Bilateral congenital talipes equino-varus deformity in fetus

Case contributed by Zareena Ansari
Diagnosis almost certain

Presentation

Antenatal anomaly ultrasound examination

Patient Data

Age: 20 weeks fetus
Gender: Female

Antenatal level II anomaly scan at 20 weeks revealed congenital talipes deformity of both feet. No other significant anomaly was detected. Patient decided to continue the pregnancy.

Case Discussion

Congenital talipes equinovarus deformity ( CTEV ) or more commonly known as club foot is a congenital deformity involving the foot and ankle giving rise to a plantar flexed, internally rotated and adducted foot. The incidence is about 1 in 1000 live births with a male to female ratio of 2:1. 50% cases are bilateral. It can be detected on an antenatal ultrasound as early as 16 weeks gestational age.

It may be associated with open neural tube defects, trisomy 18 or arthrogryposis.

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