Bilateral clubfoot - congenital talipes equinovarus

Case contributed by Satish Kumar Gupta , 5 Aug 2023
Diagnosis almost certain
Changed by Satish Kumar Gupta, 14 Aug 2023
Disclosures - updated 10 Jun 2023: Nothing to disclose

Updates to Case Attributes

Presentation was changed:
Bilateral club foot detected on routine anomaly scan done associated with multiple congenital anomalies in a fetus at 22 weeks of gestation on routine anomaly scan.

Updates to Freetext Attributes

Description was changed:

Epidemiology

Prevalence of 0.1% or 1 in 1000 live births for congenital clubfoot1. Males are twice more affected than females. Higher prevalence rates are observed in lower socio-economic strata, with genetic factors and environmental conditions2.

Updates to Freetext Attributes

Description was changed:

Ultrasound is the investigation of choice. Half the cases may be associated with other congenital anomalies like spina bifida, trisomy 13, trisomy 18 and several other conditions. 50% of cases may have isolated congenital talipastalipes equinovarus deformity. No fetal karyotyping is advisable in cases with isolated club foot3.

Updates to Study Attributes

Findings was changed:

The bilateral club foot visible inon ultrasound images and videos. Both feet are medially rotated and appear in the same plane as the tibia and fibula. In normal feet, the sole of the feet should be perpendicular to the long axis of the leg. Both feet also show fanning of the toes. Moreover, the relationship between feet and legs remained constant on several occasions ruling out transient and false positive positional club foot. The fetus had multiple congenital anomalies, including open spina bifida, meningomyelocele in the thoracic region and double vessel cord.

Images Changes:

Image Ultrasound (Transverse) ( update )

Specifics was removed.
Perspective changed from to Transverse.

Image Ultrasound (Longitudinal) ( update )

Specifics was removed.
Perspective changed from to Longitudinal.

Image Ultrasound (Transverse) ( update )

Specifics was removed.
Perspective changed from to Transverse.

Image Ultrasound (Longitudinal) ( update )

Specifics was removed.
Perspective changed from to Longitudinal.

Image Ultrasound (Transverse) ( update )

Perspective changed from to Transverse.

Image Ultrasound (Longitudinal) ( update )

Specifics was removed.
Perspective changed from to Longitudinal.

Image Ultrasound (Oblique) ( update )

Specifics was removed.
Perspective changed from to Oblique.

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