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Aetiology

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There is no clear cause for talipes equinovarus. Credible theories include:

  • microvascular disorder during in utero development of the foot
  • defective ossification of the talus and other bones - the germ plasm defect theory
  • abnormal tendon and ligament attachments or contracture
  • external compression in utero, e.g. from oligohydramnios or constriction rings
  • neuromuscular dysfunction, e.g. calf muscle denervation, delayed muscle maturation

If the condition is not corrected early, secondary growth changes occur in the soft bones of childhood. These changes cause the permanent deformity seen in adults.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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