1 / 14

Congenital Musculoskeletal Health Problems

Congenital Musculoskeletal Health Problems. BY DR: Gehan Mohamed. Congenital Musculoskeletal Health Problems. Clubfoot Developmental dysplasia of the hip Amelia , meromelia. Clubfoot( talipes ). Talipes Latin talus (ankle) + pes (foot)

candace-myers
Download Presentation

Congenital Musculoskeletal Health Problems

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Congenital Musculoskeletal Health Problems BY DR: Gehan Mohamed

  2. Congenital Musculoskeletal Health Problems • Clubfoot • Developmental dysplasia of the hip • Amelia ,meromelia

  3. Clubfoot(talipes) • Talipes Latin talus (ankle) + pes (foot) • Involves bone deformity and malposition in form of a curled shape or twisted position of the ankle, heel, and toes with soft tissue contraction. • May be unilateral or bilateral • Affected foot is usually smaller and shorter, with an empty heel pad and transverse plantar crease • Easily recognized at birth

  4. Clubfoot • Congenital malformation of the lower extremity that affects the lower leg, ankle, and foot

  5. Clinical types • There are four variations of clubfoot: • talipesvarus: the most common form of clubfoot, the foot generally turns inward so that the leg and foot look somewhat like the letter J ). • talipes valgus, the foot rotates outward like the letter L. • talipesequinus, the foot points downward, similar to that of a toe dancer. • talipes calcaneus, the foot points upward, with the heel pointing down.

  6. FOOT DEFORMITIES TalipesEquinovarus 1in 1000 births • TalipesEquinovalgus Club Foot • Etiology • Positonal • Congenital, • Associated with other neuromuscular disorders

  7. Etiology • Positional held in a deformed position in utero Flexible on examination • Congenital multifactorial inheritance, envoirnmental

  8. TALIPES EQUINOVARUS The common ("classic") form of clubfoot. Talipes Latin talus (ankle) + pes (foot) . Equino- indicates the heel is elevated (like a horse's) -varus indicates it is turned inward. The foot is turned in sharply and the person seems to be walking on their ankle.

  9. Equinovarus

  10. Equniovarus

  11. TALIPES EQUINOVALGUS • Combination of talipesequinus and • talipes valgus,(outward)

  12. Therapeutic management • Serial manipulation and casting • If sufficient correction not achieved within 3 to 6 months, surgery is performed • Long-term follow-up

  13. Clubfoot Postoperative nursing considerations • Neurovascular checks at least every 2 hours • Observe for any swelling around cast edges • Elevate ankle and foot on pillows • Pain management (analgesics)

More Related