, inserts
Follow-up next well check, 2 months, after specialist

Sources

Cribsiders #38 Ophthalmology in Pediatrics (Nov 10, 2021)
Cribsiders #153 Say Cheese! Eye Spy Retinoblastoma (Sept 24, 2025)
American Academy of Ophthalmology Cornea/External Disease Committee. Conjunctivitis Preferred Practice Pattern 2023. Ophthalmology 2024
HC Umbilical Hernia (Chang, AAP Section on Surgery)
AAP Policy Statement, Visual System Assessment in Infants, Children, and Young Adults by Pediatricians. Donahue SP, Baker CN; COPAM, Section on Ophthalmology, AAPOS,…
AAP Clinical Report, Procedures for the Evaluation of the Visual System by Pediatricians. Donahue SP, Baker CN. Pediatrics 2016;137(1):e20153597. Reaffirmed February…
AAP Clinical Report, Hearing Assessment in Infants, Children, and Adolescents: Recommendations Beyond Neonatal Screening. Bower C, Reilly BK, Richerson J, Hecht JL;…
Wang KS; COFN; Section on Surgery. Assessment and Management of Inguinal Hernia in Infants. Pediatrics 2012;130(4):768. Reaffirmed May 2021. (re-read Oct 22 2026,…

Few formal guidelines cover this topic, so the template also leans on expert opinion.