Beruflich Dokumente
Kultur Dokumente
Name XXXX
Age DOB
NEGATIVE HISTORY ;-breech presentation, first born, spina bifida , maternal drugs intake- thalidoamide,
epilepsy drugs, twins ,packaging problems ( bicornuate uterus, short stature of mother ,tall father –short
mother), syndromic- mobius, Larsen syndrome ,weidmann beckwith , pierie robin syndr
GPE; - Screen for spina bifida, hips for DDH, arthrogryposis(tubular hands and legs)
GAIT; - if the child is walking look if he is walking on the lateral border of foot , with equinus at ankle at
foot in Supination , painless, or painful(callosities),assisted or unaided, short limb gait.
Child in supine or sitting posture with hips in flexion, knee in flexion, ankle in equinus ,fore foot in
adduction ,heel in varus, and deformity resembles a club hence club foot deformity .
INSPECTION ;-
Anteriorly ;-Asis is at same level and patella at same level ,ankle in equinus,talar head
prominent,dorsally, forefoot in adduction and Supination , great toe is short,foot is short,
chubby,rigid(in atypical club foot ) skin is stretched over the ankle.
Medially;-foot is adducted and supinated deep medial crease, short medial border of foot,medial
malleolus is less prominent .
Laterally ;-ankle in equinus ,lateral borderof foot is long , any presence of callosities,
Posteriorly;-ankle in equinus , tendoachilis is taut, calf appears small, deep posterior crease,small size of
heel .
PALPATION; - confirm inspectory findings particularly feel for the talus Antrly ,deep creases medially
and Posteriorly and empty heel
MOVEMENTS ;-
PASSIVE ANKLE MOVEMENTS –DF limited, foot -Pronation and eversion limited , heel valgus limited
ACTIVE MOVEMENTS – scratch the lateral border of foot to check if eversion possible – to check
peroneus brevis is working or not. For future Tib Antr transfers.
INVESTIGATION ;-
RADIOLOGICAL ;- X-RAYS