Podcast
Questions and Answers
What is the most common term synonymous with the congenital deformity talipes equino-varus?
What is the most common term synonymous with the congenital deformity talipes equino-varus?
Which treatment method is usually advised for moderate disability in osteoarthritis cases?
Which treatment method is usually advised for moderate disability in osteoarthritis cases?
What is the characteristic radiographic feature of osteoarthritis seen in the text?
What is the characteristic radiographic feature of osteoarthritis seen in the text?
In cases where osteoarthritis becomes a serious handicap, what surgical procedure is usually recommended?
In cases where osteoarthritis becomes a serious handicap, what surgical procedure is usually recommended?
Signup and view all the answers
Which condition is characterized by poor development of calf muscles and bilateral club foot in an infant boy?
Which condition is characterized by poor development of calf muscles and bilateral club foot in an infant boy?
Signup and view all the answers
Which term describes the deformity where the footrests in a position of eversion and dorsiflexion, almost in contact with the shin?
Which term describes the deformity where the footrests in a position of eversion and dorsiflexion, almost in contact with the shin?
Signup and view all the answers
What is the main cause of talipes calcaneovalgus according to the text?
What is the main cause of talipes calcaneovalgus according to the text?
Signup and view all the answers
Which soft tissue tightness prevents the foot from being easily brought down into inversion and equinus in talipes calcaneovalgus?
Which soft tissue tightness prevents the foot from being easily brought down into inversion and equinus in talipes calcaneovalgus?
Signup and view all the answers
What is the recommended treatment for most cases of talipes calcaneovalgus?
What is the recommended treatment for most cases of talipes calcaneovalgus?
Signup and view all the answers
Which statement best describes the difference between talipes calcaneovalgus and talipes equino varus?
Which statement best describes the difference between talipes calcaneovalgus and talipes equino varus?
Signup and view all the answers
What is the main idea behind early operative treatment for restoring a plantigrade foot?
What is the main idea behind early operative treatment for restoring a plantigrade foot?
Signup and view all the answers
In children aged 2 to 12 with congenital talipes, which operation involves transferring the tibialis posterior tendon to the outer side of the foot?
In children aged 2 to 12 with congenital talipes, which operation involves transferring the tibialis posterior tendon to the outer side of the foot?
Signup and view all the answers
Which operation involves arthrodesis of the calcaneo-cuboid joint with excision of a wafer of bone?
Which operation involves arthrodesis of the calcaneo-cuboid joint with excision of a wafer of bone?
Signup and view all the answers
What is the prominent feature that an osteotomy of the calcaneus with insertion of a bone wedge aims to correct?
What is the prominent feature that an osteotomy of the calcaneus with insertion of a bone wedge aims to correct?
Signup and view all the answers
Congenital talipes calcaneo-valgus presents which type of deformity compared to talipes equino-varus?
Congenital talipes calcaneo-valgus presents which type of deformity compared to talipes equino-varus?
Signup and view all the answers
What is the major component of the deformity in talipes equino-varus?
What is the major component of the deformity in talipes equino-varus?
Signup and view all the answers
Which muscle imbalance is responsible for most cases of club foot deformity?
Which muscle imbalance is responsible for most cases of club foot deformity?
Signup and view all the answers
What is a striking feature in most cases of talipes equino-varus related to muscle development?
What is a striking feature in most cases of talipes equino-varus related to muscle development?
Signup and view all the answers
Why is there a marked discrepancy in calf girth between the two sides when only one foot is affected by talipes equino-varus?
Why is there a marked discrepancy in calf girth between the two sides when only one foot is affected by talipes equino-varus?
Signup and view all the answers
What is a key clinical feature that distinguishes talipes equino-varus from congenital dislocation of the hip?
What is a key clinical feature that distinguishes talipes equino-varus from congenital dislocation of the hip?
Signup and view all the answers
What is a common radiographic finding when the lateral ligament is torn or lax?
What is a common radiographic finding when the lateral ligament is torn or lax?
Signup and view all the answers
What is a characteristic sign observed when the heel is fully inverted?
What is a characteristic sign observed when the heel is fully inverted?
Signup and view all the answers
What might be the diagnosis if radiographs do not show abnormality but symptoms of lateral ligament strain are present?
What might be the diagnosis if radiographs do not show abnormality but symptoms of lateral ligament strain are present?
Signup and view all the answers
What is a common feature of abnormal mobility due to lateral ligament injury?
What is a common feature of abnormal mobility due to lateral ligament injury?
Signup and view all the answers
What is a key indicator of a torn lateral ligament during radiographic examination under adduction stress?
What is a key indicator of a torn lateral ligament during radiographic examination under adduction stress?
Signup and view all the answers
What are the three elements that make up the deformity of club foot?
What are the three elements that make up the deformity of club foot?
Signup and view all the answers
Which term describes the inward deviation of the forefoot relative to the hindfoot in club foot?
Which term describes the inward deviation of the forefoot relative to the hindfoot in club foot?
Signup and view all the answers
What is a common consequence of delayed primary treatment for club foot in infants?
What is a common consequence of delayed primary treatment for club foot in infants?
Signup and view all the answers
Which condition might be associated with poor development of calf muscles in infants?
Which condition might be associated with poor development of calf muscles in infants?
Signup and view all the answers
What is the recommended treatment for a slight disability in the talus that allows for up to a 15-degree tilt in a normal ankle?
What is the recommended treatment for a slight disability in the talus that allows for up to a 15-degree tilt in a normal ankle?
Signup and view all the answers
What is a common factor that leads to premature wear and destruction of the articular cartilage in the ankle?
What is a common factor that leads to premature wear and destruction of the articular cartilage in the ankle?
Signup and view all the answers
Which condition is characterized by poor development of calf muscles and bilateral club foot in an infant boy?
Which condition is characterized by poor development of calf muscles and bilateral club foot in an infant boy?
Signup and view all the answers
What type of joint disease is a primary factor leading to osteoarthritis of the ankle?
What type of joint disease is a primary factor leading to osteoarthritis of the ankle?
Signup and view all the answers
In cases where osteoarthritis becomes a serious handicap, what surgical procedure is usually recommended?
In cases where osteoarthritis becomes a serious handicap, what surgical procedure is usually recommended?
Signup and view all the answers
Study Notes
Talipes Equino-Varus
- The most common term synonymous with talipes equino-varus is club foot.
- The major component of the deformity in talipes equino-varus is the inward and downward deviation of the foot.
- Muscle imbalance, particularly the overactivity of the gastrocnemius and soleus muscles, is responsible for most cases of club foot deformity.
- A striking feature in most cases of talipes equino-varus is the poor development of calf muscles, which is often accompanied by a marked discrepancy in calf girth between the two sides when only one foot is affected.
- A key clinical feature that distinguishes talipes equino-varus from congenital dislocation of the hip is the rigid deformity of the foot.
Talipes Calcaneovalgus
- Talipes calcaneovalgus is characterized by the deformity where the foot rests in a position of eversion and dorsiflexion, almost in contact with the shin.
- The main cause of talipes calcaneovalgus is the tightness of the soft tissues on the anterior and lateral aspects of the foot.
- The recommended treatment for most cases of talipes calcaneovalgus is conservative management with stretching and manipulation.
- The prominent feature of talipes calcaneovalgus compared to talipes equino-varus is the outward and upward deviation of the foot.
Osteoarthritis
- Osteoarthritis is characterized by the narrowing of the joint space, sclerosis, and osteophyte formation.
- The main cause of osteoarthritis is the wear and tear of the articular cartilage due to joint disease.
- In cases where osteoarthritis becomes a serious handicap, arthrodesis is usually recommended.
- Treatment for moderate disability in osteoarthritis cases usually involves shoe modification and orthotics.
Surgical Procedures
- In children aged 2 to 12 with congenital talipes, the operation involves transferring the tibialis posterior tendon to the outer side of the foot.
- The Dennyson-Fulford procedure involves arthrodesis of the calcaneo-cuboid joint with excision of a wafer of bone.
- An osteotomy of the calcaneus with insertion of a bone wedge aims to correct the deformity of the heel.
Lateral Ligament Injury
- A common radiographic finding when the lateral ligament is torn or lax is the increased lateral tilt of the talus.
- A characteristic sign observed when the heel is fully inverted is the lateral ligament strain.
- If radiographs do not show abnormality but symptoms of lateral ligament strain are present, the diagnosis might be lateral ligament strain.
- A common feature of abnormal mobility due to lateral ligament injury is the excessive lateral tilting of the talus.
- A key indicator of a torn lateral ligament during radiographic examination under adduction stress is the increased lateral tilt of the talus.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on congenital talipes equinovarus, also known as clubfoot, which consists of inversion, adduction, and equinus deformities. Learn about the diagnosis and characteristics of this condition in newborn infants.
