ETIOLOGY AND TREATMENT OF CLAWFOOT

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Abstract
The many theories regarding the cause of clawfoot and the wide variety of methods of treatment indicate that the true nature of the deformity is not yet known. Interest in the condition lies in the lure of the unknown, the more so because most of the acquired human deformities have been adequately explained. Observations on the occurrence, progress and response to treatment of over 400 cases of clawfoot at the New York Orthopaedic Hospital during the past three and one-half years are the basis for this study. The report includes a discussion of the etiology with evidence pointing to the spinal cord as the location of the causative lesion, a review of treatment, and the end-results in 102 feet treated by anterior tarsal resection. The terms pes cavus, talipes arcuatus, talipes plantaris, hollow or contracted foot, griffe pied creux, Hohlfuss and nondeforming clubfoot have been used to designate the deformity.

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