Lizalde YA

Language: Spanish
References: 6
Page: 85-89
PDF size: 402.73 Kb.

ABSTRACT

There exists the necessity of one classification for congenital equinus-varus adductus foot (CEVAF) (club foot). The autor proposes a new prognostic clinical classification which is based upon a complete physical examination of the affected child, regardless of the age and as a result of the careful exam of the foot deformities. Clinical exam should include a search for neuromuscular pathology and for the presence of associated malformations. Children with no associated malformations, in whom foot deformity is an isolated pathology are included in a separate group. Every foot must be examined carefully and the affected foot should be diagnosed and labeled for the malformation of each component, that is to say equinus, varus, cavus and if present, adductus. A record is made with the obtained information using the first letter of each part of the malformation, i.e., NM for neuromuscular, OM for other malformations, SM for a single malformation, E or e for equinus, V or v for varus, C or c for cavus, A or a for adductus, R for right or L for left. Finally the degree of foot deformity is recorded as grade I or mild (Mi), grade II or moderate (Mo), grade III or moderate to severe (M-S) and grade IV or severe (S). The integration of these data will indicate the severity of the foot malformation, which altogether with the information of the complete physical examination allow us to determine the prognosis for possible or probable relapsing, as well as the difficulty for an adequate correction and for the complications that may be expected following either conservative or surgical treatment or both.

REFERENCES

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6. Raymond F, Kuhlmann R, Bell J. A clinical evaluation of operative procedures for congenital talipes equino varus. J Bone Joint Surg 1957; 39a: 265-83.