Clubfoot (Subscribe)  

Offering a strong historical/podiatry perspective, current concepts and pearls from his own experience, this author provides a thorough review of treating this complex condition.

Clinical Anatomy: - affected limb may be shortened, calf muscle is atrophic, and foot is short compared to opposite side; - medial rotation of tibia;
Account of the abnormalities of joint position plus ligament and muscle contractures.

Use the following Search String in the PubMed search box or click on the OWL "Create Bibliography" button ponseti ("Clubfoot/classification"[MAJR] OR "Clubfoot/complications"[MAJR] OR "Clubfoot/congenital"[MAJR] OR "Clubfoot/epidemiology"[MAJR] OR "Clubfoot/radiography"[MAJR] OR "Clubfoot/surgery"[MAJR] OR "Clubfoot/therapy"[MAJR] OR "Clubfoot/ultrasonography"[MAJR]) URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=PureSearch&db=pubmed&details_term=ponseti%5BAll%20Fields%5D%20AND%20%28%22Clubfoot/classification%22%5BMAJR%5D%20OR%20%22Clubfoot/complications%22%5BMAJR%5D%20OR%20%22Clubfoot/congenital%22%5BMAJR%5D%20OR%20%22Clubfoot/epidemiology%22%5BMAJR%5D%20OR%20%22Clubfoot/radiography%22%5BMAJR%5D%20OR%20%22Clubfoot/surgery%22%5BMAJR%5D%20OR%20%22Clubfoot/therapy%22%5BMAJR%5D%20OR%20%22Clubfoot/ultrasonography%22%5BMAJR%5D%29

Discussion: - helps to determine preoperative pathology; - in infancy, ossification centers of the talus, calcaneus, and cuboid are present, whereas the navicular does not appear until 3-4 yr; - Method of Beatson and Pearson; JBJS 1966;

Medscape Report on presentation by Vincent S. Mosca, MD 2002
Conditions such as flatfoot and clubfoot were highlighted, showing new advances in research as well as surgical and nonsurgical management of each.

Medscape Report 2005: March 3, 2005 Washington, DC - Ironically, one of the hottest news stories to come out of the recent meeting of the American Academy of Orthopaedic Surgeons is one about the decline in surgery as a treatment. Over the past 10 years or so, a manipulation approach to...

Treatment Options:
- circumferential release: "cincinati incision"
- Goldner four quadrant approach:
- medial release
- posterior release
- posteromedial release
- tendon transfers
- posteroplantar release:

Validity and Responsiveness of the Clubfoot Assessment Protocol (CAP). A Methodological Study
The Clubfoot Assessment Protocol shows in this study good validity and responsiveness. The CAP is more responsive when severity ranges between mild – moderate to severe, while the Dimeglio focuses more on the extremes. The ability to discriminate between...

Medscape News 2001: Hairy Patches and Twisted Feet: What's New in Pediatrics?
Carl St. Remy, MD Introduction What's new in pediatric orthopaedic diagnostics and treatment techniques? New research on the use of ultrasonographic screening for spinal dysraphism, nonsurgical management of clubfoot deformity, and off-label use of pamidronate for the treatment...

musculoskeletal dz is characterized by congenital immobility of multiple joints.
- there may be as many as 10 to 20 specific arthrogrypotic disorders, all with similar joint manifestations;
- believed to be caused by oligohydrmnios & conditions limiting fetal movement;
-...

in older pts (3-10 yo), medial opening or lateral column shortening osteotomies or cubital decancelization is recommended;

circumferential soft-tissue release involving posterior, medial, lateral, and plantar aspects of the foot; - its designed particularly to correct the horizontal subtalar rotation of the calcaneus that...

plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity;

performed to correct equinus deformity at the ankle: - calcaneal (achilles) tendon is lengthened; - ankle joint capsule and all posterior tibiotalar, talofibular, & ...

one-stage soft-tissue posteromedial release;
- as a prerequisite, the forefoot adductus deformity should be passively correctable to neutral, inorder to avoid would healing problems following the release;
- posterior, medial, and subtalar soft-tissue contractures are...