CONGENITAL TALLIPO EQUINOVARUS
Greetings to all,
Here I am with 5th most common congenital malformation worldwide.
CTEV
CONGENITAL TALLIPO EQUINO VARUS
CONGENITAL-BY BIRTH
TALLIPO-ANKLE AND FOOT
EQUINO-INDICATES THE HEEL IS ELEVATED (LIKE HORSE)
VARUS-INDICATES IT IS TURN INWARD
The condition present at birth which involve foot,lower leg.The deformity in which foot points downward and inward.
The CAUSE is unknown in 80% of cases.There are also many associated disorder syndromes such as spina bifida, dysplasia.
There are some PREDISPOSING factors which lead to CTEV.The factors are intrauterine compression, large baby,abnormally or small uterus, abnormal intrauterine fluids.
Sometimes calf muscle are rigid and smaller, foot may be smaller or talus bone deformity.
SYMPTOMS
- The top of foot twist downward and inward.
- The arch is more pronounced and heel is turn inward.
- The calf muscle tend to be underdeveloped.
- If one foot is involved it is usually slightly shorter than other.
- If left untreated it may leads to difficulty in walking and discomfort in environment.
DIAGNOSIS
It is visible at birth.
It may also detected in ultrasound before birth that is in intrauterine life.But treatment is not possible before birth.
Doctors recommend more tests to check for other health problems such as spina bifida and muscular dystrophy.
Xray are diagnostic tool.
TREATMENT
A club foot(other name of CTEV) left untreated increase risk of complications in life. Treatment should be started during few weeks of birth to keep feet functional and make foot free from pain.
1.The Ponsetii Method
In this specialist manipulates the baby's foot with the hands.The aim is to correct bend foot.
The plaster cast is applied from toes to thigh to hold position.There is normally one session a week. The manipulation and casting are done very gently and patient should experience no pain.
At every session new cast is used.
Minor surgery may be follow ponsetti to release Achilles tendon.
After foot is corrected special brace or foot is worn for 23 hours for 2 to 3 months .While infant is wearing cast parents should check skin color and temperature, check for redness bruises on skin.
2.The French method
The method consists of daily stretching, strengthening exercises for foot muscles, massage, immobilization of foot with non elastic tape.
Aim is to slowly move foot in correct position. The therapy session should continue for 2 years. If club foot is only problem its successful.
3. Surgery
It adjust the tendons,ligaments and joints in foot and ankle.For example releasing of Achilles tendon or by moving the tendon that goes from front to ankle to inside the foot.
Surgeon stabilize with cast.
Surgeon leads to stiffness, pain or over correction of foot. It is also been associated with arthritis throughout the life.
4. Physiotherapy
Physiotherapy is very helpful in patient with CTEV.
It includes Rhythmic and repeated gentle manipulation
It includes strengthening exercises for foot
It includes stretching exercises for calf and plantar flexors.
All the exercise should be taught to parents of child and ask them to perform all treatment at home.
Stretching is done and foot is stabilize in an anatomical position by special brace known as Denis Browne bars or Ponsetti AFO.
Child should wear AFO for atleast 4 years.
As child achieves milestones of walking therapist taught all milestones with brace.
AS SOON AS CTEV OR CLUB FOOT IS DIAGNOSE TREATMENT SHOULD BE INITIATED FOR BETTER PROGNOSIS.
STAY HEALTHY.....STAY CONNECTED....
Here I am with 5th most common congenital malformation worldwide.
CTEV
CONGENITAL TALLIPO EQUINO VARUS
CONGENITAL-BY BIRTH
TALLIPO-ANKLE AND FOOT
EQUINO-INDICATES THE HEEL IS ELEVATED (LIKE HORSE)
VARUS-INDICATES IT IS TURN INWARD
The condition present at birth which involve foot,lower leg.The deformity in which foot points downward and inward.
The CAUSE is unknown in 80% of cases.There are also many associated disorder syndromes such as spina bifida, dysplasia.
There are some PREDISPOSING factors which lead to CTEV.The factors are intrauterine compression, large baby,abnormally or small uterus, abnormal intrauterine fluids.
Sometimes calf muscle are rigid and smaller, foot may be smaller or talus bone deformity.
SYMPTOMS
- The top of foot twist downward and inward.
- The arch is more pronounced and heel is turn inward.
- The calf muscle tend to be underdeveloped.
- If one foot is involved it is usually slightly shorter than other.
- If left untreated it may leads to difficulty in walking and discomfort in environment.
DIAGNOSIS
It is visible at birth.
It may also detected in ultrasound before birth that is in intrauterine life.But treatment is not possible before birth.
Doctors recommend more tests to check for other health problems such as spina bifida and muscular dystrophy.
Xray are diagnostic tool.
TREATMENT
A club foot(other name of CTEV) left untreated increase risk of complications in life. Treatment should be started during few weeks of birth to keep feet functional and make foot free from pain.
1.The Ponsetii Method
In this specialist manipulates the baby's foot with the hands.The aim is to correct bend foot.
The plaster cast is applied from toes to thigh to hold position.There is normally one session a week. The manipulation and casting are done very gently and patient should experience no pain.
At every session new cast is used.
Minor surgery may be follow ponsetti to release Achilles tendon.
After foot is corrected special brace or foot is worn for 23 hours for 2 to 3 months .While infant is wearing cast parents should check skin color and temperature, check for redness bruises on skin.
2.The French method
The method consists of daily stretching, strengthening exercises for foot muscles, massage, immobilization of foot with non elastic tape.
Aim is to slowly move foot in correct position. The therapy session should continue for 2 years. If club foot is only problem its successful.
3. Surgery
It adjust the tendons,ligaments and joints in foot and ankle.For example releasing of Achilles tendon or by moving the tendon that goes from front to ankle to inside the foot.
Surgeon stabilize with cast.
Surgeon leads to stiffness, pain or over correction of foot. It is also been associated with arthritis throughout the life.
4. Physiotherapy
Physiotherapy is very helpful in patient with CTEV.
It includes Rhythmic and repeated gentle manipulation
It includes strengthening exercises for foot
It includes stretching exercises for calf and plantar flexors.
All the exercise should be taught to parents of child and ask them to perform all treatment at home.
Stretching is done and foot is stabilize in an anatomical position by special brace known as Denis Browne bars or Ponsetti AFO.
Child should wear AFO for atleast 4 years.
As child achieves milestones of walking therapist taught all milestones with brace.
AS SOON AS CTEV OR CLUB FOOT IS DIAGNOSE TREATMENT SHOULD BE INITIATED FOR BETTER PROGNOSIS.
STAY HEALTHY.....STAY CONNECTED....
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