Paediatric Foot and Ankle

Question 1

What bones are involved in talipes equinovarus?

Answer 1

Talus
Navicular
Calcaneus

Question 2

More common name for talipes equinovarus

Answer 2

Clubfoot

Question 3

Describe the deformity of talipes equinovarus

Answer 3

ankle equinus (plantarflexion), supination of the forefoot and varus alignment of the forefoot

Question 4

What gender is more commonly affected by clubfoot?

Answer 4

Boys > Girls (2:1)

Question 5

Risk factors for talipes equinovarus

Answer 5

Positive family history
Breech presentation
Oligohydraminos
Can be part of another skeletal dysplasia

Question 6

Treatment for talipes equinovarus

Answer 6

Splintage with Ponseti technique - 5-6 weekly cast changes to correct deformity
80% require tenotomy of Achilles tendon
After deformity corrected, brace of boots attached to bar for 3 months (23 hrs/day) and then during sleep until 3-4 years