مولود عمره يوم، قدمه اليمنى ملتوية للداخل وللأسفل، ولا يمكن تعديلها لوضعها الطبيعي بسهولة. الفحص العام طبيعي. ما الأرجح وما العلاج المبكر؟

A 1-day-old has a right foot turned inward and downward that cannot easily be corrected to a normal position. General examination is normal. What is likely and what is the early treatment?

1. A birth fracture needing urgent surgery
2. Cerebral palsy; physiotherapy only
3. A normal position that self-corrects
4. Clubfoot; serial Ponseti casting

Answer: D) Clubfoot; serial Ponseti casting. Clubfoot is treated early with the Ponseti method: weekly serial casts, often Achilles tenotomy, then a night brace for years to prevent relapse.