Causes
By Mayo Clinic staffThe cause of clubfoot is unknown (idiopathic). But scientists do know that clubfoot is not caused by the position of the baby in the womb (fetus). In some cases, clubfoot can be associated with other abnormalities of the skeleton that are present at birth (congenital), such as spina bifida, a serious birth defect that occurs when the tissue surrounding the developing spinal cord of a fetus doesn't close properly.
The environment plays a role in causing clubfoot. Studies have strongly linked clubfoot to cigarette smoking during pregnancy, especially when there already is a family history of clubfoot.
- AskMayoExpert. Can clubfoot be diagnosed in utero? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. Is further surgical intervention needed for congenital clubfoot? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. Are other medical conditions associated with congenital clubfoot? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. Why should a patient be referred to a pediatric orthopedic surgeon for the treatment of congenital clubfoot? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. What is the usual treatment for congenital clubfoot? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- AskMayoExpert. Clubfoot: Key facts. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed Feb. 6, 2013.
- Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed Feb. 5, 2013.
- Bridgens J, et al. Current management of clubfoot (congenital talipes equinovarus). BMJ. 2010;340:c355.
- Birth defects. March of Dimes. http://www.marchofdimes.com/baby/birthdefects_clubfoot.html#. Accessed Feb. 6, 2013.
- Dobbs MB, et al. Update on clubfoot: Etiology and treatment. Clinical Orthopaedics and Related Research. 2009;467:1146.


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