talipes


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talipes

 [tal´ĭ-pēz]
a deformity in which the foot is twisted out of normal position; see also clubfoot and see illustration. It may have an abnormally high longitudinal arch (talipes cavus) or it may be in dorsiflexion (talipes calcaneus), in plantar flexion (talipes equinus), abducted and everted (talipes valgus or flatfoot), adducted and inverted (talipes varus), or various combinations of these (talipes calcaneovalgus, talipes calcaneovarus, talipes equinovalgus, or talipes equinovarus).



There are several theories as to the cause of clubfoot. A familial tendency or arrested growth during fetal life may contribute to its development, or it may be caused by a defect in the ovum. It sometimes accompanies meningomyelocele as a result of paralysis. In mild clubfoot there are slight changes in the structure of the foot; more severe cases involve orthopedic deformities of both the foot and leg. Although clubfoot is usually congenital, an occasional case in an older child may be caused by injury or poliomyelitis.

Treatment varies according to the severity of the deformity. Milder cases may be corrected with casts that are changed periodically, the foot being manipulated into position each time the cast is changed so that it gradually assumes normal position. A specially designed splint may also be used, made of two plates attached to shoes with a crossbar between the plates and special set screws so that the angulation of the foot can be changed as necessary. More severe deformities require surgery of the tendons and bones, followed by the application of a cast to maintain proper position of the joint.
Talipes.

tal·i·pes

(tal'i-pēz),
Any deformity of the foot involving the talus.
[L. talus, ankle, + pes, foot]

talipes

/tal·i·pes/ (tal´ĭ-pēz) a congenital deformity in which the foot is twisted out of shape or position; it may be in dorsiflexion (t. calca´neus), in plantar flexion (t. equi´nus), abducted and everted (t. val´gus or flatfoot), abducted and inverted (t. va´rus), or various combinations (t. calcaneoval´gus, t. calcaneova´rus, t. equinoval´gus, or t. equinova´rus) .
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Talipes.

talipes

(tăl′ə-pēz′)
n.

talipes

[tal′ipēz]
Etymology: L, talus, ankle, pes, foot
a deformity of the foot and ankle, usually congenital, in which the foot is twisted and relatively fixed in an abnormal position. Talipes refers to deformities that involve the foot and ankle, whereas pes refers only to deformities of the foot. Kinds of talipes include talipes calcaneovalgus, talipes calcaneovarus, and talipes equinovarus. See also clawfoot, flatfoot.

talipes

Latin, talipes = talus–ankle + pes–foot A general term for clubfoot–a congenital foot deformity involving the talus. See Clubfoot.

tal·i·pes

(tal'i-pēz)
Any deformity of the foot involving the talus.
[L. talus, ankle, + pes, foot]

talipes

Clubfoot. A congenital deformity affecting the shape or position of one or both feet. In talipes cavus, there is exaggeration of the curvature of the longitudinal arch. In talipes equinovarus the ankle is extended and the heel and sole turned inwards.

talipes

congenital foot deformity, about the talus
  • talipes calcaneovalgus congenital vertical orientation of longitudinal axes of talus and calcaneum secondary to soft-tissue deformity of lower leg and foot; characterized by marked ankle joint dorsiflexion, subtalar joint eversion, loss of concavity of medial longitudinal arch; the foot cannot be placed passively in a plantigrade position

  • talipes equinovarus significant congenital skeletomuscular deformity of lower limb and foot; absence of pronatory rotation at neck of talus causes the foot to retain the early embryological relationship to the lower limb (Figure 1); occurs ideopathically, but is also associated with significant congenital neurological dysfunction/dysplasias; characterized by heel inversion + very marked forefoot inversion, underdevelopment and contracture of lower-limb posterior musculature, ankle plantarflexion, near horizontal talar axis, marked inversion of subtalar and midtarsal joints, forefoot adduction, weight-bearing lateral rearfoot, talar head prominence at dorsolateral aspect of rearfoot, exaggerated concavity of medial longitudinal arch exaggerated, and inability to place the foot passively in plantigrade position; treatment aims to achieve a plantigrade foot, e.g. early-infancy strapping and soft-tissue stretching (a Denis Browne splint may be used to maintain correction gained by strapping/stretching therapy, once the child can walk); reduction of persistent soft-tissue contractures with injection of botulinum toxin into posterior-group muscles (+ below-knee cast); surgical options include Achilles tendon lengthening, or plantar fasciotomy; skeletal deformity/dysfunction is corrected by osteotomy (e.g. of calcaneum and metatarsals) and/or triple arthrodesis in order to achieve a plantigrade and functional foot

Figure 1: Uncorrected talipes equinovarus in a new-born infant. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).

talipes,

n a congenital deformity of the ankle and foot wherein the foot is twisted and fixed in an abnormal position.

talipes

References in periodicals archive ?
Congenital talipes equinovarus or club foot is a common orthopedic anomaly afflicting the pediatric population.
Genetic and environmental factors in the etiology of talipes equinovarus.
For instance, a baby with a meningomyeloceole and talipes was classified under Central nervous system malformation and counted only once.
The major anomalies included pyloric stenosis, anal atresia, hypospadias, cleft palate, talipes, and dislocated hips.
Additional characteristics of the condition are camptodactyly (flexion of fingers) with ulnar deviation, talipes equinovarus (1) and contractures that limit mobility of the neck, making intubation very difficult (6-8).
Where children have a health condition that requires regular monitoring, for example talipes (a deformity of the foot) or diabetes, they still need a health assessment that will examine the whole child, taking into consideration their development and behaviour, and the implications of their own and their parents' past history on their future health.
Surgery was performed when Nicole was just five months old to correct the rare condition, diagnosed as congenital talipes.
Hands and feet should be evaluated to rule out polydactyly and talipes (deformities of the feet and ankles).
Eight-year-old Kieran Nunn was born with bilateral talipes - two clubbed feet - and the youngster has faced many painful operations to try to correct the condition.
Risk indicators for talipes equinovarus in Washington State, 19871989.