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 ContractureReferences
- 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
- 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
- Catterall A. A method of assessment of the clubfoot deformity. Clin Orthop Relat Res. 1991;(264):48–53.Google Scholar
- 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
- Dimeglio A, Bensahel H, Souchet P, et al. Classification of clubfoot. J Pediatr Orthop B. 1995;4:129–36.PubMedCrossRefGoogle Scholar
- 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
- Flynn JM, Donohoe M, Mackenzie WG. An independent assessment of two clubfoot-classification systems. J Pediatr Orthop. 1998;18:323–7.PubMedGoogle Scholar
- 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
- 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
- Gomez VR. Clubfeet in congenital annular constricting bands. Clin Orthop Relat Res. 1996;(323):155–62.Google Scholar
- 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
- 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
- Harrold AJ, Walker CJ. Treatment and prognosis in congenital club foot. J Bone Joint Surg Br. 1983;65:8–11.PubMedGoogle Scholar
- Hennigan SP, Kuo KN. Resistant talipes equinovarus associated with congenital constriction band syndrome. J Pediatr Orthop. 2000;20:240–5.PubMedGoogle Scholar
- 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
- Munshi S, Varghese RA, Joseph B. Evaluation of outcome of treatment of congenital clubfoot. J Pediatr Orthop. 2006;26:664–72.PubMedCrossRefGoogle Scholar
- Ponseti IV, Zhivkov M, Davis N, et al. Treatment of the complex idiopathic clubfoot. Clin Orthop Relat Res. 2006;451:171–6.PubMedCrossRefGoogle Scholar
- Rao B, Joseph B. Varus and equinovarus deformities of the foot associated with tarsal coalition. Foot. 1994;4:94–9.Google Scholar
- Rebello G, Joseph B. The foot in multiple synostoses syndromes. Foot Ankle Surg. 2003;9:19–24.CrossRefGoogle Scholar
- Ritchie GW, Keim HA. A radiographic analysis of major foot deformities. Can Med Assoc J. 1964;91:840–4.PubMedCentralPubMedGoogle Scholar
- 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
- 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
- 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
- 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
- Spero CR, Simon GS, Tornetta 3rd P. Clubfeet and tarsal coalition. J Pediatr Orthop. 1994;14:372–6.PubMedCrossRefGoogle Scholar
- 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