4.2 of 6 Ratings
A 4-month old boy presents for follow-up in the orthopedic clinic. At birth, he was diagnosed with the condition pictured in Figure A, and has undergone stretching and serial casting since then. On exam, his right foot is still turned inward and cannot dorsiflex beyond 85 degrees. The joint feels rigid. What is the most appropriate next step?
Surgical treatment before 12 months of age
Surgical treatment after 24 months of age
Surgical treatment after continued conservative therapy
Continued casting with delayed physical therapy
Continued casting with immediate physical therapy
Select Answer to see Preferred Response