Saiouf Y, Al Aji N, Ali Nizam N, Ibrahim A, Laila A. Bilateral congenital hallux varus with metatarsus adductus in a 6-year-old girl: A case report. World J Clin Cases 2025; 13(20): 105327 [DOI: 10.12998/wjcc.v13.i20.105327]
Corresponding Author of This Article
Nuha Al Aji, Faculty of Medicine, Damascus University, Saad Bin Abi Waqqas Street, Mezzeh West Villas, Damascus E5N 2B9, Dimashq, Syria. nuhaalaji@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2025; 13(20): 105327 Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.105327
Bilateral congenital hallux varus with metatarsus adductus in a 6-year-old girl: A case report
Yaman Saiouf, Nuha Al Aji, Nabeel Ali Nizam, Alia Ibrahim, Abdulrahman Laila
Yaman Saiouf, Nuha Al Aji, Nabeel Ali Nizam, Alia Ibrahim, Faculty of Medicine, Damascus University, Damascus E5N 2B9, Dimashq, Syria
Abdulrahman Laila, Department of Orthopedic Surgery, Al Asaad University Hospital, Al Mowasat University Hospital, University Pediatric Hospital, Damascus, Damascus 31002, Dimashq, Syria
Author contributions: Saiouf Y, Al Aji N, Ali Nizam N, Ibrahim A, and Laila A contributed to the collection of data and critical revision of the manuscript; Saiouf Y, Al Aji N, and Ali Nizam N contributed to data interpretation and analysis, and the draft of the manuscript ; Laila A was responsible for patient care, and supervision; and all authors thoroughly reviewed and endorsed the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient’s parents for publishing this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nuha Al Aji, Faculty of Medicine, Damascus University, Saad Bin Abi Waqqas Street, Mezzeh West Villas, Damascus E5N 2B9, Dimashq, Syria. nuhaalaji@gmail.com
Received: January 18, 2025 Revised: March 10, 2025 Accepted: March 20, 2025 Published online: July 16, 2025 Processing time: 81 Days and 14.1 Hours
Abstract
BACKGROUND
Congenital hallux varus (CHV) is a rare form of hallux varus deformity, characterized by medial deviation of the first toe at the metatarsophalangeal joint. It may be primary or secondary and presents clinically with pain and asymmetry with footwear.
CASE SUMMARY
We documented a case of a 6-year-old girl with bilateral CHV, accompanied by adduction of the toes in the left foot. Clinical diagnosis was made by physical examination and X-ray imaging based on Bleck’s classification. Conservative treatment did not show any noticeable improvement, so the child underwent corrective surgeries on both feet.
CONCLUSION
The patient’s family history is positive, which requires us to take into account the importance of checking for a family history with any complaint of CHV, and both feet must be evaluated to confirm whether the deformity is unilateral or bilateral.
Core Tip: This paper highlights a rare case of bilateral congenital hallux varus in a child, accompanied by metatarsus adductus and a positive familial history. Two years of conservative treatment led to no improvement, therefore, surgical intervention, including osteotomy and soft tissue corrections, achieved satisfactory outcomes. Congenital hallux varus’s multifactorial etiology and classification challenges are discussed, emphasizing the importance of thorough evaluation and obtaining a detailed family history.
