How should healthcare providers assess for metatarsus adductus in newborns?

To assess for metatarsus adductus in newborns, evaluating foot structure and positioning is the most effective approach. This condition is characterized by a curvature of the forefoot toward the midline. In a thorough examination, healthcare providers typically observe the alignment of the foot, noting whether the toes are pointing inward relative to the heel.

Assessment may include assessing passive range of motion, particularly the ability to bring the foot into a more neutral position. However, a key aspect is the identification of the foot's characteristic positional deformity. The recognition of this specific positioning provides clear insight into the presence of metatarsus adductus.

Other methods, such as examining ankle flexibility, testing for sensitivity in the toes, or monitoring pain responses during movement, do not directly assess the deformity itself, making them less effective in diagnosing metatarsus adductus. These alternative assessments may be important in broader examinations but do not specifically address the key indicators of this particular condition.