What are the symptoms of complex clubfoot?
As in any other clubfoot, complex clubfoot comes in varying degrees of severity and not all components are always there. The following symptoms are a general guideline. In a “virgin clubfoot” that is, one that has never been manipulated and casted, the symptoms include the foot being short and stubby – that is, it’s heel-to-toe length is significantly shorter than a normal foot and the foot looks fat and thick, as if it were bunched up in the middle – and has a deep crease on the sole going from side to side (transverse crease) and usually another crease on the back of the foot above the heel. As manipulation and casting begins more symptoms can begin to appear. An atypical clubfoot that has been manipulated to the point of abducting, or turning it out in external rotation that you see in the brace, will frequently acquire a secondary deformity in which the long toe bones (metatarsals) become partially dislocated at the midfoot joint (Lisfranc or tarsometatarsal joint) and there appear
