Congenital Foot Deformities
A 2-week-old boy is referred with bilateral rigid foot deformities noted at birth. Examination reveals high-arched feet with forefoot adduction, hindfoot varus, and equinus that cannot be passively corrected. There is a deep medial crease and the feet are smaller than normal. The Pirani score is 5 (out of 6) bilaterally. The parents are counselled about the Ponseti method, the importance of bracing compliance, and the expected outcomes including the risk of relapse. Regarding congenital talipes equinovarus (clubfoot) and its management:
Mark each as TRUE or FALSE
The clubfoot deformity has four components remembered as CAVE: Cavus (forefoot plantarflexion on hin...
The Ponseti method achieves 95% success rate with serial weekly casting; the key manipulation is to ...
Equinus should be corrected FIRST by aggressive dorsiflexion; pronation of the foot is essential dur...
After casting, FOOT ABDUCTION ORTHOSIS (FAO/boots and bar) is worn 23 hours/day for 3 months, then N...
RELAPSE (occurring in 20-30% despite treatment) is managed by repeat Ponseti casting if supple, TIBI...
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