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Abstract

The most common congenital deformity of the foot requiring early treatment is clubfoot – the inverted and plantarflexed foot. Though the diagnosis of clubfoot per se is straightforward and obvious, the underlying causes of the deformity are many (Fig. 5.1), and the prognosis and treatment of clubfeet of different etiologies may vary a great deal. It is for this reason that an attempt should be made to determine the underlying cause. On one end of the spectrum is the foot that is mildly inverted on account of intrauterine molding – the postural clubfoot that is completely amenable to nonoperative treatment. On the other end is the extremely rigid clubfoot associated with multiple congenital contractures or the syndromic clubfoot that may on occasion stubbornly defy the most radical treatment.

Keywords

Spina Bifida Uterine Fibroid Skeletal Dysplasia Idiopathic Clubfoot Quadriceps Contracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Allington NJ, Kumar SJ, Guille JT. Clubfeet associated with congenital constriction bands of the ipsilateral lower extremity. J Pediatr Orthop. 1995;15:599–603.PubMedCrossRefGoogle Scholar
  2. Callahan RA. Talipes equinovarus associated with an absent posterior tibial tendon and a tarsal coalition: a case report. Clin Orthop Relat Res. 1980;(146):231–3.Google Scholar
  3. Catterall A. A method of assessment of the clubfoot deformity. Clin Orthop Relat Res. 1991;(264):48–53.Google Scholar
  4. Coley BD, Shiels 2nd WE, Kean J, et al. Age-dependent dynamic sonographic measurement of pediatric clubfoot. Pediatr Radiol. 2007;37:1125–9.PubMedCrossRefGoogle Scholar
  5. Dimeglio A, Bensahel H, Souchet P, et al. Classification of clubfoot. J Pediatr Orthop B. 1995;4:129–36.PubMedCrossRefGoogle Scholar
  6. Dyer PJ, Davis N. The role of the Pirani scoring system in the management of club foot by the Ponseti method. J Bone Joint Surg Br. 2006;88:1082–4.PubMedCrossRefGoogle Scholar
  7. Flynn JM, Donohoe M, Mackenzie WG. An independent assessment of two clubfoot-classification systems. J Pediatr Orthop. 1998;18:323–7.PubMedGoogle Scholar
  8. Fopma E, Elton RA, Macnicol MF. The classification of congenital talipes equinovarus. J Bone Joint Surg Br. 2003;85:1087; author reply 1088.PubMedGoogle Scholar
  9. Fridman MW, de Almeida Fialho HS. The role of radiographic measurements in the evaluation of congenital clubfoot surgical results. Skeletal Radiol. 2007;36:129–38.PubMedCrossRefGoogle Scholar
  10. Gomez VR. Clubfeet in congenital annular constricting bands. Clin Orthop Relat Res. 1996;(323):155–62.Google Scholar
  11. Gordon H, Davies D, Berman M. Camptodactyly, cleft palate, and club foot. A syndrome showing the autosomal-dominant pattern of inheritance. J Med Genet. 1969;6:266–74.PubMedCentralPubMedCrossRefGoogle Scholar
  12. Gurnett CA, Boehm S, Connolly A, et al. Impact of congenital talipes equinovarus etiology on treatment outcomes. Dev Med Child Neurol. 2008;50:498–502.PubMedCrossRefGoogle Scholar
  13. Harrold AJ, Walker CJ. Treatment and prognosis in congenital club foot. J Bone Joint Surg Br. 1983;65:8–11.PubMedGoogle Scholar
  14. Hennigan SP, Kuo KN. Resistant talipes equinovarus associated with congenital constriction band syndrome. J Pediatr Orthop. 2000;20:240–5.PubMedGoogle Scholar
  15. Herbsthofer B, Eckardt A, Rompe JD, et al. Significance of radiographic angle measurements in evaluation of congenital clubfoot. Arch Orthop Trauma Surg. 1998;117:324–9.PubMedCrossRefGoogle Scholar
  16. Munshi S, Varghese RA, Joseph B. Evaluation of outcome of treatment of congenital clubfoot. J Pediatr Orthop. 2006;26:664–72.PubMedCrossRefGoogle Scholar
  17. Ponseti IV, Zhivkov M, Davis N, et al. Treatment of the complex idiopathic clubfoot. Clin Orthop Relat Res. 2006;451:171–6.PubMedCrossRefGoogle Scholar
  18. Rao B, Joseph B. Varus and equinovarus deformities of the foot associated with tarsal coalition. Foot. 1994;4:94–9.Google Scholar
  19. Rebello G, Joseph B. The foot in multiple synostoses syndromes. Foot Ankle Surg. 2003;9:19–24.CrossRefGoogle Scholar
  20. Ritchie GW, Keim HA. A radiographic analysis of major foot deformities. Can Med Assoc J. 1964;91:840–4.PubMedCentralPubMedGoogle Scholar
  21. Ryoppy S, Poussa M, Merikanto J, et al. Foot deformities in diastrophic dysplasia. An analysis of 102 patients. J Bone Joint Surg Br. 1992;74:441–4.PubMedGoogle Scholar
  22. Shaheen S, Jaiballa H, Pirani S. Interobserver reliability in Pirani clubfoot severity scoring between a paediatric orthopaedic surgeon and a physiotherapy assistant. J Pediatr Orthop B. 2012;21:366–8.PubMedCrossRefGoogle Scholar
  23. Shiels 2nd WE, Coley BD, Kean J, et al. Focused dynamic sonographic examination of the congenital clubfoot. Pediatr Radiol. 2007;37:1118–24.PubMedCrossRefGoogle Scholar
  24. Song KS, Kang CH, Min BW, et al. Congenital clubfoot with concomitant peroneal nerve palsy in children. J Pediatr Orthop B. 2008;17:85–9.PubMedCrossRefGoogle Scholar
  25. Spero CR, Simon GS, Tornetta 3rd P. Clubfeet and tarsal coalition. J Pediatr Orthop. 1994;14:372–6.PubMedCrossRefGoogle Scholar
  26. Weiner DS, Jonah D, Kopits S. The 3-dimensional configuration of the typical foot and ankle in diastrophic dysplasia. J Pediatr Orthop. 2008;28:60–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  • Benjamin Joseph
    • 1
  1. 1.Aster MedcityKochiIndia

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