Congenital Talipes Equinovarus

Diagnosis

1. Left sided
2. Neglected/ recurrent/ resistant
3. Idiopathic/ non-idiopathic
4. Partially correctible
5. Congenital talipes equinovarus deformity
6. With out associated anomalies
7. In a 3 year old first born male walking child
8. Currently brought due to parental concern of deformity

History

9. Present since birth
10. Traetment taken- castings ( number, done by, frequency, when stopped, correction achieved, what braces used, how long), surgery ( when, postoperative immobilization, braces, correction achieved)
11. Family history
12. Associated anomalies

Examination

13. Left foot is smaller
14. With concave medial border facing up with a deep crease
15. With convex lateral border facing down
16. With callosity over dorsal aspect of fifth metatarsal
17. With deep crease on posterior aspect
18. With absence of fine crease over tendo achilles
19. With posterior tuberosity of calcaneum difficult to palpate
20. There is a bony prominence over dorso-lateral aspect of foot
21. 1 cm calf atrophy
22. There is compensatory genu valgum & in-torsion of tibia
23. Normal hip & spine & neurological examination
24. Other joints normal