Treatment Code: M manipulate, C cast, T tenotomy B braces O other (describe):

Complications:

Clinical Examination (check if normal, describe if abnormal)
Head & Neck Upper limbs Spine Lower limbs
Describe:


Consent Given: Yes No
Diagnosis: CTEV Syndromic TEC Positional Talipes Normal Other(describe)
DATE
Side R L R L R L R L R L R L R L R L R L R L
A Curve lat
border

B Medial Crease

C Talar Head

Midfoot
Score

D Post Crease

E Equinus
Rigidity

F Empty Heel

Hind Foot Score

Total Score
Complications
Yes/No

Treatment
PIRANI SCORING
OF CLUB FEET