Club foot is most commonly seen in neonates. One or both feet are smaller than would otherwise be expected.
The deformity may be considered at the hindfoot and forefoot:
The sole of the foot points medially - a varus deformity. The calf may be thin and the heel may be high. The fibula is prominent.
Passive correction of the deformity is not possible. There may be signs of associated disorders such as spina bifida.
In the adult with residual deformity, there is adduction of the forefoot, shortening of the Achilles tendon, and stunting in growth of the foot.
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