Clubfoot
A 3-day-old infant boy is brought to the paediatric clinic by his parents, who are concerned about the appearance of his feet. They notice that his right foot is turned inward and downward, making it look smaller and more rigid than the left foot. The parents mention that they were not aware of any family history of foot deformities and that the pregnancy and delivery were otherwise uncomplicated.
On physical examination, the right foot is found to be in a position consistent with clubfoot (talipes equinovarus), with the heel elevated and the forefoot adducted. The left foot appears normal. The paediatrician explains that clubfoot is a common congenital deformity and that early intervention is crucial for optimal outcomes.
The treatment plan includes a series of gentle manipulation and casting, known as the Ponseti method, to gradually correct the foot position. The parents are educated about the need for regular follow-up visits to monitor progress and to possibly begin bracing after the initial casting to maintain the correction. They express relief at the diagnosis and are committed to following the treatment plan.
a). Excessive crying
b). Difficulty feeding
c). The appearance of his right foot
d). A rash on the body
a). Normal alignment
b). Turned inward and downward with rigidity
c). Swollen and painful
d). Fractured and bruised
a). Surgery
b). Ponseti method involving casting and manipulation
c). Physical therapy
d). Observation only
a). Home exercises
b). Regular check-ups without any additional treatment
c). Bracing after casting
d). Additional casting every month
