Lieb-Lundell C1
1University of St. Augustine for Health Sciences, San Marcos, United States
Background: Talipes Equinovarus is typically called Clubfoot. This poster provides the viewer with and overview of the simple idiopathic clubfoot including x-ray views, clinical appearance and intervention. This common foot disorder occurs prenatally, can involve one or both feet and is usually treated immediately after birth. This complex deformity can include both soft tissue and boney structures of the forefoot, midfoot and hindfoot.
Purpose: To present a pictorial and narrative summary of the Congenital Talipes Equinovarus. To demonstrate and describe the Ponseti management approach for congenital clubfoot.
Methods: This is a pictorial essay of Talipes Calcaneal Equinovarus.
Results: The intervention presented is the main components of the Ponseti approach which consists of a defined sequence of manipulation of the foot followed by a period of casting and, in approximately 90% of the cases, an Achilles tenotomy. Long term follow-up is bracing which continues for 3-5 years after the initial treatment period of manipulation.
Conclusion(s): An estimated 80% of clubfoot cases occur in low to middle income countries. Incidence of clubfoot is estimated to be 1-1.5 per 1000 births, and male to female occurrence is 3:1.(1) Left untreated this congenital anomaly becomes a “neglected clubfoot” and can result in lifelong hardships including limited ambulation related to gait deviations, pain, foot deformities and an inability to wear shoes. Without treatment this health condition can lead to functional limitations with limited independence in activities of daily living and participation restrictions within the family and community related to decreased mobility.
(1) Global Clubfoot Initiative. What is Clubfoot? Available at: http://globalclubfoot.com/clubfoot/. Accessed: Jan. 29, 2018.
Implications: This educational tool can be used in classroom or community settings to educate students of Physical Therapy as well as a variety of health care professionals in the significance of understanding, treating and supporting the child and family during the protracted intervention for this congenital birth defect.
Keywords: Talipes Equinovarus, Clubfoot, Ponseti Method
Funding acknowledgements: none
Purpose: To present a pictorial and narrative summary of the Congenital Talipes Equinovarus. To demonstrate and describe the Ponseti management approach for congenital clubfoot.
Methods: This is a pictorial essay of Talipes Calcaneal Equinovarus.
Results: The intervention presented is the main components of the Ponseti approach which consists of a defined sequence of manipulation of the foot followed by a period of casting and, in approximately 90% of the cases, an Achilles tenotomy. Long term follow-up is bracing which continues for 3-5 years after the initial treatment period of manipulation.
Conclusion(s): An estimated 80% of clubfoot cases occur in low to middle income countries. Incidence of clubfoot is estimated to be 1-1.5 per 1000 births, and male to female occurrence is 3:1.(1) Left untreated this congenital anomaly becomes a “neglected clubfoot” and can result in lifelong hardships including limited ambulation related to gait deviations, pain, foot deformities and an inability to wear shoes. Without treatment this health condition can lead to functional limitations with limited independence in activities of daily living and participation restrictions within the family and community related to decreased mobility.
(1) Global Clubfoot Initiative. What is Clubfoot? Available at: http://globalclubfoot.com/clubfoot/. Accessed: Jan. 29, 2018.
Implications: This educational tool can be used in classroom or community settings to educate students of Physical Therapy as well as a variety of health care professionals in the significance of understanding, treating and supporting the child and family during the protracted intervention for this congenital birth defect.
Keywords: Talipes Equinovarus, Clubfoot, Ponseti Method
Funding acknowledgements: none
Topic: Musculoskeletal: lower limb; Paediatrics; Orthopaedics
Ethics approval required: No
Institution: University of St Augustine
Ethics committee: Utilzation Review
Reason not required: does not describe or picture persons/patients
All authors, affiliations and abstracts have been published as submitted.
