Name of the Condition

• Congenital Talipes Calcaneovarus, Unspecified Foot
• Also known as clubfoot with an upward heel orientation.

Summary

• Congenital talipes calcaneovarus is a rare foot deformity present at birth where the foot appears twisted upwards at the heel and downward at the toes. This affects the foot's alignment, making it difficult for the affected child to walk comfortably.

Causes

• The exact cause is not well understood, but it is believed to be due to a combination of genetic and environmental factors affecting the development of the fetus.

Risk Factors

• Family history of congenital foot deformities
• Certain prenatal factors, such as reduced amniotic fluid

Symptoms

• Visible deformity of the foot or feet
• Heel of the foot is elevated
• Toes pointing downward
• Limited range of motion in the foot

Diagnosis

• Physical examination by a healthcare provider
• Prenatal ultrasound may detect the condition before birth

Treatment Options

• Casting or splinting shortly after birth to gradually correct the foot's position
• Physical therapy to improve strength and flexibility
• Surgery may be necessary in severe cases to correct bone deformities

Prognosis and Follow-Up

• With early intervention, many children enjoy normal mobility and function
• Regular follow-up appointments are essential to monitor correction and growth

Complications

• Untreated or improperly managed cases can lead to permanent deformity, difficulty walking, and chronic pain.

Lifestyle & Prevention

• There are no definite preventive measures, but early detection and intervention are crucial for better outcomes
• Protective and supportive footwear as guided by a healthcare provider

When to Seek Professional Help

• If an abnormality in the foot shape is noticed at birth or soon after
• If there are concerns about a child's walking development

Additional Resources

• March of Dimes: marchofdimes.org
• American Orthopaedic Foot & Ankle Society: aofas.org

Tips for Medical Coders

• Ensure the laterality (left, right, unspecified) is accurately recorded
• Verify the congenital nature of the condition to differentiate from acquired foot deformities
• Avoid common errors related to coding similar conditions or unspecified versions without adequate documentation.