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Intermediate Technical IVT

Equinovarus

Pronunciation: ee-kwee-noh-VAIR-us

A combined foot deformity characterised by simultaneous plantarflexion (equinus) and inward deviation (varus), commonly seen in neurological conditions and managed with orthotic intervention.

Full Definition

Equinovarus describes a foot position in which the ankle is held in plantarflexion (the equinus component) while the heel and forefoot deviate medially and the sole faces inward (the varus component). It is encountered frequently in orthotic practice as a sequela of stroke, cerebral palsy, or spastic paraplegia, and is a primary indication for tone-reducing or rigid AFOs. Editors working on orthotic or rehabilitation documents must recognise equinovarus as a single compound term, not two separate conditions. It should not be hyphenated in standard clinical usage, and it should be distinguished from simple equinus (plantarflexion only) or simple varus.

Usage

Usage note: Do not hyphenate. Do not use as a synonym for clubfoot in adult neurological contexts; reserve 'talipes equinovarus' for the congenital paediatric presentation.

In Context

  • "Persistent equinovarus deformity following the cerebrovascular accident was the primary indication for custom orthotic fabrication." — Orthotic justification letter
  • "The editor queried whether the draft referred to equinovarus or simple equinus, as the distinction affects HCPCS code selection." — Medical billing document review

Also known as

clubfoot (congenital form) talipes equinovarus (congenital)

Contrasted with

calcaneovalgus

Don't confuse with

equinus varus talipes calcaneovarus

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