Calcaneo-Valgus
A 2-week-old infant girl is brought to the paediatric clinic by her parents, concerned about the appearance of her left foot. They describe the foot as being overly bent upward and outward, with the toes pointing toward the shin. The mother had a normal pregnancy but noticed that the baby’s foot appeared unusual immediately after birth. The infant doesn’t seem to be in pain and moves her foot freely, but the parents are worried about the future impact on her ability to walk.
On physical examination, the left foot is dorsiflexed with the heel pointing downward and the forefoot pointing outward, consistent with talipes calcaneo-valgus. The right foot appears normal. The paediatrician explains that this condition is common in new-borns, often due to intrauterine positioning, and is usually flexible with a good prognosis.
The treatment plan involves gentle stretching exercises to correct the foot position. The parents are reassured that the condition typically resolves on its own with time, and they are encouraged to perform the stretches several times daily. Follow-up visits are scheduled to ensure the foot's alignment improves.
a). Difficulty breathing
b). Unusual appearance of the left foot
c). Poor weight gain
d). Fever
a). Bowed legs
b). Dorsiflexed with the heel down and toes pointing outward
c). Swollen and red
d). Normal appearance
a). Genetic factors
b). Injury during birth
c). Intrauterine positioning
d). Malnutrition during pregnancy
a). Surgery
b). Casting
c). Gentle stretching exercises
d). Observation without treatment
