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Published on: August 25, 2014
The newborn foot: diagnosis and management of common conditions
Erin S Hart1, Brian E Grottkau, Gleeson N Rebello
1Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, Mass. General Hospital for Children, Boston, MA, USA.
Insights
A newborn physical exam should include a foot assessment to detect common deformities like clubfoot early. Prompt diagnosis of neonatal foot problems aids in timely treatment and parental guidance.
Area of Science:
- Neonatal care
- Pediatric orthopedics
Background:
- Foot assessment is crucial in newborn physical examinations.
- Early diagnosis of neonatal foot deformities leads to better treatment outcomes.
- Understanding common foot problems helps nurses provide essential parental guidance.
Purpose of the Study:
- To review common neonatal foot abnormalities.
- To discuss their diagnosis, treatment, and prognosis.
- To highlight nursing implications for managing these conditions.
Main Methods:
- Literature review of common newborn foot disorders.
- Discussion of diagnostic criteria and treatment approaches.
- Exploration of nursing care and family support strategies.
Main Results:
- Common abnormalities include clubfoot, metatarsus adductus, calcaneovalgus, congenital vertical talus, polydactyly, and syndactyly.
- These conditions can be isolated or associated with other disorders.
- Effective management relies on early identification and appropriate interventions.
Conclusions:
- Regular foot assessments are vital for all newborns.
- Knowledge of neonatal foot problems empowers healthcare providers to offer optimal care.
- Nursing plays a key role in patient management and family education.
Abstract:
An assessment of the foot should be a part of every newborn physical examination. The newborn foot, although complex in structure, can be examined quickly in any office setting. Many foot deformities are diagnosed immediately after birth, allowing for earlier and often more successful treatment. A neonate with a foot deformity can be a source of anxiety to parents. Adequate knowledge of commonly encountered neonatal foot problems enables the nurse to give appropriate anticipatory guidance to the parents. Foot abnormalities usually occur as isolated findings in an otherwise healthy newborn. However, these deformities can also be seen in newborns with underlying neuromuscular disorders and syndromic conditions. Common newborn foot abnormalities include equinovarus deformity (clubfoot), metatarsus adductus, calcaneovalgus, congenital vertical talus, polydactyly (supernumerary digits), and syndactyly (webbed toes). These common foot disorders, their treatment, and their prognosis are discussed. This article also discusses fundamental nursing implications needed to care for these young patients and their families.
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