The equinus deformity was resistant in seven feet not surgically treated initially. The Results of Treatment. Mild flattening of the superior articular surface of the talus was observed in the final roentgenograms of this last foot and in fourteen feet of the preceding group. Tendon insertions were normal. No anesthesia was used except to section the heelcords before the application of the fifth plaster cast. Attempts to correct heel inversion by forcibly everting the forefoot fail, and the cavus deformity increases as the first metatarsal is further plantarflexed [ 19 ].
William Wood and Co;
The Classic: Congenital Club Foot: The Results of Treatment
The head of the talus is palpable on the lateral aspect of the dorsum of the foot, owing to the inward and backward displacement of the navicular. Heel inversion will correct when the anterior aspect of the os calcis, together with the cuboid and scaphoid, are shifted and turned laterally in relation with the talus. The tendons of the arterial tibial, extensor hallucis longus, and extensor digitorum longus are medially displaced. Hips and knees were normal. Normal foot joint cavities with synovial folds at their margins were apparent. The cuneiforms are seen to the right of the navicular and the cuboid is underneath it. The navicular tuberosity turned obliquely upwards toward the medial malted us.