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Congenital Talipes Equino Varus (Club Foot)

What is Congenital Talipes Equino Varus (CTEV)?

Congenital Talipes Equino Varus (CTEV) for short is commonly known as clubfoot. This is a condition where a child presents with either one or both feet pointing downwards and turns inwards.  There are two types of CTEV: postural and structural.

  • Postural CTEV involves muscle imbalance and / or tightness. There is usually no bone or joint involvement.
  • Structural CTEV involves the bone and joints of the foot, where the child's foot cannot be passively put through a full range of motion.

Congenital Talipes Equino Varus (Club Foot)

Signs and Symptoms

  • Feet turning inwards
  • Tightness in calf muscles
  • For structural: the foot has decreased joint range of movement.

Causes

  • Postural: packing disorder (first born baby; big baby >4kg at birth; decrease fluid surrounding the baby)
  • Structural: The cause is unknown and in some, it can be genetics.

Complications

  • Abnormal walking pattern.
  • Foot pain due to abnormal foot positions.

Treatment Options

  • Postural: Self resolving. In some cases, physiotherapy intervention for stretching and stimulation to the feet is required.
  • Structural: Serial casting and manipulation with minimal surgery if neccessary. In severe cases, surgery may be required. This is followed by maintenance with special boots and bar till 4 years of age.

Tests and Diagnosis

  • Orthopaedic assessments

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