The description is classic for metatarsus adductus. The most important clinical factor guiding management is whether the foot is flexible or rigid. Flexible deformities typically resolve spontaneously and do not require intervention.

Toronto Notes 2023 – Pediatrics, “Musculoskeletal Conditions”:

“Metatarsus adductus: inward deviation of the forefoot. Management depends on flexibility. Flexible cases are benign and resolve spontaneously; rigid forms may need casting.”

MCCQE1 Objectives (Pediatrics > 78-2: Musculoskeletal Disorders):

“Candidates must assess and differentiate between flexible and rigid deformities to guide treatment in foot abnormalities.”

Other findings (B–E) are either unrelated or not determinant in metatarsus adductus management.

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