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Case Reports: Reminder of important clinical lesson
Investigations and management of complex congenital talipes equinovarus
  1. Shonnelly Novintan1,
  2. Daniel Campioni-Norman1 and
  3. Alison Hulme2
  1. 1Imperial College London, London, UK
  2. 2Chelsea and Westminster Hospital, London, UK
  1. Correspondence to Shonnelly Novintan; Shonnelly{at}gmail.com

Abstract

Congenital talipes equinovarus (CTEV) is a congenital deformity affecting the feet, commonly idiopathic in nature. We present a previously unreported cause of a non-idiopathic clubfoot and highlight the importance of poor response to initial treatment.

A poor response to Ponseti serial casting for CTEV should alert a clinician to the fact that the foot may not be in the ‘idiopathic’ group and be of a more complex nature. Idiopathic clubfoot should correct with a maximum of eight serial manipulations, cast applications and Achilles tendon tenotomy. If this is not the case, a repeat careful history, full examination, further investigations and review of the treatment method are required.

  • Orthopaedic and trauma surgery
  • Congenital disorders

https://doi.org/10.1136/bcr-2023-256114

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    Footnotes

    • Contributors SN and AH conceived of the presented idea. AH encouraged DC-N to conduct a review of current literature and supervised the findings of this work. All authors discussed the results. SN collected data and wrote the final manuscript, DC-N and AH reviewed and edited the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.