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OrthoVellum

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Paediatrics
intermediate
X-Type

Clubfoot Management - Ponseti Method

Foot Deformities

A 2-week-old infant is referred with bilateral rigid foot deformities. Examination reveals cavus, forefoot adductus, heel varus, and ankle equinus that cannot be corrected passively. The calcaneus is not palpable posteriorly. The feet are graded as Pirani 5 bilaterally. The family is counseled about the Ponseti method of treatment. Regarding clubfoot (congenital talipes equinovarus - CTEV):

Mark each as TRUE or FALSE

A

Clubfoot (CTEV) has four main components: Cavus (plantarflexed first ray), Adductus (forefoot medial...

B

The Ponseti method is the gold standard treatment: weekly serial casting corrects deformities in a s...

C

Clubfoot is more common in females; the navicular is displaced laterally; equinus should be correcte...

D

Percutaneous Achilles tenotomy (under local anesthetic) is required in approximately 90% of cases wh...

E

Foot abduction orthosis (FAO - boots attached to bar in external rotation) is essential to prevent r...

Answer the questions to see explanations

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