At delivery, the infant had a birthweight of 2,025 g and head circumference of 28.5 cm (z-score -4.3) and was noted to have arthrogryposis involving the hips, ankles, and wrists, as well as bilateral talipes equinovarus
. Chest radiograph revealed a persistently elevated right hemidiaphragm (Figure, panel B); a head ultrasound confirmed the prior fetal intracranial findings.
Does the Ponseti technique affect the vascular development in patients with congenital talipes equinovarus
? J Pediatr Orthop B.
. A review of eighty four cases after completion of the treatment.
In this report, we describe a rare case of a physically healthy 10-year-old boy who presented with rigid equinovarus
caused by dislocation of the Chopart joint complex in association with psychological stress that was diagnosed early and improved spontaneously without surgical invention.
The analysis of the bony structures revealed a fusion of the last two sacral vertebrae with coccygeal agenesis and pubic diastasis and partial agenesis of the distal half of the left tibia with an equinovarus
distortion of the foot (Figure 4).
Dopa-responsive dystonia is a rare childhood neurological disorder that typically starts as asymmetric lower limb dystonia, resulting in equinovarus
foot posturing and gait disturbances .
In addition, the patient had thick toes and talipes equinovarus
The physical examination and laboratory findings of the child (hypotonia, hypertelorism, pes equinovarus
, renal cysts, pale optic disc, hypomyelination, epileptiform discharges in EEG, increased levels of VLCFA: C26:0, C24:0/C22:0, C26:0/C22:0) had been supporting ZS but genetic testing wasn't performed.
He was born with two club feet (congenital talipes equinovarus
) as a consequence of which, in his early years, he was only able to move around outside by being transported in a small cart and inside by walking with the aid of a Gehstuhl (a device similar to a Zimmer walking frame).