This is a case of congenital clubfoot. Congenital clubfoot (equinovarus foot; talipes equinovarus) is a severe fixed deformity of the foot. It is characterized by fixed ankle plantar flexion (equinus), inversion and axial internal rotation of the subtalar (talocalcaneal) joint (varus), and medial subluxation of the talonavicular and calcaneocuboid joints (adductus). The foot is so severely internally rotated and inveed that the sole faces superiorly. Clubfoot always requires treatment, which should begin at bih. The initial approach is passive manipulation and positioning to the corrected position. Ref: Rab G.T. (2006). Chapter 11. Pediatric Ohopedic Surgery. In H.B. Skinner (Ed), CURRENT Diagnosis & Treatment in Ohopedics, 4e.