INTRODUCTION:
Clubfoot, also known as congenital talipes equinovarus (CTEV), is a condition where a baby’s foot is twisted out of shape or position. The foot is usually turned inward and downward, with the sole of the foot facing sideways or even upward. One or both sides can be affected. The condition is usually seen at birth. It can also run in families. In addition, the condition can also be seen together with other disorders or syndromes such as arthrogryposis.
CAUSES:
Up to this day, the exact causes of clubfoot is not fully understood. Genetic and environmental factors may play a role. It is not typically associated with anything the parents did or did not do during pregnancy. It may run in families. However, in most cases of clubfoot occurs randomly without any known family history.
SIGNS/SYMPTOMS:
The most obvious symptom of clubfoot is the characteristic appearance of the foot or feet. The foot is usually turned inward and downward, with the sole of the foot facing sideways or even upward Other symptoms may include:
1. The affected foot may be smaller and shorter than the other foot.
2. The calf muscles on the affected leg may be underdeveloped.
3. In severe cases, the affected foot may be rigid and difficult to move.
DIAGNOSIS:
Diagnosis of the condition is usually done through a physical examination shortly after birth. In some cases, an ultrasound may detect clubfoot before the baby is born. Additional imaging tests, such as X-rays, may be utilized to evaluate the severity of the condition and guide treatment planning.
TREATMENT:
Clubfoot is treatable! The primary goal of treatment is to achieve a functional and pain-free foot. The majority of idiopathic cases can be treated through a technique known as the Ponseti method. This involves manipulation of the affected foot, serial casting and bracing. In most case, a minor surgery to release the Achilles tendon may be done.
When started early, patients can have excellent functional outcomes. The majority of children with clubfoot can achieve a full range of motion and lead active lives. If you suspect that your child has clubfoot or have any concerns about their foot development, it is important to consult with our Pediatric Orthopedic specialists for proper evaluation and appropriate management.