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EQUINO VARUS
(CTEV)
Hindfoot : Inversion or
varus
Hindfoot : Equinus
Midfoot : Cavus
Tibiotalar
plantar flexion
Medial
displacement
of navicular
Wedge-shaped
head of talus
Wedge-shaped
Navicular
Adducted and
inverted
calcaneus
Medially
displaced
cuboid
Etiology
• 1. Genetic factor
- Chinese : 0,39 per 1000
- Caucasians : 1,2 per 1000
- Polynesia : 6,8 per 1000
Male : Female = 2,5 : 1
(Lachmiller et all)
2. Histologic anomalie
Some theories :
A primary germ plasma defect of bone
-- deformity Talus + Navicular
Reference point :
- Knee in 90º :
should be assessed :
Torsional alignment
Varus & valgus
Overall size & shape of the leg, ankle
foot
• Associated anomalies :
- Dwarfism
- Spina bifida
- Myelomeningocele
- Arthrogryposis
• Deformities findings :
1. Affected foot is shorter and wider
2. Ankle equinus
in knee extended
Deformities finding
3. Heel : inverted
4. Forefoot : adducted & supinated
Assessed :
forefoot on the midfoot
midfoot on the hindfoot
hindfoot on the ankle
Deformities finding
naviculare
calcaneus
Head of talus
-Abducting the foot in supination