PHS302 - Foot Deformities

What are the 3 classifications of foot deformity?

Common causes of structural deformity

Common causes of postural deformity

Common causes of acquired deformity

Coupling
position of heel = position of mid-foot

Terminology

Talipes
Pes
Equinus
Calcaneus
Valgus
Varus

Calcaneo Valgus (Postural)

Calcaneo Valgus (Acquired)

Congenital Vertical Talus
(Rocker Bottom Foot)

Metatarsus Adductus
(Dynamic Great Toe)

Metatarsus Adductus
(Dynamic Great Toe)
Classification

Skew Foot

Congenital Talipes Equinovarus (CTEV)
(Clubfoot)
What types of deformity?

CTEV
Clinical Presentation 1

CTEV
Clinical Presentation 2

CTEV Ax
Pirani Severity Score

CTEV Ax
Pirani Severity Score
Midfoot vs Hindfoot Contracture

CTEV Sx
Ponseti Technique - 90% success rate
early intervention = increased efficacy
Goals of Rx

CTEV Sx
Ponseti Technique
Stages of Rx

CTEV Sx
When is achilles tendon lengthening indicated?

CTEV Sx
Bracing
- aim?
- fitting?
- how long?

CTEV Sx
Ponseti Technique
1. Why may a relapse occur?
2. What Rx following relapse?