Clubfoot: Difference between revisions
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{{SI}} | |||
{{Infobox medical condition | |||
| name = Clubfoot | |||
| image = [[File:Pied_bot,_varus_équin_(bilateral).jpg|250px]] | |||
| image_size = 250px | |||
| alt = | |||
| caption = Bilateral clubfoot in a child | |||
| field = [[Orthopedics]] | |||
| synonyms = [[Congenital talipes equinovarus]] | |||
| symptoms = [[Foot]] twisted out of shape or position | |||
| complications = [[Arthritis]], difficulty walking | |||
| onset = [[Birth]] | |||
| duration = | |||
| types = | |||
| causes = [[Genetic]] and environmental factors | |||
| risks = [[Family history]], [[smoking]] during pregnancy | |||
| diagnosis = [[Physical examination]], [[prenatal ultrasound]] | |||
| differential = [[Metatarsus adductus]], [[vertical talus]] | |||
| prevention = | |||
| treatment = [[Ponseti method]], [[French method]], [[surgery]] | |||
| medication = | |||
| prognosis = Good with treatment | |||
| frequency = 1 in 1,000 [[birth]]s | |||
| deaths = | |||
}} | |||
'''Clubfoot''' or '''congenital talipes equinovarus (CTEV)''' is a congenital deformity involving one foot or both. The affected foot appears to have been rotated internally at the ankle. Without treatment, people with clubfoot often appear to walk on their ankles or on the sides of their feet. | '''Clubfoot''' or '''congenital talipes equinovarus (CTEV)''' is a congenital deformity involving one foot or both. The affected foot appears to have been rotated internally at the ankle. Without treatment, people with clubfoot often appear to walk on their ankles or on the sides of their feet. | ||
[[File:813 Clubfoot.jpg|thumb|813 Clubfoot]] | [[File:813 Clubfoot.jpg|left|thumb|813 Clubfoot]] | ||
== Etiology == | == Etiology == | ||
While the exact cause of clubfoot is still unknown, it is believed to be a combination of genetic and environmental factors. It is, however, more prevalent in male children and in those with a family history of the condition. | While the exact cause of clubfoot is still unknown, it is believed to be a combination of genetic and environmental factors. It is, however, more prevalent in male children and in those with a family history of the condition. | ||
Latest revision as of 02:01, 5 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Clubfoot | |
|---|---|
.jpg)
| |
| Synonyms | Congenital talipes equinovarus |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Foot twisted out of shape or position |
| Complications | Arthritis, difficulty walking |
| Onset | Birth |
| Duration | |
| Types | |
| Causes | Genetic and environmental factors |
| Risks | Family history, smoking during pregnancy |
| Diagnosis | Physical examination, prenatal ultrasound |
| Differential diagnosis | Metatarsus adductus, vertical talus |
| Prevention | |
| Treatment | Ponseti method, French method, surgery |
| Medication | |
| Prognosis | Good with treatment |
| Frequency | 1 in 1,000 births |
| Deaths | |
Clubfoot or congenital talipes equinovarus (CTEV) is a congenital deformity involving one foot or both. The affected foot appears to have been rotated internally at the ankle. Without treatment, people with clubfoot often appear to walk on their ankles or on the sides of their feet.
Etiology[edit]
While the exact cause of clubfoot is still unknown, it is believed to be a combination of genetic and environmental factors. It is, however, more prevalent in male children and in those with a family history of the condition.
Presentation[edit]
In a clubfoot, the tendons on the inside of the leg are shortened, the bones have an unusual shape, and the Achilles tendon is tightened. If left untreated, the foot will remain deformed, and the affected individual will not be able to walk normally.
Diagnosis[edit]
Clubfoot is usually diagnosed through a physical examination shortly after birth. The condition may also be detected before birth during an ultrasound examination.
Treatment[edit]
The goal of treatment is to improve the look and function of the foot before a child starts to walk, reducing the potential for disability.
- Ponseti method: This is the most common treatment for clubfoot and involves weekly manipulation and casting for several weeks, followed by a minor surgical procedure to release the tight Achilles tendon.
- French Method: This method involves daily physical therapy, with stretching, mobilization, and taping.
- Surgery: More severe cases of clubfoot may require surgery to adjust the tendons, ligaments, and joints in the foot and ankle.
Prognosis[edit]
With early treatment, the majority of clubfeet can be corrected, allowing individuals to have a relatively normal life.
