Idiopathic congenital talipes equinovarus in an adult, with follow up

Presentation

Foot deformity and chronic pain.

Patient Data

Age: 25 years
Gender: Male

X-ray study after treatment

X-ray

The patient presented: 1) adduction, 2) varus, 3) supination and inversion of the heel and 4) plantar flexion of the forefoot and ankle. Features that are compatible with talipes equinovarus.

X-ray study one month later

X-ray

X-ray figures demonstrating the casting step of the treatment after surgical release.

X-ray study nine months later

X-ray

Case Discussion

Although the patient presenting, in this case, had the diagnosis of idiopathic congenital talipes equinovarus, or clubfoot, he did not seek medical assistance until adulthood, when the pain became almost unbearable in his daily life. The orthopedic team planned a series of steps for his treatment including casting, manipulation, through surgical release, and physiotherapy.

Contributed by Dr. Guilherme Pioli Resende M.D. and Dr. Arthemizio Antônio Lopes Rocha M.D.

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