Talipes Equinovarus Flashcards
1
Q
How is a foot with talipes positioned in anatomical terms?
A
Inverted (inward turning) and plantar flexed.
2
Q
Which gender is it more common in/.
A
Twice as commin on males than females
3
Q
What is the incidence?
A
1 in 1,000 births
4
Q
What % of cases are bilateral?
A
50%
5
Q
Most are commonly……..
A
Idiopathic
6
Q
What conditions are talipes associated with?
A
- Spina bifida
- Cerebral palsy
- Edward’s syndrome (trisomy 18)
- Oligohydramnios
- Arthrogryposis
7
Q
Should an xray be done to confirm the diagnosis?
A
No. No investigations are usually needed.
8
Q
How is it Managed?
A
- Surgery - Achilles tenotomy
- Most common Ponseti Method - progressive casting soon after birth.
- Night time- braces are then applied until the child is 4 years old.
9
Q
What percentage of children will require an achilles tenotomy?
A
85%
(Under local anaesthetic)
10
Q
What is the relapse rate?
A
15%
