👣 Section 715.2 · Calcaneovalgus Feet

Nelson Textbook of Pediatrics 22nd Edition | Calcaneovalgus foot: common newborn deformity caused by intrauterine positioning (deformation). Characterized by excessive dorsiflexion and eversion of the hindfoot, sometimes with forefoot abduction. Associated with DDH (6-19%) and external tibial torsion. Usually resolves spontaneously with gentle stretching.

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📋 30 Clinical Scenarios — Calcaneovalgus Feet (Nelson 715.2)

📇 High‑Yield Review Cards

🩺 Clinical Recognition: Calcaneovalgus Foot

Select a presentation to review diagnostic clues and management per Nelson 715.2.

📋 Stepwise Management of Calcaneovalgus Foot

🔑 Key Principles — Nelson Section 715.2
• Definition: Excessive dorsiflexion and eversion of hindfoot due to intrauterine positioning (deformation). Forefoot may be abducted.
• Physical exam: Foot dorsiflexed and everted; dorsum may touch anterior lower leg. Restricted plantarflexion and inversion.
• Association with DDH: 6.1-19.4% of patients have coexisting DDH — highest association among congenital foot deformities.
• Treatment: Mild/full ROM → observation, resolves in weeks. Restricted motion → gentle stretching (plantarflexion/inversion). Greater restriction → serial casting (rarely needed).
• Differential diagnosis: Congenital vertical talus (rigid, rocker-bottom), posteromedial bow of tibia.

    ⚡ Reflex Prompts — Clinical Decisions in Calcaneovalgus

    📖 Summary: Calcaneovalgus Feet (Nelson 715.2)