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Clubfoot (also known as talipes equinovarus) is a deformity of the foot present at birth that impacts one or both feet. A child with clubfoot has an abnormally positioned foot that causes the child to turn their ankle inward, to the point where it almost touches the inside of the leg.
At this time there is no known cause for clubfoot, but it is does run in families.
There are three different types of clubfoot:
Clubfoot is the most common congenital (present at birth) pediatric orthopedic condition in children, and it occurs in about 6/1,000 live births. Most of the time, the diagnosis of clubfoot is made on a prenatal ultrasound, or shortly after birth.
Clubfoot is identified when the foot or both feet are rotated internally at the ankle towards the calf of the opposite leg, with the toes pointing down and a notable crease at the mid foot. A tight Achilles tendon (the tendon that connects the calf muscle to the heel bone) is also noted.
Clubfoot is most commonly detected on a prenatal ultrasound or shortly after birth. No specific tests are used to diagnose the condition.
In the majority of cases, clubfoot is diagnosed on a prenatal ultrasound. If clubfoot is not noted on a prenatal ultrasound, it can be easily diagnosed after birth by looking at the feet.
The Clubfoot Program at Children’s Hospital Colorado is comprised of experts that treat clubfoot patients using the Ponseti Method (considered to be the gold standard of treatment) from birth to teenage years.
Our multidisciplinary team works together to ensure each patient receives the appropriate attention and treatment for proper correction of the deformity. Our providers are “Ponseti” trained, which means we do not perform surgery for clubfoot and instead focus on gentle manipulation and casting.
Clubfoot is not uncommon, but it is known to cause increased stress and anxiety for the expecting parents. Our prenatal consultations are designed to educate and prepare parents for the treatment plan that will be started once their baby has arrived. We also hope it will help decrease some of the anxiety related to clubfoot.
If treatment is not done correctly and in the proper order, other deformities of the foot may occur. Successful treatment of clubfoot requires an experienced orthopedic team, like our experts at the Orthopedic Institute at Children’s Hospital Colorado.
Our treatment options for clubfoot include:
The Clubfoot Program at Children’s Hospital Colorado evaluates and treats patients, from newborn through the teenage years, diagnosed with clubfoot. Our Ponseti-trained specialists consistently practice the International Gold Standard for clubfoot treatment.
Our Clubfoot Program consists of a multiple multidisciplinary team of orthopedic surgeons, physician assistants, physical therapists, orthopedic technicians and registered nurses who are dedicated to helping children with clubfoot to obtain the best outcome.
Our Clubfoot Program provides:
Physical Medicine & Rehabilitation, Physical Medicine & Rehabilitation - Pediatric