Foot

Metatarsus Varus

Name: Curved Foot Newborn Milan: Metatarsus Adductus, Does It Correct Itself?
Creator: Dott. Daniele Priano
Published: 2026-01-15

Neonatal forefoot deformity: evaluation, mobilizations and treatment.

Medically reviewed: April 2026·Dott. Daniele Priano

Quick Answers

What's the difference between metatarsus varus and metatarsus adductus?

Metatarsus adductus is forefoot deviation inward on the horizontal plane (top view). Metatarsus varus also includes a supination component (rotation). Mobilizations are similar, but metatarsus varus adds a pronation component.

Does metatarsus varus correct on its own?

The vast majority (85-90%) of flexible forms correct spontaneously by the first year of life. Parent mobilizations accelerate correction. Only rigid forms require more intensive treatments.

Metatarsus varus is a congenital forefoot deformity characterized by medial (inward) deviation of the metatarsals. It is similar to metatarsus adductus but includes a supination (rotation) component. Most cases (85-90%) resolve spontaneously in the first year of life.

When to seek evaluation

At birth if deformity is evident
If not improving spontaneously by 3-4 months
Rigid form that doesn't correct with manipulation
Diagnostic doubt vs clubfoot
Before walking age if persists

What is evaluated

Clinical flexibility assessment (correctability test)
Differentiation from clubfoot (calcaneus and hindfoot normal in metatarsus varus)
Exclusion of associated conditions
Bilaterality assessment
X-ray in rigid cases

Treatment options

Observation in flexible forms (spontaneous resolution expected)
Daily parent mobilizations
Forefoot stretching during diaper changes
Serial corrective casts for rigid forms (6-8 weeks)
Night brace post-casting if needed

Frequently Asked Questions

What's the difference between metatarsus varus and metatarsus adductus?▼

Does metatarsus varus correct on its own?▼

The vast majority (85-90%) of flexible forms correct spontaneously by the first year of life. Parent mobilizations accelerate correction. Only rigid forms require more intensive treatments.

Important Notice: The information on this page is for educational and informational purposes only and does not constitute medical advice. Each clinical case is unique: the appropriate treatment is determined during the specialist consultation, based on a thorough clinical examination and, where necessary, diagnostic imaging. For any doubts or concerns, please consult a specialist.