Clubfoot (Subscribe)  

Sequence of Correction: (Ponseti)-
- correction of cavus:
- correction of adduction and heel varus:
- correction of equinus:

2005 National Association of Orthopaedic Nurses Volume 24(1), January/February 2005, p 25–30 Shawne Faulks, MSN, RN, CNS , Texas Scottish Rite Hospital for Children, Dallas, Texas. Brenda Luther, MS, RN , Shriners Hospitals for Children, Salt Lake City, Utah. Clubfoot is one of the most common pediatric orthopaedic conditions. Until recently, surgical...

- Postural clubfoot:
- Moderate Club Foot; - Severe Club Foot: - Hind Foot:

Review article by Minoo Patel in eMedicine
Clubfoot can be classified as (1) postural or positional or (2) fixed or rigid. Postural or positional clubfeet are not true clubfeet. Fixed or rigid clubfeet are either flexible (ie, correctable without surgery) or resistant (ie, require surgical release, though this is not entirely...

Objectives
1. Define clubfoot
2. Describe the pathological anatomy of clubfoot
3. Describe imaging of the infant clubfoot
4. Describe treatment of the infant with clubfoot
5. Discuss prognosis of the infant with clubfoot
Discussion points
1. What...

congenital clubfoot is a structural foot deformity that is present at birth;
- there is in utero malalignment of the talocalcaneal, talonavicular and calcaneocuboid joints;
- articular malalignments are fixed by contracted joint capsules, ligaments, and contracted foot and ankle tendons;
...

Objectives
1. Describe the approach to treatment of the child with a clubfoot resistant to casting and/ or physiotherapy
2. Describe, in general terms, operative approaches to the resistant clubfoot
3. Discuss factors related to outcome of the surgically treated clubfoot

200 pictures and video to learn the French treatment of clubfeet

Global Help Manual on the Ponseti Method of Clubfoot management. Download versions in different languages

Information and support for South African parents of babies with clubfoot Patient Provider

Roye et al. Pediatrics in Review.2004; 25: 124-130. requires subscription or Pay per View

Background: Clubfoot, or talipes equinovarus, is a congenital deformity consisting of hindfoot equinus, hindfoot varus, and forefoot varus. The deformity was described as early as the time of Hippocrates. The term talipes is derived from a contraction of the Latin words for ankle, talus, and foot, pes. The term refers...

Factors Predictive of Outcome After Use of the Ponseti Method of Clubfoot Treatment Dobbs et al. J Bone Joint Surg Am.2004; 86: 22-27 Requires subscription or pay per view

Review of article - Factors Predictive of Outcome After Use of the Ponseti Method for the Treatment of Idiopathic Clubfeet Interesting finding that parental compliance was the most important predictor of success.

Gait analysis data are enhancing researchers' understanding of the functional implications of operative and nonoperative clubfoot therapies, as evidenced by two studies presented in March at the annual meeting of the American Academy of Orthopaedic Surgeons.
Biomechanics June 2006