Congenital Talipes Equino Vares (Clubfoot)

Question 1

Definition

Answer 1

points downwards and inwards
hindfoot excessive plantar flexion
midfoot adduction and varus
forefoot first metatarsal points downwards

Question 2

Long term outcomes

Answer 2

may correct spontaneously if jsut due to positioning in utero
if neurological or congenital - requires treatment
growth = risk of recurrence, need to continue with management until 4-5years old
risk of leg length discrepancy

Question 3

Assessment

Answer 3

Pirani Scoring System 
prenatal hx. 
birth hx. 
ankle PROM/AROM 
foot PROM/AROM 
motor milestones

Question 4

Treatment

Answer 4

specialist physio area 
Ponsetti Method 
- need to correct position via casting 
address forefoot, midfoot then hindfoot 
- takes 6-8 weeks