TY - CHAP M1 - Book, Section TI - Club Feet A1 - Ebenezer, David S. A1 - Saluan, Paul M. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 4-day-old baby boy is brought to the pediatrician’s office for their first visit after birth. The pregnancy was full-term and uneventful, except for that the baby was a breech birth. The baby’s mother has noticed that although both legs and feet appear a little “curved,” both feet are almost “sideways” and look abnormal (Figure 86-1). On examination of both feet the hindfoot is clearly inverted, the toes point medially, and the foot is plantar flexed. The deformity is somewhat correctible by forcing the foot into a more normal position, but not completely. The baby does not appear to be in pain. He has no other abnormalities, has a normal neurologic exam for his age, and appears to be otherwise healthy. The child is referred to a pediatric orthopaedic surgeon, who begins serial Ponseti casting within one to two weeks. After several weeks of weekly serial casting, the feet have a more normal appearance. The child is then splinted full-time using a special orthosis for approximately three months, after which he is only splinted at night until walking age, at which time splinting is discontinued. He has no residual deformity. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114873785 ER -