Congenital talipes equinovarus (clubfoot)
-    Most significant congenital deformity of foot.
= Adduction of forefoot (talonavicular + calcanealcuboid jts)
= Supination o entire foot (cal varus)
= Equinus (Pfl) ankle

Treatment : Correction of deformity and maintenance of corrected position.
Test flexion of foot.
a / Intensive stretching
b / Serial casting        = Forefoot adduction
= Heel varus
= Equinus
c / Off-shelf Orthosis (Cast change every week (6-24 wks)
- Denis brown / straight last or out flare boot.
- Counter rotation splint.
d / AFO neutral or abducted fare foot.
- Neutral or light valgus heel.
- Neutral or slight off; FF valgus.
e / Surgery     - soft tissue release (3 months)
(Posterior, Medial, subtalar)
Post surgery (after casts)
Solid KAFO 90 – 90.
Walking child AFO
Wearing 12 – 23 hrs / day.

Metatarsus Adductus (MTA)
-    Forefoot adductus
-    Normal heel alignment
-    Skin crease after visible on medial aspect of midfoot.
-    Base of 5th metatarsal prominent.

Mild MTA in infant easily manually overcorrected beyond neutral.