The clubfoot (inwardly retracted toes) is more common in children and is a common cause of outpatient visits. There are three common causes: 1, hooked feet Hooked feet are the result of prenatal fetal position. Most hooked feet will require no treatment to get some correction within the first month of life and will improve greatly within 3 years of age. A small number of hook-shaped foot is stiff and persistent can not be improved, this case will need to use plaster, brace to correct. Special shoes are ineffective.
2.Tibial rotation Tibial rotation is the inward rotation of the lower leg. This variation is a normal change and is common in infants and children. Most tibial rotations are corrected naturally in infancy and early childhood without treatment. Splints, braces or orthopedic shoes will not correct the rotation and may be harmful.
Femoral rotation Femoral rotation is a rotation of the thigh bone that can cause the lower leg to rotate inward. The cause of femoral rotation is unknown. Femoral rotation is most severe at the age of 5-6 years, and most children will correct it naturally at the age of 10 years. Special insoles and supports will not change this change and will only make the child uncomfortable and hinder play.