Developmental Disorders (2) Flashcards
What is the incidence in talipes equinovarus (clubfoot)?
2 in 1000 (boys 2:1)
What is the population that gets talipes equinovarus (clubfoot)?
Cerebral palsy
Cerebral vascular accidents
Children
How do you get talipes equinovarus (clubfoot)?
Congenital
What happens to the muscles in talipes equinovarus (clubfoot)?
Posterior and medial muscles are short
What happens to the soft tissue in talipes equinovarus (clubfoot)?
Become progressively resistant to correction as weeks go by
What happens to the shape of growing bones and involved joints in talipes equinovarus (clubfoot)?
2° changes
What happens to the capsules in talipes equinovarus (clubfoot)?
Capsules of affected joints become thick and contracted on concave side of deformity
What is talipes equinovarus (clubfoot) associated with?
Internal tibial rotation
When does treatment start in a mild case of talipes equinovarus (clubfoot)?
Within 1st few days of life with gentle passive correction
How long should children be supervised in a mild case of talipes equinovarus (clubfoot)?
Until end of growth period
What are some moderate interventions for talipes equinovarus (clubfoot)?
Plaster cast
Dennis Browne splint with feet fixed and progressively turned outwards
Dennis Browne split used day and night
Straight last or out flare shoes
Semi rigid orthotics
What is the intervention for a severe case of talipes equinovarus (clubfoot)?
Surgery
What is calcaneal apophysitis (severs disease) commonly seen in?
Skeletal immaturity
What causes calcaneal apophysitis (severs disease)?
Direct trauma (repetitive heel strike)
What is calcaneal apophysitis (severs disease)?
Inflammation of the apophysis of the calcaneus (may fragment)
