talipes calcaneovalgus

definition

· condition present at birth where

· ankle dorsiflexed and in valgus

· foot abducted

epidemiology

· 1 in 1000 births

· associated with

· oligohydramnios

· CDH

· increased incidence of flexible pes planus in later life

aetiology

· probably result of intrauterine positioning

clinical

· foot can usually be completely corrected passively

differential diagnosis

Congenital posteromedial bow of tibia

· foot dorsiflexed

· tibial bow can be palpated

· confirmed with x-ray

Congenital vertical talus

· calcaneus in equinus

· deformity can not be corrected

· confirmed with x-ray

Neurological dysfunction

· spinal dysraphism

· absence of triceps surae function

· may be cutaneous manifestation on back

· confirmed with spine x-ray

treatment

· usually resolves spontaneously

· if severe, treated with regular manipulation

· if fails, may occasionally need plantarflexion-inversion splintage