Basically, clubfoot is a deformity with 4 components; equinus, varus, adductus and cavus. The severity and the stiffness of the components may vary in a clubfoot. Normally, radiographical evaluation is not required and performed only in extraordinary conditions. A thorough physical examination helps to evaluate the deformity with all of the components. An orthopaedic surgeon who is experienced on pediatric foot can imagine a three-dimensional scene of the foot, and understand the position and displacement degree of the bones and the joints as if he was looking at it anatomically dissected.

Although there are numerous methods suggested for the clinical evaluation before and after the treatment of the clubfoot cases, there is not a consensus on standardized method. Currently, the most accepted method is the scoring system suggested by Dimeglio et al. This is a scoring system based on measurements of the 4 parameters which are evaluated over 4 points each. The points are then converted to the degrees which inform about the severity of the deformity and its response to treatment.