The Orthobullets Podcast

Foundations | Pediatrics | Clubfoot (congenital talipes equinovarus)

Jan 6, 2026
Explore the fascinating world of clubfoot, a common congenital condition. Discover the essential components of the CAVE deformity and learn key anatomical insights. Dive into clinical presentations and imaging techniques that reveal foot structure. Uncover the gold standard Ponseti method for treatment and contrast it with the French approach. Hear about surgical options for severe cases and clarify misconceptions about the Ponseti technique. This engaging discussion offers vital knowledge for healthcare providers dealing with pediatric musculoskeletal issues.
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INSIGHT

Clubfoot Basics And Primary Treatment

  • Clubfoot (congenital talipes equinovarus) is a common idiopathic neonatal foot deformity diagnosed clinically by resting equinovarus.
  • The Ponseti method casting is the usual first-line treatment with occasional supplemental surgeries.
INSIGHT

CAVE Explains The Deformity

  • The deformity follows the CAVE pattern: cavus, adductus, varus, equinus.
  • Distinct muscles and tight structures drive each component, guiding targeted correction.
INSIGHT

Clinical Exam Clues

  • Exam shows a small foot/calf, shortened tibia, and medial/posterior skin creases.
  • The clubfoot is rigid with a plantarflexed first ray and fixed hindfoot equinus/varus unlike positional deformities.
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