সোমবার, ১৫ জুন, ২০২০

Talipes equine varce (Ankle deformity or claff foot)

This is the comonest of the deformities occuring at the region of the ankle,subtaloid and midtarsal joint.the foot is planter fiexed at the ankle joint adducted and inverted at the subtaloid and midtarsal joint.
the condition may be unilateral or bilateral.

Cause:

  • Genetic
  • Intrauterine pressure
  • Drugs:steroid specially
  • Infection on uterus
  • Congenital neuromascular abnormalities



Pathology:initially there may be littlt bony abnormalities although there is usually a subluxations at the talo-navicular joint


the soft tissues on the medial side of the foot are underdeveloped and shorten than the normal

the calf and the peroneal muscle are underdeveloped

symtome and sign: planter flexed at the ankle
addected and inverted at the subtaloid and midtarsal joint.


problem list:
deformity
muscle contracture:
ADL decrease(limping gait)

plane and treatment:


  1. deformity:
  •  mobilization and manupulation
  •  Surgical
manupulation:

    • abduction,
    • eversion,
    • dorsiflextion. 





2.Muscle Contracture:

Tendoachillis- Medial b
order of the ankle.
hot compression
message(obliquely) GTFM
stretch

ADL:
those baby waik then the normal activities.
Ball kick

































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