Which statement best describes the typical outcome of most metatarsus adductus deformities?

• A. Treat with serial casting
• B. Require surgical correction
• C. Resolve spontaneously
• D. Observation without intervention

Answer: (C)

Metatarsus adductus is usually a flexible, in-utero positioning deformity that improves as the child grows. Most infants have a forefoot that can be moved toward neutral when examined, which indicates the alignment will remodel with weight-bearing and typical walking. Because of this natural remodeling, the majority of cases resolve spontaneously without intervention, often by about 3–4 years of age. Observation with parental reassurance is the common approach. Interventions like serial casting or surgery are reserved for rigid deformities or those that persist and cause functional problems.