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Clubfoot, Pediatric

Tyler W. Christman, DO, MS and Shyam Kishan, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Clubfoot (talipes equinovarus) is a complex foot deformity consisting of four components:

    • Equinus (plantar flexion)

    • Hindfoot varus (toward the midline)

    • Forefoot adductus

    • Midfoot cavus (h...

DIAGNOSIS

Prenatal diagnosis 
  • Obstetric ultrasound improvements have led to a significant increase in the prenatal diagnosis of clubfoot.

  • The 16- to 20-week ultrasound often shows the classical features...

TREATMENT

The goal of treatment is to have a pain-free, plantigrade foot, without calluses, that demonstrates good mobility and functions well without the need for modified shoes. 

GENERAL MEASURES

  • The ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Deformity recurrence is more common during periods of rapid growth and can be significantly reduced through strict adherence to bracing with DB ...

ADDITIONAL READING

  • Dobbs M, Rudzki JR, Purcell D, et al. Factors predictive of outcome after use of the Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am.  2004;86-A(1...

CODES

ICD9

  • 754.7 Talipes, unspecified

  • 754.71 Talipes cavus

  • 754.79 Other deformities of feet

ICD10

  • Q66.89 Other specified congenital deformities of feet

  • Q66.7 Congenital pes cavus

  • Q66.0 Congenital talipes equ...

FAQ

  • Q: What percentage of clubfoot is successfully treated by casting?

  • A: At least 94% of patients with idiopathic clubfoot treated with serial casting and manipulation achieve good initial correction....

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