Các nguyên nhân của equinovarus tật quẹo chân bẩm sinh vô căn là chưa biết, và không có sự đồng thuận để điều trị tốt nhất. Càng ngày, siêu âm được sử dụng để chẩn đoán các điều kiện prenatally, nhưng việc chẩn đoán lâm sàng vẫn còn postnatally. Chụp X quang có thể giúp xác định chẩn đoán và xác định mức độ nghiêm trọng | Idiopathic Congenital Talipes Equinovarus David P. Roye Jr MD and Benjamin D. Roye MD MPH Abstract The etiology of idiopathic congenital talipes equinovarus is unknown and there is no consensus as to the best treatment. Increasingly ultrasound is being used to diagnose the condition prenatally but the diagnosis remains clinical postna-tally. Radiographs can help confirm the diagnosis and ascertain the severity of the condition. There are many classification schemes but none offers adequate prognostic value. The mainstay of treatment is manipulation and casting usually followed by soft-tissue release. However some patients have been successfully treated with intensive physiotherapy instead of surgery. J Am Acad Orthop Surg 2002 10 239-248 Idiopathic congenital talipes equi-novarus CTEV also known as clubfoot has been a recognized deformity since the time of the ancient Egyptians and was independently described by both Hippocrates and the Aztecs. Initial treatment options all were variations on manipulation and splinting. Surgical intervention began in the late 1700s with Lorenz s Achilles tenotomy but effective soft-tissue releases osteotomies and tendon releases were not developed until the late 1800s with the advent of anesthesia and aseptic technique. In 1930 Kite popularized gentle manipulation and serial casting which remains the initial treatment of Although the basic surgical concepts have not changed techniques for the treatment of resistant CTEV continue to be developed. The incidence of CTEV varies widely with respect to race and geography. In Japan this condition affects approximately per 1 000 live births and in natives of the South Pacific the incidence jumps to nearly 7 per 1 000 live births. In all Caucasians the incidence is per 1 000 live births. All populations show a consistent 2 1 male predominance and bilateral disease occurs in approximately 50 of In developed countries untreated CTEV beyond early childhood is rarely .
