CLUB FOOT

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TABLE OF CONTENTS

• Club foot definition: Slide 3• Names: Slide 4• Causes: Slide 5• Diagnosing: Slide 6• Symptoms: Slide 7• Treatment: Slide 8• Prevention: Slide 15• Prognosis: Slide 16• Facts: Slide 18• Bibliography: Slide 19

CLUB FOOT IS A CONGENITAL DISEASE IN WHICH THE FOOT TURNS INWARD AND

DOWNWARD (ABOUT.COM)

C L U B F O O T

Club Foot

NAMES• Club Foot• Talipes Equinovarus• Talipes (About.com)

CAUSES

• Cause is not known• Congenital• Hereditary• More common in males (Mayo Clinic Staff)

DIAGNOSING CLUB FOOT• Most often diagnosed during

ultrasounds• Physical Exams (About.com)• Radiography

SIGNS AND SYMPTOMS• The foot is turned inward and downward• The foot is difficult to keep in a normal

position• The foot and the calf muscles are

smaller than normal (Medline Plus Medical Encyclopedia)

TREATMENT• Treatment works best if done immediately

after birth• Treatment depends on severity of the case• Treatment can range from casts, to

physical therapy, to surgery ( Pediatric Orthopedics P.C)

Cases of club foot not treated in infancy

3 MAIN TYPES OF TREATMENT

• Ponseti Treatment which uses a series of casts to straighten the foot

• French Treatment-utilizes physical therapy to strengthen muscles and straighten foot

• Surgical Procedure- Several types of surgery are used based on how severe the case (Encyclopedia of Surgery)

PONSETI TREATMENT• Developed by Dr. Ignacio Ponseti in the

1950s(Wikipedia)• Casting of the legs from the feet to the groin is done as

soon as possible after birth• A series of 10 casts is used, with a new one every week• The last cast is used for 3 weeks• A special brace is used at 3 months until 3 years of age• Successful in 50% of the cases• Inexpensive to teach and use which is helpful in

poverty stricken areas (Encyclopedia of Surgery)

PONSETI TREATMENT

Casting(Pediatric Orthopedics P.C.)

Brace

FRENCH TREATMENT• Daily therapy is done on the foot 5

days a week• Therapy lasts 1 hour at a clinic and

more exercises are done at home• The foot is taped in normal position

and splinted in place when therapy is complete

• This is done for 3 months

SURGERY• Usually done after other treatments

have failed to correct the foot• Type of surgery depends on severity

of the deformity• Often the long tendons are shortened

and the short tendons are lengthened to release foot into normal position.

(Encyclopedia of Surgery.com)

TYPES OF TREATMENT

• There is no specific prevention for Club foot

• However, since it is a birth defect, pregnant mothers can limit there chance for babies to develop birth defects

• Pregnant women can refrain from smoking, drinking, or being around cigarette smoke to help prevent birth defects (The Staff of the Mayo Clinic)

Prevention

PROGNOSIS• Prognosis is good for children who are

treated early• Treatment can result in the ability for

a person to live a normal life with few or no problems

• Prognosis is not as good when a person suffers from other birth defects or diseases (Medline Plus Medical Encyclopedia)

SUCCESSFUL TREATMENT C L U B F O O T

B E F O R E T R E A T M E N T

C L U B F O O T T R E A T M E N T

Club Foot after treatment

(about.com Vincent Iamelli, M.D)

CLUB FOOT FACTS• 1 in 1000 births is affected with club

foot• Most are bilateral or occurring in both

feet• Occurs in males twice as often as

females• 80% of children with club foot are born

to impoverished nations (Ganga Medical Centre and Hospital Pvt Ltd)

BIBLIOGRAPHY• Foot interventions. Retrieved June, 8 2010, from http://

www.pediatric-orthopedics.com/Treatments/Feet/feet.html

• Club foot. Retrieved June, 8 2010, from http://adam.about.com/encyclopedia/infectiousdiseases/Clubfoot.htm

• Club foot repair. Retrieved June, 8 2010, from http://adam.about.com/surgery/Club-foot-repair-series.htm#

• Club foot repair. Retrieved June, 8 2010, from http://www.surgeryencyclopedia.com/Ce-Fi/Club-Foot-Repair.html

• Dr. Ponseti. Retrieved June, 8 2010, from http://en.wikipedia.org/wiki/Ignacio_Ponseti

• Club foot. Retrieved June, 8 2010, from http://www.gangahospital.com/PaediatricOrthopaedics/ClubFoot.html

• Club foot repair. Retrieved June, 8 2010, from http://health.allrefer.com/health/club-foot-repair-club-foot-repair-series.html

• Club foot prevention. Retrieved June, 8 2010, from http://www.mayoclinic.com/health/clubfoot/DS00814/DSECTION=prevention

• Club foot repair. Retrieved June, 8 2010, from http://www.nlm.nih.gov/medlineplus/ency/article/002964.htm