The cause, symptoms and treatment of clubfoot in children and adults **Bracket leg** is a medical term for congenital talipes hemenovarus (CTEV). In fact, this is considered a congenital anomaly that affects one or both legs. In children with clubfoot, the affected foot appears to be internally rotated at the ankle. Basically, the child's legs are twisted from their shape or position. In such a way that the feet usually go down and inside and the bottom is towards the back. When a person with crossed legs stands and puts the knees together, the distance between the ankles is much more than normal. Many children have crossed legs or club feet. This complication shows itself mostly around 4 years old. But this issue is part of their physical development process, and by the age of 6 or 7, the legs will regain their natural and smooth state. Clubfoot can persist partially into adulthood, but is not a cause for concern unless it causes other problems. However, crossed legs can sometimes be a sign of an underlying condition that needs treatment. Especially if the said disease progresses as the child or adult ages or if it does not improve with age. The scientific name of leguminous geneva is Wallgum. If a person with crossed legs stands and puts their knees together, the legs are spread apart and the ankles are much further apart than normal. It is normal to have some distance between the wrists. But in patients with crossed legs, this distance reaches 8 cm or more. ### **What are the side effects of braces?** Cross leg usually does not have any special complications. Of course, in some severe cases, complications such as: knee pain, lameness and problems in walking may be seen. In cross leg complications that do not heal by themselves, the knee is put under additional pressure and increases the possibility of the child suffering from arthritis. In most cases, there is no need to treat crossed legs, because this problem will be resolved as the child grows. Crossed legs can have other negative effects such as wounds, calluses and impaired leg muscle development. There is no need for the child to be deprived of physical activities or forced to wear protective shoes and braces or do certain sports. Mild clubfoot that persists into adulthood does not require treatment as long as it does not cause a problem such as knee pain. ### **What are the symptoms of clubfoot?** The main symptom of clubfoot is the appearance, and it is usually the way that the doctor notices the disease after seeing the patient and diagnoses it. Legs affected by clubfoot are usually shorter than other legs and can twist so much that they appear upside down. Another symptom is that the leg muscles are not developed in the affected limbs. Despite all this, clubfoot does not seem to cause pain for babies. However, doctors and orthopedic specialists advise parents who have children with leg braces to treat this condition as soon as possible. Because it may be difficult and painful for the child later, when he learns to walk. ### **What is the reason for the occurrence of bracket foot?** The causes of **bracket leg** are not well known, but it may be a genetic complication and the disease may run in the family. ### **What is the treatment of braces foot?** Treatment for clubfoot is largely physical. The standard method of treatment for "bracketed leg" is that, usually, the leg is placed in plaster for a week. The same method is repeated the following week. The length of treatment in this method lasts for 5 to 8 weeks. Most babies require a minor operation to loosen the Achilles tendon after the final cast is removed. This operation is performed under local anesthesia. To prevent the return of **bracket leg**, the child must wear a special boot with rods for the first 3 months to keep it in position and then take it off only at night. ### **What type of specialist treats club feet?** An experienced orthopedic doctor and specialist like **Dr. Majid Gurbanzadeh** specializes in musculoskeletal conditions such as clubfoot and can treat your child's **clubfoot** professionally in a very short period of time. ### **Treatment of underlying causes of braces** If an underlying condition has caused the appearance of crossed or bracket legs, it is necessary to treat it. For example: bone softness is improved by taking vitamin D and calcium supplements. Adults with arthritis can use leg braces or special insoles to reduce pressure on the knees. ### **What is a leg brace?** The main purpose of the brace is to prevent inversion and falling of the ankle and foot. Ankle inversion and drop can be caused by nerve damage, muscle or nerve disorders, brain or spinal disorders. Foot drop causes the toes to drag on the ground and interfere with normal walking. ### **What are leg braces used for?** Brace can be used to treat sports injuries as well as foot and ankle pathologies. A fiberglass mold is usually used to obtain a custom fit. Clinical indications for brace use are: - Tendonitis - Ankle instability - Arthritis - Leg drop due to stroke ### Surgery to treat clubfoot is rarely necessary. Of course, if this complication is severe and chronic, surgery may be recommended. —————————————————————– Ways of communication with Dr. Majid Ghorbanzadeh The Instagram page of Dr. Majid Ghorbanzadeh Aparat channel of Dr. Majid Ghorbanzadeh The show channel of Dr. Majid Ghorbanzadeh —————————————————————–