Talipes Equinovarus

Question 1

What is Talipes Equinovarus?

Answer 1

Inverted (inward turning) + plantar flexed foot.

Question 2

Describe the epidemiology of Talipes Equinovarus

Answer 2

M > F 2:1
1 per 1,000 births
~50% of cases are bilateral.

Question 3

Give 6 risk factors/ causes of Talipes Equinovarus

Answer 3

Idiopathic
Spina bifida
Cerebral palsy
Edward’s syndrome (trisomy 18)
Oligohydramnios
Arthrogryposis

Question 4

What investigations are needed for Talipes Equinovarus?

Answer 4

Clinical dx

Question 5

What is the management for Talipes Equinovarus?

Answer 5

Ponseti method
manipulation + progressive casting which starts soon after birth.
Deformity is usually corrected after 6-10w.
An Achilles tenotomy is required in ~85% of cases but this can usually be done under LA
Night-time braces should be applied until the child is 4y.
Relapse rate is 15%