Congenital varus deformity of the first metatarsal can be secondary to
the abnormal insertion of abductor hallucis, a space-occupying lesion
of the first web space, or hypoplasia of the metatarsal. We report a
unique case where all three factors were present in one foot. This was
combined with talipes equinovarus, which gave the appearance of a sim
ian or hand-like foot.