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Transcript of Anahy Trejo
What is Clubfoot?
Clubfoot is a general term used to describe a range of unusual positions of the foot.
Most types of clubfoot are present at birth (congenital clubfoot). Clubfoot can happen in one foot or both feet. In almost half of affected infants, both feet are involved. Although clubfoot is painless in a baby, treatment should begin immediately. Clubfoot can cause significant problems as the child grows. But with early treatment most children born with clubfoot are able to lead a normal life.
What Causes Clubfoot
In some cases, clubfoot is just the result of the position of the baby while it is developing in the mother's womb (postural clubfoot). But more often clubfoot is caused by a combination of genetic and environmental factors that is not well understood. If someone in your family has clubfoot, then it is more likely to occur in your infant. If your family has one child with clubfoot, the chances of a second infant having the condition increase. Clubfoot present at birth can point to further health problems because clubfoot can be linked with other conditions such as spina bifida. For this reason, as soon as clubfoot is noticed, it's important that the infant be screened for other health conditions. Clubfoot can also be the result of problems that affect the nerve, muscle, and bone systems, such as stroke or brain injury.
Symptoms of Clubfoot
Clubfoot is painless in a baby, but it can eventually cause discomfort and become a noticeable disability. Left untreated, clubfoot does not straighten itself out. The foot will remain twisted out of shape, and the affected leg may be shorter and smaller than the other. These symptoms become more obvious and more of a problem as the child grows. There are also problems with fitting shoes and participating in normal play. Treatment that begins shortly after birth can help overcome these problems.
How is it Diagnosed
Ultrasound done while a baby is in the womb can sometimes detect clubfoot. It is more common for your doctor to diagnose the condition after the infant is born, though, based on the appearance and mobility of the feet and legs. In some cases, especially if the clubfoot is due just to the position of the growing baby (postural clubfoot), the foot is flexible and can be moved into a normal or nearly normal position after the baby is born. In other cases, the foot is more rigid or stiff, and the muscles at the back of the calf are very tight.
X-rays may not be helpful to confirm the diagnosis. Some of the baby's foot and ankle bones are not fully ossified (filled in with bony material) and do not show well on X-ray.
When treatment for clubfoot starts soon after birth, the foot grows to be stable and positioned to bear weight for standing and moving comfortably.
Effects on the people
The top of the foot is usually twisted downward and inward, increasing the arch and turning the heel inward.
The foot may be turned so severely that it actually looks as if it's upside down.
The calf muscles in the affected leg are usually underdeveloped.
The affected foot may be up to 1/2 inch (about 1 centimeter) shorter than the other foot.
150-200,000 babies are born with clubfoot worldwide each year
When it Appears
Clubfoot can be environmental or genetic but it starts to appear when the baby is in the womb
Method of Inheritance
The cause of this can be environmental or genetic
The position of the baby- environmental
What the mom eats- environmental
Someone in the family could have had clubfoot- genetic