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Definitions:

Clubfoot (talipes equinovarus) means a foot deformed or malformed. It could be varus (turned inward), equinus (plantar flexion), innate (exists before the birth without hereditary cause), irreducible (the movement can't be totly accomplished by the physiotherapist), or idiopathic (without any cause).

The clubfoot is characterized by:

Triple deformation, vicious articular postures, back-foot osteo-articular deformity (in serious cases), a stiffness caused by shrinkness of the soft parts: ligaments and muscles.


Triple déformation:

The equinus is found on the levels: tibia-ankle bone joint and ankle bone-calcaneum joint.

The varus or adduction is located in the lump calcaneum-foot, in the midtarsal (Chopart joint) and in the articulations tarsus-metatarsus (Lisfranc joint).

Supination, or full rotary movement of the foot, is a consequence of the two preceding postures.


Anatomical reminders:

Grown-up foot.


Gravity :

Though serious, this pathology taken of load without delay by a team of experienced specialists: paediatric orthopedist, hospital physiotherapists and city physiotherapists, will evolve favorably. The participation of the parents in the process is a determining element of the infant treatement. The doctors, the physiotherapists and the parents share with equal shares the success of the process.


Pathogenese:

This deformation which touches more readily boys, is constituted since the end of the second month of gestation and is visible since the first echography.

At present the etiology of the clubfoot is still dubious. There is a stop of the "morphogenesis" at the end of the second month and several factors may be at the origin of this deformation. Among them: "the malformatif" factor. Some muscles are short: the triceps with the Achilles tendon responsible for equinus and former leg and posterior leg muscles in charge of the varus and the supination. The "positional factor" will worsen the deformations at the end of the pregnancy, when the baby is cramped for room.


Clubfoot & physiotherapy by images | Definitions and anatomical reminders | Balance | Treatements | C... from 1990 to 1999 | S... from 1991 to 2001 | F... from 1988 to 2001| S... from 1990 to 2001 | Postures, stretching &muscular stimulations | Plates setup|Back splint setup| Bibliography | Links | Faq | Video


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© Last update: 18/10/2006