tenotomy

Definition

Medial subluxation of long head of biceps tendon out of groove and into rotator interval

Non operative 

Ponseti casting

Aims of treatment

1. Correct the deformity early

2. Correct it fully 

3. Hold the corrected position until foot stops growing

- AFO

- Denis Browne Boots

Timing

Start 1 - 3 weeks

- let parents settle and get used to diagnosis

- explain method and length of treatment required