• Dorsolateral dislocation of the talonavicular joint 
  • genes identified relate to homeobox transcription factors
  • Suspect in infants presenting with plantar fullness in the medial midfoot and a dorsolateral crease
  • D/D: Calcaneovalgus foot, Oblique talus 
  • Seimon first showed that minor surgery—a limited dorsolateral capsulotomy and pinning—is sufficient
  • Reverse Ponseti casting with or without dorsolateral capsulotomy+pinning +/- percutaneous TA lengthening
  • Talectomy-indicated in resistant case
  • Triple arthrodesis-as salvage procedure
  • Reconstructive options are less predictable after age 3

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