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Paediatrics
intermediate
X-Type

Congenital Clubfoot Management

Pediatric Foot

A newborn boy is noted to have bilateral foot deformities at birth. Examination reveals rigid deformity of both feet with cavus, adductus, varus of the hindfoot, and equinus of the ankle. The deformities are not passively correctable. There are no other congenital anomalies, and the hips are clinically stable. His parents ask about treatment options. Regarding congenital clubfoot (talipes equinovarus):

Mark each as TRUE or FALSE

A

Congenital talipes equinovarus (CTEV/clubfoot) has four components remembered by the mnemonic CAVE: ...

B

The Ponseti method is the gold standard treatment involving serial manipulation and casting: first c...

C

Equinus should be corrected first before other components; extensive surgery is the gold standard tr...

D

Percutaneous Achilles tenotomy is performed in approximately 90% of cases when 15-20 degrees of ankl...

E

The Pirani score assesses clubfoot severity with six components (three hindfoot: posterior crease, e...

Answer the questions to see explanations

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