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What is Clubfoot?

Clubfoot describes a group of foot abnormalities ,in which your baby's foot is twisted in.

The tendons ( tissues connecting muscles to bone ) are shorter than usual.

Clubfoot is the most common birth defect.

  • 1:1,000
  • highest prevalence in Hawaiians and Maoris
  • male:female ratio approximately 2:1
  • Anatomic location
  • 50%of cases are bilateral

Epidemiology

  • Associated conditions
    • arthrogryposis
    • diastrophic dysplasia
    • myelodysplasia
    • tibial hemimelia
    • amniotic band syndrome (Streeter dysplasia)
    • upper extremity and hand anomalies common in this population
    • Pierre Robin syndrome
    • Opitz syndrome
    • Larsen syndrome
    • prune-belly syndrome
    • anterior tibial artery hypoplasia or absence is common, regardless of etiology of clubfoot

Anatomy of Clubfoot?

Muscle contractures contribute to the characteristic deformity that includes (CAVE)

Cavus (tight intrinsics, FHL, FDL)

Adductus of forefoot (tight tibialis posterior)

Varus (tight tendoachilles, tibialis posterior, tibialis anterior)

Equinus (tight tendoachilles)

  • Bony deformity consists of medial spin of the midfoot and forefoot relative to the hindfoot
  • talar neck is medially and plantarly deviated
  • calcaneus is in varus and rotated medially around talus
  • navicular and cuboid are displaced medially

Are Club Feet genetic?

  • strongly suggested
  • unaffected parents with affected child have 2.5% - 6.5% chance of having another child with a clubfoot
  • familial occurrence in 25%
  • link to PITX1

How are Clubfeet diagnosed?

Ultrasound

  • 1st trimester
    • associated anomalies, including non-musculoskeletal
  • 2nd trimester
    • true clubfeet
  • 3rd trimester
    • false positive rate is higher due to intrauterine crowding

Radiographs

  • often not taken
  • recommended views, if taken(dorsiflexion lateral (Turco view) AND AP
  • CTEV (CLUB FOOT) treatment in Indore , Bhopal , Ujjain , Dewas , Guna

Treatment of Clubfeet?

Ponseti method. Gentle stretching and casting to gradually correct the deformity.

Treatment begins shortly after birth

6-8 weekly plasters needed

Achilles tenotomy. 90 percent of babies will require a minor procedure to release continued tightness in the Achilles tendon (heel cord), managed by Tendo Achilles Tenotomy i.e the tendon is cut. Plaster is then applied for 3 weeks.

Bracing. The brace keeps the foot at the proper angle to maintain the correction. This bracing program can be demanding for parents and families, but is essential to prevent relapses.

For More Details, Please Contact

Dr Gaurav Jain

20 B Sainath Colony , Indore

Call us +919111464959

Visit our website

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Related answers

What is Clubfoot?

Clubfoot describes a group of foot abnormalities ,in which your baby's foot is twisted in.

The tendons ( tissues connecting muscles to bone ) are shorter than usual.

Clubfoot is the most common birth defect.

  • 1:1,000
  • highest prevalence in Hawaiians and Maoris
  • male:female ratio approximately 2:1
  • Anatomic location
  • 50%of cases are bilateral

Epidemiology

  • Associated conditions
    • arthrogryposis
    • diastrophic dysplasia
    • myelodysplasia
    • tibial hemimelia
    • amniotic band syndrome (Streeter dysplasia)
    • upper extremity and hand anomalies common in this population
    • Pierre Robin syndrome
    • Opitz syndrome
    • Larsen syndrome
    • prune-belly syndrome
    • anterior tibial artery hypoplasia or absence is common, regardless of etiology of clubfoot

Anatomy of Clubfoot?

Muscle contractures contribute to the characteristic deformity that includes (CAVE)

Cavus (tight intrinsics, FHL, FDL)

Adductus of forefoot (tight tibialis posterior)

Varus (tight tendoachilles, tibialis posterior, tibialis anterior)

Equinus (tight tendoachilles)

  • Bony deformity consists of medial spin of the midfoot and forefoot relative to the hindfoot
  • talar neck is medially and plantarly deviated
  • calcaneus is in varus and rotated medially around talus
  • navicular and cuboid are displaced medially

Are Club Feet genetic?

  • strongly suggested
  • unaffected parents with affected child have 2.5% - 6.5% chance of having another child with a clubfoot
  • familial occurrence in 25%
  • link to PITX1

How are Clubfeet diagnosed?

Ultrasound

  • 1st trimester
    • associated anomalies, including non-musculoskeletal
  • 2nd trimester
    • true clubfeet
  • 3rd trimester
    • false positive rate is higher due to intrauterine crowding

Radiographs

  • often not taken
  • recommended views, if taken(dorsiflexion lateral (Turco view) AND AP
  • CTEV (CLUB FOOT) treatment in Indore , Bhopal , Ujjain , Dewas , Guna

Treatment of Clubfeet?

Ponseti method. Gentle stretching and casting to gradually correct the deformity.

Treatment begins shortly after birth

6-8 weekly plasters needed

Achilles tenotomy. 90 percent of babies will require a minor procedure to release continued tightness in the Achilles tendon (heel cord), managed by Tendo Achilles Tenotomy i.e the tendon is cut. Plaster is then applied for 3 weeks.

Bracing. The brace keeps the foot at the proper angle to maintain the correction. This bracing program can be demanding for parents and families, but is essential to prevent relapses.

For More Details, Please Contact

Dr Gaurav Jain

20 B Sainath Colony , Indore

Call us +919111464959

Visit our website

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The Clubfoot was created in 1642.

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From what I have read (and my own personal experience with clubfoot), I am fairly certain that "Yes, clubfoot can be considered a disability". Like most other orthopedic impairments, clubfoot ranges in severity from one person to the next.

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True clubfoot is usually obvious at birth

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True clubfoot is characterized by abnormal bone formation in the foot

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