Paeds -CLUBFOOT DERFORMITY

Question 1

What are the causes of Clubfoot deformity?

Answer 1

Idiopathic, but there is a genetic link

Question 2

Describe the deformities in clubfoot deformity

Answer 2

FOUR deformities:

1. Midfoot Cavus = meaning it is concave/curled.
2. Forefoot Adductus =meaning it is distorted towards midline.
3. Hindfoot Varus = meaning it is laterally displaced and curved to displace the distal part medially (like genu varus)
4. Hindfoot Equinus = the foot is relatively plantarflexed and dorsiflexion is
   limited.

Mnemonic to remember is “CAVE” deformity

Question 3

Describe physical exam for Clubfoot

Answer 3

-Examine hips for associated DDH
-Examine knees for deformity
-Examine back for dysraphism(spine bifida(

Question 4

Describe the treatment for Club foot

Answer 4

Largely non-operative via Ponseti technique (serial manipulation and casting

You need to correct deformities in CAVE order