Fig. 3A–E.

(A–C) Relapsed clubfoot of a 3-year-old boy. The foot is supinated, but the forefoot is too everted in relation with the heel. The first metatarsal is severely plantarflexed while the fifth is in proper relationship with the cuboid and calcaneus. This abnormal relationship between the forefoot and hindfoot causes the cavus deformity. (D) Wrong maneuver to correct the clubfoot. The forefoot is everted, and by plantarflexing the first metatarsal and dorsiflexing the fifth the cavus deformity increases and the heel inversion does not correct. (E) The cavus is corrected by dorsiflexing the inner forefoot, thereby placing it in proper alignment with the hindfoot.