Talipes Equinovarus Flashcards
other name for talipes equinovarus
clubfoot
definition
rigid congenital deformity of the foot affecting 1 in 800 births due to in utero abnormal alignments of the talus calcaneus and navicular
how many cases are bilateral
50%
what does the abnormal alignment of these joints result in
contractors of the soft tissues resulting in deformity consisting of:
- ankle equinus (plataflexion)
- supination of forefoot
- Varus alignement of forefoot
who most commonly gets tapes equinovarus
boys are 2x more likely
risk factors
- positive family history
- breech position
- oligohydroamnios (low amniotic fluid content)
management
splint age using the PONSETI technique as soon as possible after birth, 80% require a minor procedure called a tenotomy of chiles tendon after
after correction management
child is placed in a brace until they are 3 to prevent recurrence