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GADHAVI RATANKUMAR
vekariya kushal
CHATROLA NISITH
JALONDHARA KALPESH
GUPTA ABHISHEK
SARATH STEPHEN
RUDANI AJAYKUMAR
 Congential Talipes equinovarus: it`s a common form of clubfoot.
 Talipes = talus (ankle) + pes (foot).
 Equino = heel ...
 Clubfoot is a condition in which one or both feet are twisted into an
abnormal position at birth.
 Common birth defect
...
 Present at birth and affects the foot and/or ankle.
 There is no known cause for clubfoot
 Most common in male childre...
 Family history of clubfoot.
 Smoking during pregnency
 Position of the baby in the uterus.
 Increased occurrences in ...
Oligohydramnios
 Seek a detailed family history of clubfoot or neuromuscular disorders, and perform
a general examination to identify any...
 Similar deformities are seen with myelomeningocele and arthrogryposis.
Therefore, always examine for these associated co...
 The navicular is displaced medially, as is the cuboid. Contractures of
the medial plantar soft tissues are present. Not ...
 The talar neck is easily palpable in the sinus tarsi as it is uncovered laterally.
Normally, this is covered by the navi...
 Clubfoot is painless in a baby, but it can eventually cause discomfort and become a
noticeable disability.
 Left untrea...
 1. Metatarsus Adducts :- Metatarsus adducts is common in newborns
and involves adduction of the forefoot relative to the...
Congenital Vertical Talus
It is an uncommon foot deformity
in which the midfoot is dorsally
dislocated on the hindfoot. W...
Calcaneovalgus Feet
It is a common finding in the
newborn and is secondary to
in utero positioning. Excessive
dorsiflexio...
Cavus Feet
Cavus is a deformity involving plantarflexion of
the forefoot or midfoot on the hindfoot and may
involve the en...
 Ultrasonography
 X-ray
 CT-scan
 Stretching and casting (Ponseti Method)
 Stretching and taping (French Method)
 Surgery
 Brace
 The most difficult d...
REFERENCE :-nelson book of pediatrics 18th edition
ABHAR
Club foot
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club foot introduction,type,anatomy and treatment

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Club foot

  1. 1. GADHAVI RATANKUMAR vekariya kushal CHATROLA NISITH JALONDHARA KALPESH GUPTA ABHISHEK SARATH STEPHEN RUDANI AJAYKUMAR
  2. 2.  Congential Talipes equinovarus: it`s a common form of clubfoot.  Talipes = talus (ankle) + pes (foot).  Equino = heel is elevated (like a horse's)  varus = turned inward.  With this type of clubfoot, the foot is turned in sharply and the person seems to be walkingon their ankle.
  3. 3.  Clubfoot is a condition in which one or both feet are twisted into an abnormal position at birth.  Common birth defect  Other terms Giles Smith Syndrome, congenital talipes aquinovarus (CTEV)  The condition is also known as talipes. It is a general term used to describe a range of unusual positions of the foot.
  4. 4.  Present at birth and affects the foot and/or ankle.  There is no known cause for clubfoot  Most common in male children as it is in female children.  Most type of clubfoot is present at birth which can happen in one foot or in both feet. In almost half of affected infants, both feet are involved. Although clubfoot is painless in a baby,  Approximately 50% cases of clubfoot are bilateral
  5. 5.  Family history of clubfoot.  Smoking during pregnency  Position of the baby in the uterus.  Increased occurrences in those children with neuromuscular disorders, such as cerebral palsy and spina bifida.  Amniotic Band Syndrome  Oligohydramnios
  6. 6. Oligohydramnios
  7. 7.  Seek a detailed family history of clubfoot or neuromuscular disorders, and perform a general examination to identify any other abnormalities. Examine the feet with the child prone, with the plantar aspect of the feet visualized, and supine to evaluate internal rotation and varus. If the child can stand, determine whether the foot is plantigrade, whether the heel is bearing weight, and whether it is in varus, valgus, or neutral.
  8. 8.  Similar deformities are seen with myelomeningocele and arthrogryposis. Therefore, always examine for these associated conditions. The ankle is in equinus, and the foot is supinated (varus) and adducted (a normal infant foot usually can be dorsiflexed and everted, so that the foot touches the anterior tibia). Dorsiflexion beyond 90° is not possible.
  9. 9.  The navicular is displaced medially, as is the cuboid. Contractures of the medial plantar soft tissues are present. Not only is the calcaneus in a position of equinus, but also the anterior aspect is rotated medially and the posterior aspect laterally.  The heel is small and empty. The heel feels soft to the touch (akin to the feel of the cheeks). As the treatment progresses, it fills in and develops a firmer feel (akin to the feel of the nose or of the chin).
  10. 10.  The talar neck is easily palpable in the sinus tarsi as it is uncovered laterally. Normally, this is covered by the navicular, and the talar body is in the mortise. The medial malleolus is difficult to palpate and is often in contact with the navicular. The normal navicular-malleolar interval is diminished.
  11. 11.  Clubfoot is painless in a baby, but it can eventually cause discomfort and become a noticeable disability.  Left untreated, clubfoot does not straighten itself out.  The foot will remain twisted out of shape, and the affected leg may be shorter and smaller than the other.  These symptoms become more obvious and more of a problem as the child grows.  There are also problems with fitting shoes and participating in normal play. Treatment that begins shortly after birth can help overcome these problems.
  12. 12.  1. Metatarsus Adducts :- Metatarsus adducts is common in newborns and involves adduction of the forefoot relative to the hindfoot.. Clinical picture of metatarsus adductus with a normal foot on opposite side.
  13. 13. Congenital Vertical Talus It is an uncommon foot deformity in which the midfoot is dorsally dislocated on the hindfoot. While approximately 60% of cases are idiopathic, 40% are associated with an underlying neuromuscular condition or a syndrome. Neurologic causes include myelodysplasia, tethered cord, and sacral agenesis.
  14. 14. Calcaneovalgus Feet It is a common finding in the newborn and is secondary to in utero positioning. Excessive dorsiflexion and eversion are observed in the hindfoot, and the forefoot may be abducted. There may be an associated external tibial torsion.
  15. 15. Cavus Feet Cavus is a deformity involving plantarflexion of the forefoot or midfoot on the hindfoot and may involve the entire forepart of the foot or just the medial column. The result is an elevation of the longitudinal arch , and a deformity of the hindfoot will often develop to compensate for the primary forefoot abnormality.
  16. 16.  Ultrasonography  X-ray  CT-scan
  17. 17.  Stretching and casting (Ponseti Method)  Stretching and taping (French Method)  Surgery  Brace  The most difficult deformity to correct is the hindfoot equinus, and approximately 90% of patients will require a percutaneous tenotomy of the heel cord as an outpatient.  Following the tenotomy, a long leg cast with the foot in maximal abduction (70 degrees) and dorsiflexion is worn for 3 week the patient then begins a bracing program.
  18. 18. REFERENCE :-nelson book of pediatrics 18th edition ABHAR
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club foot introduction,type,anatomy and treatment

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