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What a paediatrician should know about congenital clubfoot - PubMed

️Wed Jan 01 2020

What a paediatrician should know about congenital clubfoot

Daniela Dibello et al. Ital J Pediatr. 2020.

Abstract

Clubfoot is the most frequent congenital malformation of the foot, affecting more than 1-2 subjects per 1.000 newborns. Without appropriate treatment, a child with congenital clubfoot will never be able to walk physiologically with a dramatic impact on the quality of life. In the last decades, different corrective solutions have been proposed, and there is rising scientific evidence that the Ponseti non-invasive method is safe and effective in the treatment of the clubfoot. So, what should a general paediatrician know about this condition and what should he concretely do in the suspect of a congenital clubfoot?

Keywords: Clubfoot; Equinovarus; Management; Pediatric; Talipes.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

**Fig. 1**
Frontal and posterior view of congenital idiopathic clubfoot

**Fig. 2**
Severe clubfoot. legend: severe clubfoot (Pirani 6, Manes-Costa 3)

**Fig. 3**
Pirani clubfoot- score. legend: this is a 6-item scale, in which every point has a 0 to 1 score (0 if normal, 0.5 if moderate-mild deformity is present, 1 with a severe malformation); the higher the score is, the worst is the deformity

**Fig. 4**
Percutaneous tenotomy of the Achille’s tendon

Cited by

Developments in pediatrics in 2020: choices in allergy, autoinflammatory disorders, critical care, endocrinology, genetics, infectious diseases, microbiota, neonatology, neurology, nutrition, ortopedics, respiratory tract illnesses and rheumatology.
Caffarelli C, Santamaria F, Procaccianti M, Piro E, Delle Cave V, Borrelli M, Santoro A, Grassi F, Bernasconi S, Corsello G. Caffarelli C, et al. Ital J Pediatr. 2021 Dec 7;47(1):232. doi: 10.1186/s13052-021-01184-4. Ital J Pediatr. 2021. PMID: 34876198 Free PMC article. Review.

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What a paediatrician should know about congenital clubfoot - PubMed