If the movement between two bones is abnormal, or non-existent, that changes how the bones grow after birth. ![]() For the foot to grow and develop correctly, all of the bones of the foot must move normally in relationship to each other. The foot is an incredibly complex structure. It is not known yet whether the defect affects the development of the muscles, blood vessels, or bones of the foot. It is not clear what genetic defect causes the problem. Today, most information suggests that clubfoot is hereditary, meaning that it runs in families. As development progressed, the foot could not grow normally because it was turned under and held in that position. Until recently, most experts believed that the clubfoot deformity was due to the foot being stuck in the wrong position in the womb. A clubfoot occurs when this failure of separation occurs in the tarsal bones of the foot. In the skeleton, these changes include the separation of each individual bone in the body from one mass of bone material. If the clubfoot only affects one foot, the calf muscles on this leg will always remain smaller than the opposite side.ĭuring the nine months of pregnancy, the fetus undergoes remarkable changes. One interesting finding is that the calf muscles on the leg with the clubfoot are smaller than normal. To walk, the child must walk on the outside edge of the foot rather than on the sole of the foot. This results in a very tight stiff foot that cannot be placed flat on the ground for walking. The ligaments, which are the connecting tissue between the bones, are contracted, or shortened and the joints between the tarsal bones do not move, as they should. This twisted position of the foot causes several problems in the foot. The ankle is in varus position when you try to put the soles of your feet together. Equinus means that the toes are pointed down and the ankle flexed forward (sort of like the position of the foot when a ballet dancer is on her toes). The medical terminology for this position is equinus and varus. The foot is turned under and towards the other foot. The deformity can affect the growth of the entire foot to some degree so other bones may be involved as well. Clubfoot primarily affects three bones: the calcaneus, talus and navicular. The metatarsals and the phalanges are connected to the tarsals and form the forefoot. The tarsal bones are the seven bones that make up the heel and the midfoot. #testimonialslist|kind:all|display:slider|orderby:type|filter_utags_names:Pediatrics|limit:15|heading:Hear from some of our *Pediatrics* patients# Anatomy ![]() what Endurance Rehabilitation and Wellness Center, PC's approach to rehabilitation is.Clubfoot affects twice as many males as females. ![]() The condition affects both feet in about half of the infants born with clubfoot. In Japan, the numbers are one in two thousand and in some races in the South Pacific it can be as high as seven infants in one thousand who are born with a clubfoot. In the Caucasian population, about one in a thousand infants are born with a clubfoot. The condition is not rare and the incidence varies widely among different races. Congenital means that the condition is present at birth and occurred during fetal development. This condition has been described in medical literature since the ancient Egyptians. The medical term for clubfoot is Congenital Talipes Equinovarus. Welcome to Endurance Rehabilitation and Wellness Center, PC's resource about Clubfoot.Ĭlubfoot is a congenital condition that affects newborn infants. Physical Therapy in East Brunswick for Pediatric Issues
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