Author Topic: Clubfoot  (Read 2622 times)

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Offline CilmiSabca

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Clubfoot
« on: April 23, 2012, 10:05:29 PM »
WHAT IS IT?
An ankle or foot deformity that occurs in three forms. In the most severe and least common, equinovarus, the foot twists inward and downward. If both feet are "climbed," the toes point toward each other. The most common type of club foot, calcaneal valgus, is milder. The foot is sharply angled at the heel and points upward and outward. In the mildest form of club foot, metatarsus varus, the front part of the foot is turned inward. This type may not be diagnosed until the baby is a few months old, though it is present at birth. Clubfoot is not painful and doesn't bother the baby until it's time to stand or walk.
WHAT CAUSES IT?
Not the position in the uterus, as was once believed (cases of this sort correct themselves after birth). Probably a combination of heredity and environmental factors, such as infection, drugs, and disease, in most cases; but some cases are related to spina bifida, nerve diseases, or muscle diseases.
RELATED PROBLEMS.
The foot can't move up and down as it normally would in walking; the child walks as though on a peg leg. When both feet are affected, the child may walk on the sides or even tops of feet, leading to damage to the tissue and abnormal leg development. Psychological problems may arise because of the abnormality. occasionally there may be other defects as well.
TREATMENT.
Mild cases may be treated by exercise alone. Plaster  casts or surgery are used in more severe cases to force the twisted foot gradually and gently into place so that it can move up and down normally. Shoes connected with bars may also be used at night.
PROGNOSIS.
With expert early treatment, most grow up to wear regular shoes, take part in sport, lead active lives.


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