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Congenital Abnormalities/Deformities of the Lower Limb

Congenital Abnormalities/Deformities of the Lower Limb

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Talipes Equino Equino-Varus Varus – Aetiology<br />

(1)<br />

• “It has been suggested that raised intra intra-uterine uterine pressure<br />

forces <strong>the</strong> lower limbs limbs <strong>of</strong> <strong>the</strong> <strong>the</strong> foetus against <strong>the</strong> walls <strong>of</strong><br />

<strong>the</strong> uterus so as to mould <strong>the</strong> feet into <strong>the</strong> position <strong>of</strong><br />

deformity. The presence <strong>of</strong> lesions <strong>of</strong> <strong>the</strong> skin over <strong>the</strong><br />

convex aspect <strong>of</strong> <strong>the</strong> foot in talipes equino equino-varus equino equino-varus varus (TEV)<br />

which very much resemble healed pressure sores, lends<br />

support to this belief. It has alternatively been suggested<br />

that <strong>the</strong> primary disturbance is in <strong>the</strong> muscles <strong>of</strong> <strong>the</strong> calf<br />

where some form <strong>of</strong> contracture possibly ischaemicin<br />

nature, has been visualised as drawing <strong>the</strong> foot into a<br />

position <strong>of</strong> deformity

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