types of clubfoot?
congenital/idiopathic clubfoot
syndromic clubfoot
positional clubfoot
acquired clubfoot
major causes of congenital clubfoot?
anatomy pathogenesis of clubfoot RF -family history -smoking -methotrexate
physical exam of clubfoot?
normal hip and knee ROM
no heel inversion
no FF inversion/adduction
infant cannot move foot away
diagnosis of clubfoot?
transvaginal ultrasound
radiographs
tx?
stretching exercises shoe and brace therapy bar therapy serial casting surgery
long term complications of treated clubfoot?
smaller calf girth recurrence skin breakdown rocker bottom foot arthritis