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OrthoVellum

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Paediatrics
intermediate
X-Type

Congenital Talipes Equinovarus Treatment

Foot Disorders

A newborn male is noted to have a rigid foot deformity at birth. Examination shows a small foot with hindfoot equinus and varus, midfoot cavus, and forefoot adductus. The deformity does not correct with passive manipulation. The Pirani score is 5. There are no other abnormalities detected on examination. The parents are counselled about treatment options. Regarding congenital talipes equinovarus (clubfoot):

Mark each as TRUE or FALSE

A

Clubfoot has four components: hindfoot equinus (ankle plantarflexion), hindfoot varus (calcaneus inv...

B

The Ponseti method is the gold standard treatment involving weekly manipulation and casting in a spe...

C

Equinus is corrected first before varus; pronating the forefoot corrects cavus; the calcaneocuboid j...

D

Percutaneous achilles tenotomy is required in 80-90% of cases to correct residual equinus after cast...

E

Post-correction bracing (foot abduction brace/boots and bar) is essential to prevent relapse; it is ...

Answer the questions to see explanations

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