Which physical finding is not usually associated with talipes equinovarus congenita?

Which physical finding is not usually associated with talipes equinovarus congenita?

• A. Deep crease on medial border of foot
• B. Contracture of the iliotibial bands
• C. Atrophy of calf muscles
• D. Small foot with limited dorsiflexion

Answer: (B)

Talipes equinovarus congenita presents as a hindfoot varus with ankle equinus, forefoot adduction, and a cavus pattern. The deformity involves tight posterior and medial structures and altered foot posture, which explains why you often see limited dorsiflexion, a relatively small-looking foot, and skin creases along the medial border from the abnormal adduction. Calf muscles may show some atrophy from disuse and the abnormal mechanics of the foot. A contracture of the iliotibial band is not a feature of this foot and ankle deformity. The IT band is a lateral thigh/knee structure, and its tightness is not part of the typical clubfoot pattern, which centers on the posteromedial structures of the foot and ankle.

Talipes equinovarus congenita presents as a hindfoot varus with ankle equinus, forefoot adduction, and a cavus pattern. The deformity involves tight posterior and medial structures and altered foot posture, which explains why you often see limited dorsiflexion, a relatively small-looking foot, and skin creases along the medial border from the abnormal adduction. Calf muscles may show some atrophy from disuse and the abnormal mechanics of the foot.

A contracture of the iliotibial band is not a feature of this foot and ankle deformity. The IT band is a lateral thigh/knee structure, and its tightness is not part of the typical clubfoot pattern, which centers on the posteromedial structures of the foot and ankle.