What is the club foot?

Clubfoot is a deformity in which an infant's foot is turned inward, often so severely that the bottom of the foot faces sideways or even upward

 

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Description

In clubfoot, the tendons that connect the leg muscles to the foot bones are short and tight, causing the foot to twist inward.

Although clubfoot is diagnosed at birth, many cases are first detected during a prenatal ultrasound. In about half of the children with clubfoot, both feet are affected. Boys are twice more likely than girls to have the deformity.

 

 

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Classification and Signs and Symptoms

Clubfoot can range from mild to severe, but typically has the same general appearance. The foot is turned inward and there is often a deep crease on the bottom of the foot.

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Clubfoot is often broadly classified into two major groups:

• Isolated (idiopathic) clubfoot is the most common form of the deformity and occurs in children who have no other medical problems.

• Nonisolated clubfoot occurs in combination with various health conditions or neuromuscular disorders, such as arthrogryposis and spina bifida. If your child's clubfoot is associated with a neuromuscular condition, the clubfoot may be more resistant to treatment, require a longer course of nonsurgical treatment, or even multiple surgeries.

 

 

 

Current management techniques

• Non surgical: 

  • Manipulation and casting performed when as young as possible.

  • Bracing: Ponsetti Brace, French method

• Surgical: 

  • Achilles tenotomy with Anterior tibias tendon transfer is one procedure but may different methods are used based on each individual