Page 127 - ASOP ROT Study Guide

Management
All children - in whom the test produced a "click" should be re-examined in a specialist clinic at three
months old when a radiograph is usually justified. All "clunks" should be treated from birth. If the femoral
head is relocated and maintained in the acetabulum using splintage then the vast majority will settle
and give no further trouble as the hip starts to develop normally.

If discovered late, but before weight bearing, the condition may be treated by a period of gentle traction
followed by open or closed manipulation. It is then splinted in plaster for three months. If discovered late
and walking has commenced, major surgery is required to deepen the undeveloped acetabulum and re-
angulate the femoral neck to stabilize the hip. The results of this are at best moderate, and secondary
arthritis is highly likely. This is why early diagnosis is so important.

8 . 2 Club Foot - talipes equino varus

Introduction
This is a deformity of the foot which makes it look like a golf club. If treated early, mild cases can be
fully corrected and major cases can be much improved to give a functional foot.

http://orthoinfo.aaos.org/topic.cfm?topic=a00255

FIGURE. CLUB FOOT -TALIPES EQUINO VARUS