club foot
TRANSCRIPT
![Page 1: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/1.jpg)
![Page 2: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/2.jpg)
It is a common birth defect, occurring
in about one in every 1,000 live births.
Approximately 50% of cases of
clubfoot are bilateral.
This occurs in males more often than
in females by a ratio of 2:1.
Main cause is the result of arrested or
anomalous development in utero.
![Page 3: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/3.jpg)
Clubfoot is a condition in which
one or both feet are twisted into an
abnormal position at birth. The
condition is also known as talipes
or talipes equinovarus.
![Page 4: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/4.jpg)
The cause of clubfoot isn't known
(idiopathic).
family history .
Abnormal position and restricted
movements in uterus.
![Page 5: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/5.jpg)
Talipes varus
Talipes valgus
Talipes equinovarus
Talipes calcaneovalgus
Talipes calcaneovarus
Talipes equinovalgus
![Page 6: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/6.jpg)
![Page 7: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/7.jpg)
![Page 8: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/8.jpg)
Ante-natal ultrasound scan.
After birth it can be detected by
means of looking at the shape
and position of the foot.
X-ray
![Page 9: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/9.jpg)
![Page 10: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/10.jpg)
Application of
cast
![Page 11: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/11.jpg)
Use of Denis
Browne splint
![Page 12: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/12.jpg)
Special club foot shoes
Observation for reoccurrence
deformity.
![Page 13: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/13.jpg)
For releasing tight ligaments
or to lengthen the tendon.
![Page 14: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/14.jpg)
Assessment
Manipulation of the foot.
Care of infant in Denis Browne splint
Care of infant in a cast
![Page 15: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/15.jpg)
![Page 16: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/16.jpg)
Most common congenital
malformation.
It occur about 1 in 750 live birth.
Caused by various degree of
displacement of the femoral head
from the acetabulum.
![Page 17: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/17.jpg)
A hip dislocation occurs when the
femoral head--the ball portion of
the hip joint--leaves the pelvic
socket.
![Page 18: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/18.jpg)
1. Acetabulum dysplacia
2. Subluxation
3. Dislocation
![Page 19: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/19.jpg)
![Page 20: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/20.jpg)
Hereditary factor
Fetal position
Extra uterine compression
Breech presentation
Neurological disorder
![Page 21: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/21.jpg)
Physical examination
Ortolani maneuver and the Barlow
maneuver.
Allis ‘s sign
ultrasound and X-ray.
MRI
![Page 22: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/22.jpg)
![Page 23: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/23.jpg)
baby wearing a Bock harness
Diagram of Pavlik harness
Diagram of Frejka pillow
Traction
![Page 24: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/24.jpg)
]
]
![Page 28: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/28.jpg)
![Page 29: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/29.jpg)
![Page 30: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/30.jpg)
Fracture is defined as any
breakage to the bone
continuity due to
accident and child
abused .
![Page 31: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/31.jpg)
Falling
Climbing
Struck by moving objects
Accidental injuries
Child abuse
Blowing , punching during play
![Page 32: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/32.jpg)
Physical assessment
Bone continuity
Pain
Swelling
Open or close injury
X-ray
![Page 33: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/33.jpg)
![Page 34: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/34.jpg)
Swelling
Bruising
4 p’s
1. Pain
2. Pulse
3. Paraesthesia
4. Paralysis
Breakage of bone continuity
![Page 35: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/35.jpg)
Goals
To restore the fracture fragment to
their normal position.(reduction)
To maintain the bone fragment in place
until healing occur. (immobilization)
To help the children to regain normal
function. (rehabilitation)
![Page 36: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/36.jpg)
Closed reduction
Traction
Open reduction
![Page 37: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/37.jpg)
Bandage
Cast
Splint
Continue traction
Pins
Plaster cast
Internal fixation include
Plates ,Screw ,Rods
![Page 38: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/38.jpg)
Provide every information to the
parents.
Encourage the child for play .
Maintain position of fractured part.
Provide analgesics when required .
Prevention of respiratory ,
circulatory , neurologic disturbance .
![Page 39: Club foot](https://reader034.vdocument.in/reader034/viewer/2022042815/556c8f5fd8b42a7a738b4c11/html5/thumbnails/39.jpg)
Maintain body temperature.
Maintain skin integrity.
Promotion of muscle activity.
Provision of comfort measures
Prevention of urinary stasis and
constipation.
Health education.
Follow up health education.