Club Foot

Topic

Paeds Ortho

Podcast

Updated

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What is this [Club foot]? Describe the Picture

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What do you want to assess for?

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What are the 5+1 features of atypical club foot?

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What are the types and etiologies of club foot?

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What is the pathoanatomy?

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What is the incidence?

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What classification Of club foot?

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When will you ever do XR?

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What can you see on XR though not often done?

MX OF CLUBFOOT - 5 things - Ponsetti, Tenotomy, FAO, Transfer, Surgery

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What is Ponsetti Casting?

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What is the biomechanic properties behind the ponsetti cast?

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Can you do below knee cast?

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What if you get a rocker bottom foot halfway through?

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What material?

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How do you know you are on the Talus?

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When will you do a TA tenotomy? Any investigation? [Hindfoot stall]

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Why do you get a rocker bottom deformity?

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How do you do a tentomy? What structures you protecting?

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LA vs GA for tenotomy? Clinic vs OT?

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How many % need TA tenotomy, AT transfer?

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What after tenotomy?

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What are the 5 key features of the FAO?

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How do you wear the FAO? Duration?

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Importance of compliance of FAO?

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Other methods you aware of?

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What gait do we look out for?

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What is the management of Dynamic Supination gait?

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Any deformity associated with this?

RESISTANT/ RECURRENT/ RELAPSE/ NEGLECTED

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What is the natural history in neglected club foot?

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What are the definitions of terminologies?

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Management of RESISTANT clubfoot?

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Recurrence, Relapse, Neglected Club foot management?

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What is the surgical approach to release club foot?

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What to release?

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What bony procedures?

Spot diagnosis for Treated cub foot - will have excessive skin laterally. May have dynamic supination → full TA transfer to cuboid (as opposed to hemiplegic equinovarus foot will use partial tendon transfer)