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Pé torto equinovaro

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 9 Apr 2025
Last updated: 31 Aug 2023

Summary

Definition

History and exam

Key diagnostic factors

  • história familiar positiva
  • deformidade em equino
  • retropé em varo e aduzido
  • antepé aduzido
Full details

Other diagnostic factors

  • sexo masculino
  • displasia do quadril
  • anormalidades neurológicas ou cromossômicas
  • membro inferior menor
  • ondulação, mancha peluda ao longo da linha da coluna vertebral
Full details

Risk factors

  • História familiar de pé torto equinovaro
  • sexo masculino
  • anormalidades congênitas associadas
  • tabagismo parental
Full details

Diagnostic tests

Tests to consider

  • radiografias anteroposterior e lateral do pé
  • ultrassonografia dinâmica do quadril
  • radiografias pélvicas
  • tomografia computadorizada (TC) do pé
  • tomografia computadorizada (TC) da coluna vertebral
  • ultrassonografia abdominal
Full details

Treatment algorithm

ACUTE

no diagnóstico inicial

recidiva

Contributors

Authors

Scott E. Van Valin, MD
Scott E. Van Valin

Associate Professor

Pediatric Orthopaedic Surgery

Medical College of Wisconsin

Milwaukee

WI

Disclosures

SEVV declares that he has no competing interests.

Peer reviewers

Shyam Kishan, MD

Assistant Professor of Orthopaedics

Department of Orthopaedic Surgery

Loma Linda University

Loma Linda

CA

Disclosures

SK declares that he has no competing interests.

Mark J. Adamczyk, MD

Pediatric Orthopedic Surgeon

Akron Children's Hospital

Akron

OH

Disclosures

MJA declares that he has no competing interests.

Nigel Kiely, FRCS

Consultant Orthopaedic Surgeon

Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust

Oswestry

Shropshire

UK

Disclosures

NK declares that he has no competing interests.

Donald Campbell, MD

Consultant

Paediatric Orthopaedic Surgery

Ninewells Hospital and Medical School

Dundee

Scotland

UK

Disclosures

Not disclosed.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Cady R, Hennessey TA, Schwend RM. Diagnosis and treatment of idiopathic congenital clubfoot. Pediatrics. 2022 Feb;149(2):e2021055555.Full text  Abstract

British Society for Children’s Orthopaedic Surgery (BSCOS). Management of clubfoot deformity in children up to walking age. Jul 2021 [internet publication].Full text

Besselaar AT, Sakkers RJB, Schuppers HA, et al. Guideline on the diagnosis and treatment of primary idiopathic clubfoot. Acta Orthop. 2017 Mar 7;88(3):305-9.Full text  Abstract

Staheli L, ed. Clubfoot: Ponseti management, 3rd ed. Seattle, WA: Global HELP; 2009.Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Pé torto equinovaro images

  • Differentials

    • Metatarso varo
    • Pé em serpentina
    • Calcâneo valgo ou pés tortos calcâneos valgos
    More Differentials

  • Guidelines

    • Diagnosis and treatment of idiopathic congenital clubfoot
    • Management of clubfoot deformity in children up to walking age
    More Guidelines
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