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J Am Acad Orthop Surg, Vol 10, No 4, July/August 2002, 239-248.
© 2002 the American Academy of Orthopaedic Surgeons
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Idiopathic Congenital Talipes Equinovarus

David P. Roye, Jr, MD and Benjamin D. Roye, MD, MPH

Dr. D. P. Roye is Livingston Professor of Orthopaedic Surgery, Children’s Hospital of New York, New York, NY. Dr. B. D. Roye is Resident, New York Orthopaedic Hospital, New York.

Reprint requests: Dr. D. P. Roye, 8th Floor N, 3959 Broadway, New York, NY 10032-1537.

The etiology of idiopathic congenital talipes equinovarus is unknown, and there is no consensus as to the best treatment. Increasingly, ultrasound is being used to diagnose the condition prenatally, but the diagnosis remains clinical postnatally. Radiographs can help confirm the diagnosis and ascertain the severity of the condition. There are many classification schemes, but none offers adequate prognostic value. The mainstay of treatment is manipulation and casting, usually followed by soft-tissue release. However, some patients have been successfully treated with intensive physiotherapy instead of surgery.




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