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Rocker bottom feet

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#Neonate born with multiple congenital anomalies including CHD, hypotonia, limp abnormalities & the one showed in picture. What is your Dx?

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Rocker-bottom foot, or congenital vertical talus, is a rare deformity of the foot characterized by a prominent calcaneus and a convex plantar surface. Its presence on obstetric ultrasound is sometimes considered a soft sign for aneuploidy. This newborn had trisomy 18, or Edwards syndrome, a condition associated with congenital malformations including microcephaly, microphthalmia, and distinctively clenched fingers. The majority of cases diagnosed prenatally die in utero or shortly after. Those who survive have severe intellectual disability. Image credit: @IBercholcMD.

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