Talipes, also known as club foot, is a congenital deformity where the foot is twisted from its normal position. There are three main components of Talipes equinovarus: plantar flexion at the ankle joint (equinus deformity), inversion at the subtalar joint (varus deformity), and adduction at the tarsometatarsal joints (adduction deformity of the forefoot). Radiological findings that indicate club foot include the talo-calcaneal angle measuring 0 degrees or reversed on AP radiograph, and the mid-talar and mid-calcaneal lines pointing lateral to the metatarsal heads rather than through them. The mid-talar line also forms

1. Talipes
Club foot
‫)القدم الحنفاء )المائلة‬
Dr / Hytham Nafady

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.

4. Talipes equinovarus

5. 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.

8. Radiological findings

9. Proper positioning
AP radiograph:
Lateral radiograph:

10. 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.

11. 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.

12. Normal foot AP

13. Normal foot lateral

14. Club foot AP
Mid-calcaneal line points lateral to the 5th
metatarsal base

15. Club foot lateral