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Paediatrics
intermediate
X-Type

Clubfoot - Ponseti Method and Management

Foot Deformities

A newborn boy is noted to have bilateral foot deformities at birth. Examination reveals rigid feet with forefoot adduction, hindfoot varus, ankle equinus, and midfoot cavus. The feet cannot be passively corrected to neutral. Pirani score is 5 on each side. No other congenital abnormalities are detected. Regarding clubfoot (congenital talipes equinovarus):

Mark each as TRUE or FALSE

A

The CAVE deformity in clubfoot includes Cavus, Adductus, Varus, and Equinus; the Ponseti method corr...

B

The talar head is the fulcrum for correction; thumb pressure is applied to the lateral talar head wh...

C

Pronating the forefoot is essential for correcting the cavus deformity; dorsiflex the ankle before c...

D

Percutaneous Achilles tenotomy is required in 90% of cases when the foot is abducted to 60-70 degree...

E

Foot abduction orthosis (FAO) is mandatory to prevent recurrence: 23 hours per day for 3 months then...

Answer the questions to see explanations

Click T (True) or F (False) for each option