talipes equinovarus/clubfoot Flashcards
1
Q
what is talipes equinovarus?
A
congenital deformity that describes an inverted and plantar flexed foot
it is NOT passively correctable
2
Q
what is the incidence of talipes equinovarus?
A
twice as common in M than F
incidence of 1 per 1000 births
50% cases are bilateral
3
Q
what is associated with talipes equinovarus?
A
mostly idiopatahic
spina bifida
cerbral palsy
edward’s syndrome- trisomy 18
oligohydramnios
arthrogryposis
4
Q
what is the management of talipes equinovarus?
A
ponseti method- manipuation + progressive casting starting soon after birth
deformity corrected after 6-10 weeks
85% require achilles tenotomy under LA
night time braces until 4yo
relapse rate 15%
