- by Bangalore Baptist Hospital
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- Dec 15 2017
Clubfoot: Causes and Symptoms
It refers to a condition in which a new-born’s foot or feet appear to be rotated internally at the ankle. The foot points down and inwards, and the soles of the feet face each other. It is called as talipes equinvarus (TEV) or congenital talipes equinovarus (CTEV). According to NIH, over 1 in every 1,000 infant are born with clubfoot.
Causes and Risk Factors
Risk Factors include:
Gender: Males are twice as likely as females to be born with clubfoot.
Genetics: if a parent was born with clubfoot, the children have a higher chance of having a child with the same condition.
The cause is still unknown. Genetic factors believed to play a major role, and some specific gene changes associated with it.
- Tendons on the inside of the leg are shortened.
- Bones have an unusual shape
- Achilles tendon is tightened.
- The top of the foot twists downwards and inwards.
- The arch is more pronounced and the heel turns inward.
- Calf muscles tend to be underdeveloped.
- If only one foot is affected, it is slightly shorter than the other.
- The foot may look as if it is upside-down in severe cases.
- The condition is immediately visible at birth.
- It can also be detected before birth by ultrasound, especially if both feet are affected.
- X-rays may help to observe the deformity.
Treatment starts during the weeks after birth. A technique known as the Ponseti method is the main treatment for club foot nowadays. This involves your baby’s foot being gently manipulated into a better position and then being put in a cast. This is repeated weekly for around five to eight weeks. After this procedure your baby will need a mirror procedure to make a small cut in their Achilles tendon. This can help to release their foot into a more natural position. Special boots are given which are attached to each other with a bar, to prevent foot returning.
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