Club foot deformity

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Club foot deformity

  1. 1. Talipes Club foot ‫)القدم الحنفاء )المائلة‬ Dr / Hytham Nafady
  2. 2. • Talipes = congenital deformity in which the foot is twisted from its normal position. • Tali = ankle • Pes = foot • Talipes cavus = high arched foot. • Talipes equinus = plantar flextion. • Talipes calcaneus = dosiflexion. • Talipes valgus = abduction and eversion. • Talipes varus = adduction and inversion.
  3. 3. Talipes equinovarus
  4. 4. 3 components Plantar flextion At the ankle joint Equinus deformity of the hindfoot. Inversion At the subtalar joint Varus deformity of the hindfoot. Adduction At the tarsometatarsal joints Adduction of the deformity forefoot.
  5. 5. Radiological findings
  6. 6. Proper positioning AP radiograph: Lateral radiograph:
  7. 7. Normal foot AP Club foot AP Talo-calcaneal angle: 20-40 0 or even reversed Mid-talar line: Point to the 1st metatarsal head. Lateral to the 1st metatarsal head. Mid-calcaneal line: Point to the 4th metatarsal head. Lateral to the 4th metatarsal head. Metatarsal shafts Parallel Posterior convergence.
  8. 8. Normal foot lateral Club foot lateral Mid-talar line & line through the 1st metatarsal shaft Coincide form an obtuse angle. Mid-talar line & midcalcaneal line Form an acute angle More or less parallel Angle between a line through the inferior cortex of calcaneus and line through inferior cortex of 5th metatarsal bone. Obtuse. Acute.
  9. 9. Normal foot AP
  10. 10. Normal foot lateral
  11. 11. Club foot AP Mid-calcaneal line points lateral to the 5th metatarsal base
  12. 12. Club foot lateral

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