Post on 07-May-2015
Talipes Club foot
) المائلة ) الحنفاء القدم
Dr / Hytham Nafady
• Talipes = congenital deformity in which the foot is twisted from its normal position.
• Tali = ankle
• Pes = foot
• Talipes cavus = high arched foot.
• Talipes equinus = plantar flextion.
• Talipes calcaneus = dosiflexion.
• Talipes valgus = abduction and eversion.
• Talipes varus = adduction and inversion.
Talipes equinovarus
3 components
Plantar flextion
At the ankle joint Equinus deformity
of the hindfoot.
Inversion At the subtalar joint
Varus deformity
of the hindfoot.
Adduction At the tarso-metatarsal joints
Adduction deformity
of the forefoot.
Radiological findings
Proper positioning
AP radiograph: Lateral radiograph:
Normal foot AP Club foot AP
Talo-calcaneal angle: 20-40 0 or even reversed
Mid-talar line: Point to the 1st metatarsal head.
Lateral to the 1st metatarsal head.
Mid-calcaneal line: Point to the 4th metatarsal head.
Lateral to the 4th metatarsal head.
Metatarsal shafts Parallel Posterior convergence.
Normal foot lateral Club foot lateral
Mid-talar line & line through the 1st metatarsal shaft
Coincide form an obtuse angle.
Mid-talar line & mid-calcaneal line
Form an acute angle More or less parallel
Angle between a line through the inferior cortex of calcaneus and line through inferior cortex of 5th metatarsal bone.
Obtuse. Acute.
Normal foot AP
Normal foot lateral
Club foot AP
Mid-calcaneal line points lateral to the 5th metatarsal base
Club foot lateral