Treatment of Congenital Clubfoot
Figure 13 & 14
Ignacio Ponseti, MD
Peer Review Status: Externally Peer Reviewed
 
Fig 13: Wrong manipulation to correct foot supination. Forcefull
pronation of the foot will cause a breach in the midfoot because the
calcaneus remains locked in inversion by the tight tarsal
ligaments.
Fig 14: External rotation or abduction of the foot while the heel is
fixed in varus will cause a posterior displacement of the lateral
malleolus by externally rotating the talus in the ankle joint. The
tibionavicular ligament and the other tight medial tarsal ligaments
will not allow the calcaneus to abduct under the talus.
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