Case Study VI Jocy. JONI WILLIAMSON, SPT STACY MURPHY, SPT APRIL 16, 2009 PT 7336. Full-term Infant:. Mother surprised to see newborn with inwardly turned left foot after delivery All prenatal tests were negative for birth defects Mother referred to orthopedist for equinovarus foot.
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Case Study VIJocy
JONI WILLIAMSON, SPT
STACY MURPHY, SPT
APRIL 16, 2009
a) Congenital - usually an isolated abnormality
b) Teratological - usually associated with a neuromuscular disorder (AMC or syndrome complex)
more plantar flexed than the fifth metatarsal
to the talus
by contracted ligaments and tendons
Diméglio grading system
page and blisters, or if blisters are caused by non-
as effective (post-Ponsetti)
Dennis-Browne Bar Splint
Standard Foot Abduction Brace, Open Toe
Soft Tissue Release
Open Tenotomy of Achilles Tendon
Talectomy = removal of the talus
1° or salvage sx??
Remember: only 20%
of infants require sx
76% chance of
relapse in surgically
Mobilization of talonavicular joint
Range of motion
Balance and coordination:
Motor function training
Strengthening muscle imbalance
Table III. The earliest week of gestation at which ultrasonographic diagnosis of club foot was made.