Musculoskeletal Congenital Disorders 1
Terms in this set (16)
What is congenital clubfoot??
a complex deformity of the ankle and foot.
What is the description of the clubfoot deformity dependent on??
The position of the foot and ankle.
What is the most common clubfoot deformity??
talipes equinovarus (inward and downward position), and it may be bilateral
Congenital clubfoot oocurs as an...
isolated defect or is diagnosed in association with
other disorders, including cerebral palsy and spina bifida
What are the risk factors of congenital clubfoot??
The etiology is not known, but it may be related to abnormal embryonic development.
Clubfoot is classified as positional (intrauterine crowding), syndromic (associated with other deformities), or congenital (idiopathic).
Variations of the deformity and manifestations may be present in one or both feet.
What are the different types of congenital clubfoots??
Talipes equinovarus, Talipes calcaneus, Talipes equinus, Talipes varus andTalipes valgus
Plantar flexion with feet bending inward
Dorsiflexion of feet with toes higher than heels
Plantar flexion of feet with toes lower than heels
Inversion of feet (toes pointing toward midline)
Eversion of feet (toes pointing laterally)
What are the diagnostic procedures for clubfoot??
Prenatal ultrasound used to identify deformity abd radiograph used to determine bone placement and tissue involvement for clubfoot
What are the nursing interventions for the child with clubfoot??
Encourage parents to hold and cuddle the child. Encourage parents to meet the developmental needs of the child.
Assess and maintain the cast or harness used to treat clubfoot.
Perform neurovascular and skin integrity checks after cast or harness placement.
What are the therapeutic procedures for clubfoot??
Management depend upon the severity of the deformity.
Passive exercise should be performed for a minor deformity
Serial casting is begun after birth before the newborn is discharged home. Weekly casting to stretch the skin and other structures of the foot is done until maximum
correction is accomplished.
Surgical intervention should occur if maximum correction is not achieved by 3 months of age.
What should the nurse educate the client about therapeutic procedures??
Educate the family about how to perform gentle stretching of the foot as prescribed.
Educate the family about the importance of serial casting, cast care, and follow-up appointments.
Complications for clubfoot, DDH, and scoliosis will be related to:
Postoperative complications (atelectasis, ileus, wound infection)
Effects of immobilization (decreased muscle strength, bone demineralization, decreased metabolic rate, altered bowel motility).
Effects of casting or bracing (skin breakdown, neurovascular alterations).