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Clubfoot
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Clubfoot

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Synopsis

Foot alignment deformity in the neonate that may be due to malposition, congenital syndrome, or may be idiopathic. Also called congenital talipes equinovarus, it is characterized by plantar flexation with the sole of the foot facing medially toward the body. May occur in one or both feet, and may occur as part of a syndrome or independent of other deformities. Extrinsic causes may be related to multiple birth, breech position, maternal uterine fibroids, or amniotic bands. Syndromic and neuromuscular occurrences present with a rigid deformity. Commonly associated with arthrogryposis, myelodysplasia, defects of collagen, and chromosome deletion syndromes, such as trisomy 18. Most cases are believed to be idiopathic.

Management includes noninvasive methods of strapping, taping, manipulating, serial casting, and bracing with or without physical therapy. Surgical correction is utilized in more severe cases or when less invasive methods fail.

Codes

ICD10CM:
M21.549 – Acquired clubfoot, unspecified foot
Q66.0 – Congenital talipes equinovarus

SNOMEDCT:
397932003 – Talipes equinovarus
87465003 – Acquired equinovarus deformity

References

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Last Updated: 10/06/2016
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Clubfoot
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Clubfoot : Joint contractures, Limb hypoplasia, Muscle atrophy
Copyright © 2019 VisualDx®. All rights reserved.