PIRANI SCORING    DATE
OF CLUB FEET
                  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
                 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)