Talipes Equinovarus – Clubfoot Powerpoint Presentations

Clubfoot occurs due to calcaneotalar-navicular complex mal-alignment. The deformities can be easily remembered by the mnemonic CAVE – Cavus Adductus Varus Equinus.

Clubfoot is a primary hindfoot deformity. Hindfoot is in varus and equinus.

Types:

Positional

Congenital

Neuromuscular or Syndromic

Positional:

The foot is normal foot. The altered position is due to deformed position in utero. This type of clubfoot is flexible on examination.

Congenital:

The clubfoot is of variable severity. Incidence 1/1000. Etiology is multi factorial. It has been postulated that it is due to the effect of environmental factors on a genetically susceptible host. Male:Female ratio 2:1. about fifty percent of congenital clubfoot cases have it bilaterally.

Neuromuscular or Syndromic:

This type of clubfoot is difficult to treat, common in patients with myelodysplasia and arthrogryposis.

Patho Anatomy:

Abnormal tarsal morphology(plantar and medial deviation of the head and neck of the talus. Abnormal relationship between tarsal bones in all three planes.

Clubfoot Images: