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.
Signs and Symptoms
- Feet turning inwards
- Tightness in calf muscles
- For structural: the foot has decreased joint range of movement.
- 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.
- Abnormal walking pattern.
- Foot pain due to abnormal foot positions.
- 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