Clubfoot is caused by a deformity in the development of the muscles, tendons, and bones of the foot. It is present at birth. The cause of clubfoot is unknown. There is some belief that clubfoot can be inherited in some cases. It is not thought to be caused by position in the uterus.
|Achilles Tendon and Related Muscles|
|Copyright © Nucleus Medical Media, Inc.|
Clubfoot can be corrected, but it is best to start treatment as early as possible—sometimes right after birth. Treatment options include:
With casting, the foot is manually moved into a better position. It is placed in a series of casts. A new cast is put on every week for 5-10 weeks to stretch the soft tissues of the foot and reshape it.
After the initial casting procedure is completed, a brace is used at night and during naps.
More extensive surgery may be done to correct the deformed tendons and muscles in severe cases that do not respond to casting. When necessary, surgery is most commonly done within the first year of life.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
Copyright © EBSCO Information Services
All rights reserved.
American Orthopedic Foot & Ankle Society http://www.aofas.org
OrthoInfo—American Academy of Orthopaedic Surgeons https://orthoinfo.org
Health Canada https://www.canada.ca
When it Hurts to Move—Canadian Orthopaedic Foundation http://whenithurtstomove.org
Clubfoot. Massachusetts General Hospital Orthopedic Surgery website. Available at: http://www.massgeneral.org/ortho-childrens/conditions-treatments/clubfoot.aspx. Accessed March 27, 2018.
Clubfoot. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=a00255. Accessed March 27, 2018.
Clubfoot. Seattle Children's website. Available at: http://www.seattlechildrens.org/medical-conditions/bone-joint-muscle-conditions/clubfoot. Accessed March 27, 2018.
Eastwood DM, Sanghrajka AP. Guided growth: recent advances in a deep-rooted concept. J Bone Joint Surg Br. 2011;93(1):12-18.
van Bosse HJ. Ponseti treatment for clubfeet: an international perspective. Curr Opin Pediatr. 2011;23(1):41-45.
Zionts LE, Dietz FR. Bracing following correction of idiopathic clubfoot using the Ponseti method. J Am Acad Orthop Surg. 2010;18(8):486-493.