Paediatric Foot
A newborn male is diagnosed with bilateral clubfoot at birth. The deformities are rigid with Pirani scores of 5 bilaterally. The parents are counselled about the Ponseti method of treatment. There is no family history of neuromuscular disease and the baby is otherwise healthy with a normal spine examination. Regarding congenital talipes equinovarus:
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Clubfoot affects 1-2 per 1000 live births; it is bilateral in 50% of cases; males are affected more ...
The Ponseti method involves serial manipulation and casting with correction in a specific sequence: ...
Clubfoot affects females more than males; unilateral is more common than bilateral; the equinus shou...
After full correction, a foot abduction brace (FAB/boots and bar) is worn 23 hours/day for 3 months,...
Scoring systems include Pirani score (6 clinical signs, 0-6 total, higher indicates more severe defo...
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