Talipes Equinovarus

Question 1

What is another term for talipes equinovarus?

Answer 1

Club foot

Question 2

What is talipes equinovarus?

Answer 2

Inverted + plantarflexed foot

Question 3

When is talipes equinovarus usually diagnosed?

Answer 3

On the newborn exam

Question 4

Epidemiology of talipes equinovarus?

Answer 4

2x more common in males
1 in 1000
50% cases are bilateral

Question 5

What is talipes equinovarus a/w?

Answer 5

Most are idiopathic

Spina bifida
Cerebral palsy
Edward’s syndrome (trisomy 18)
Oligohydramnios
Arthrogryposis

Question 6

Ix for talipes equinovarus?

Answer 6

Clinical (deformity is not passively correctable)
No need for imaging

Question 7

Mx for talipes equinovarus?

Answer 7

Move away from surgical intervention to more conservative methods

Ponseti method: manipulation + progressive casting soon after birth (corrects defomirth within 6-10wks)
Night-time braces until 4 y/o

Question 8

What may be required for the Ponseti method to work?

Answer 8

Achilles tenotomy (85% cases)
Done under LA