Clubfoot

Question 1

What is clubfoot

Answer 1

Is a condition in which one or both feet are twisted into an abnormal position at birth

Question 2

Describe the Epidemiology of clubfoot

Answer 2

• The male-to-female ratio is 2:1.
• Bilateral involvement is found in 30-50% of cases.
• 10% chance of a subsequent child being affected if the parents already have a child with a clubfoot.

Question 3

How is clubfoot diagnosed?

Answer 3

Ultra sound in utero or on observation of child when born.

Question 4

When is treatment of this condition most beneficial?

Answer 4

• As soon as it is diagnosed in order to minimize problems down the road.
• Probability of correcting the condition is highest if treatment is begun during the first two weeks of the child’s life.

Question 5

What are the signs of clubfoot in bone?

Answer 5

Fibula: Shortening is common.
talus is extruded anterolaterally and is uncovered and can be palpated.
Navicular and cuboid is medially subluxated

Question 6

What are the signs of clubfoot in muscle?

Answer 6

• Atrophy of the leg muscles, especially in the peroneal group
• The calf is of a smaller size and remains so throughout life,