4,164 results match your criteria Clubfoot


A new unilateral abduction orthosis for Ponseti-treated clubfoot: A cohort study to assess compliance.

Prosthet Orthot Int 2018 Dec 17:309364618814866. Epub 2018 Dec 17.

2 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, UK.

Background:: The Ponseti method for treating congenital talipes equinovarus requires an orthosis to maintain correction after manipulation and casting, typically the 'boots and bar'. Non-compliance with the orthosis increases the risk of recurrent deformity. This study investigates a new orthosis, the abduction dorsiflexion mechanism. Read More

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http://dx.doi.org/10.1177/0309364618814866DOI Listing
December 2018
1 Read

Correlation of Foot Bimalleolar Angle and Ultrasonography in Assessing the Severity of Club Foot in Neonates Treated by the Ponseti Method.

Malays Orthop J 2018 Nov;12(3):14-18

Department of Orthopaedics, University College of Medical Sciences, Delhi, India.

Correlation of Pirani score and foot bimalleolar (FBM) angle has been used in few studies but correlation of FBM angle with ultrasonography has never been evaluated so they are being correlated in assessing the severity of clubfoot in neonates treated by Ponseti method. Thirty-two feet with congenital talipes equinovarus (CTEV) deformity in neonates were prospectively treated by the Ponseti method. FBM angle and ultrasound parameters were measured three times i. Read More

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http://dx.doi.org/10.5704/MOJ.1811.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287136PMC
November 2018

Interobserver Reliability of Pirani Clubfoot Severity Scoring between an Orthopedic Surgeon, a Resident Doctor, and a Nonmedical Counsellor at a Clubfoot Clinic.

Indian J Orthop 2018 Nov-Dec;52(6):645-650

Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India.

Background: Ponseti method is the gold standard treatment for idiopathic congenital clubfoot. Pirani clubfoot severity score is a vital tool in assessing treatment of clubfoot. This study determines whether, after a short training in the Pirani scoring, a nonmedical personnel can be as accurate as a doctor in assessing the degree of deformity in clubfoot. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_10_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241062PMC
December 2018

Functional Outcomes Following Treatment for Clubfoot: Ten-Year Follow-up.

J Bone Joint Surg Am 2018 Dec;100(23):2015-2023

Movement Science Lab (K.A.J., A.L.E., and W.R.S.) and Department of Orthopaedics (L.A.K.), Texas Scottish Rite Hospital for Children, Dallas, Texas.

Background: The purpose of this study was to assess function, at the age of 10 years, of children initially treated nonoperatively for clubfoot with either the Ponseti or French physiotherapy program and to compare outcomes in feet that had undergone only nonoperative treatment with those that required subsequent surgery.

Methods: Gait analysis, isokinetic ankle strength, parent-reported outcomes, and daily step activity data were collected when patients who had been treated for idiopathic clubfoot reached the age of 10 years. Patients who had undergone only nonoperative treatment were compared with those who subsequently underwent extra-articular surgery or intra-articular surgery (posterior release or posteromedial release). Read More

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http://Insights.ovid.com/crossref?an=00004623-201812050-0000
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http://dx.doi.org/10.2106/JBJS.18.00317DOI Listing
December 2018
3 Reads

Outcomes of the Ponseti Method for Untreated Clubfeet in Nepalese Patients Seen Between the Ages of One and Five Years and Followed for at Least 10 Years.

J Bone Joint Surg Am 2018 Dec;100(23):2004-2014

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: To our knowledge, there are no reports of the Ponseti method initiated after walking age and with >10 years of follow-up. Our goal was to report the clinical findings and patient-reported outcomes for children with a previously untreated idiopathic clubfoot who were seen when they were between 1 and 5 years old, were treated with the Ponseti method, and had a minimum follow-up of 10 years.

Methods: A retrospective review of medical records was supplemented by a follow-up evaluation of physical findings (alignment and range of motion) and patient-reported outcomes using the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C). Read More

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http://Insights.ovid.com/crossref?an=00004623-201812050-0000
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http://dx.doi.org/10.2106/JBJS.18.00445DOI Listing
December 2018
4 Reads

Rapid decrease of cast-induced forces during the treatment of clubfoot using the Ponseti method.

Bone Joint J 2018 Dec;100-B(12):1655-1660

Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Aims: The Ponseti method is an effective evidence-based treatment for clubfoot. It uses gentle manipulation to adjust the position of the foot in serial treatments towards a more physiological position. Casting is used to hold the newly achieved position. Read More

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http://dx.doi.org/10.1302/0301-620X.100B12.BJJ-2018-0721.R1DOI Listing
December 2018
1 Read

[Clubfoot Therapy in Accordance with Ponseti - Current Standard].

Z Orthop Unfall 2018 Nov 27. Epub 2018 Nov 27.

Centrum für Muskuloskeletale Chirurgie, Abteilung für Kinder- und Neuroorthopädie, Charité - Universitätsmedizin Berlin, gemeinsames Mitglied der Freien Universität Berlin, Humboldt-Universität zu Berlin, und Berlin Institute of Health.

This manuscript evaluates the recent standard concept for clubfoot treatment. With regard to the history of clubfoot therapy and the return to conservative methods, the focus is laid on Ponseti's treatment concept. Due to its development according to the precise analysis of the pathoanatomy, the practical principle is simple and easy to learn and consists basically of two redression maneuvers, percutaneous achillotenotomy, and boots and bar abduction treatment. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0762-1241
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http://dx.doi.org/10.1055/a-0762-1241DOI Listing
November 2018
9 Reads

First reported adult patient with TARP syndrome: A case report.

Am J Med Genet A 2018 Nov 21. Epub 2018 Nov 21.

Research and Knowledge Center in Sensory Genetics, Department of Clinical Genetics, Aalborg University Hospital, Aalborg, Denmark.

TARP syndrome (talipes equinovarus, atrial septal defect, Robin sequence, and persistence of the left superior vena cava) is a rare X-linked syndrome often resulting in pre- or post-natal lethality in affected males. In 2010, RBM10 was identified as the disease-causing gene, and we describe the first adult patient with TARP syndrome at age 28 years, hereby expanding the phenotypic spectrum. Our patient had Robin sequence, atrial septal defect, intellectual disability, scoliosis, and other findings previously associated with TARP syndrome. Read More

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http://dx.doi.org/10.1002/ajmg.a.40638DOI Listing
November 2018
14 Reads

The Ponseti method in children with clubfoot after walking age - Systematic review and metanalysis of observational studies.

PLoS One 2018 20;13(11):e0207153. Epub 2018 Nov 20.

Children's Orthopaedics and Reconstruction Group, Orthopaedics and Traumatology Unit, State Hospital of São Paulo, São Paulo, SP, Brazil.

Background: The prevalence of untreated congenital clubfoot among children older than walking age is higher in developing countries due to limited resources for early care after birth. The Ponseti method represents an intervention option for older, untreated children.

Methods: A metanalysis was conducted of observational studies selected through a systematic review of articles included in electronic databases (Medline, Scopus, Embase, Lilacs, and the Cochrane Library) until June 2017. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207153PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245511PMC
November 2018
4 Reads

Infant male with TARP syndrome: Review of clinical features, prognosis, and commonalities with previously reported patients.

Am J Med Genet A 2018 Nov 18. Epub 2018 Nov 18.

Division of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota.

TARP syndrome (talipes equinovarus, atrial septal defect, Robin sequence, and persistent left superior vena cava) is a rare X-linked condition. As more patients are identified through genetic testing, it is increasingly clear that the original TARP acronym does not fully describe the complete phenotypic spectrum of this syndrome. The presented patient had genetically confirmed TARP syndrome and demonstrated new findings of hydronephrosis and hemodynamically significant hypertrophic obstructive cardiomyopathy. Read More

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http://doi.wiley.com/10.1002/ajmg.a.40645
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http://dx.doi.org/10.1002/ajmg.a.40645DOI Listing
November 2018
6 Reads

First trimester physiological development of the fetal foot position using three-dimensional ultrasound in virtual reality.

J Obstet Gynaecol Res 2018 Nov 18. Epub 2018 Nov 18.

Department of Obstetrics and Gynecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.

Aim: In anatomic studies of the embryo, it has been established that during the development of the lower limb, several changes in foot position can be observed defined as a temporary 'physiological clubfoot'. The aim of this study was to develop and test a measurement tool for objective documentation of the first trimester foot position in vivo and made an attempt to create a chart for first trimester foot position.

Methods: We developed a virtual orthopedic protractor for measuring foot positioning using three-dimensional virtual reality visualization. Read More

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http://dx.doi.org/10.1111/jog.13862DOI Listing
November 2018

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review.

Plast Surg (Oakv) 2018 Nov 9;26(4):244-249. Epub 2018 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Tissue expansion in the lower extremity is controversial, with studies reporting complication rates as high as 83%. Few studies have looked at tissue expansion prior to orthopaedic correction of severe foot and ankle deformities, and those available are restricted to clubfoot in the pediatric population. Here, we report the largest case series on the use of tissue expanders for the reconstruction of severe foot and ankle deformity and the only report in adults. Read More

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http://dx.doi.org/10.1177/2292550317749510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236506PMC
November 2018
3 Reads

Development and validation of a delayed presenting clubfoot score to predict the response to Ponseti casting for children aged 2-10.

Strategies Trauma Limb Reconstr 2018 Nov 15;13(3):171-177. Epub 2018 Nov 15.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.

The aim of the study was to develop a simple and reliable clinical scoring system for delayed presenting clubfeet and assess how this score predicts the response to Ponseti casting. We measured all elements of the Diméglio and the Pirani scoring systems. To determine which aspects were useful in assessing children with delayed presenting clubfeet, 4 assessors examined 42 feet (28 patients) between the ages of 2-10 years. Read More

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http://link.springer.com/10.1007/s11751-018-0324-z
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http://dx.doi.org/10.1007/s11751-018-0324-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249145PMC
November 2018
2 Reads

A new case report of severe mucopolysaccharidosis type VII: diagnosis, treatment with haematopoietic cell transplantation and prenatal diagnosis in a second pregnancy.

Ital J Pediatr 2018 Nov 16;44(Suppl 2):128. Epub 2018 Nov 16.

Clinica Pediatrica, Fondazione MBBM, Università Milano-Bicocca, Monza, Italy.

A new patient with severe mucopolysaccharidosis (MPS) type VII is reported. Non-immune hydrops fetalis (NIHF) was diagnosed during pregnancy. At birth, he showed generalized hydrops and dysmorphic features typical of MPS. Read More

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https://ijponline.biomedcentral.com/articles/10.1186/s13052-
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http://dx.doi.org/10.1186/s13052-018-0566-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238262PMC
November 2018
6 Reads
1.240 Impact Factor

Quantifying joint stiffness in clubfoot patients.

Clin Biomech (Bristol, Avon) 2018 Dec 27;60:185-190. Epub 2018 Oct 27.

Department of Orthopaedic Surgery, Catharina Hospital Eindhoven, Postbus 1350, 5602 ZA Eindhoven, The Netherlands; Orthopaedic Center Máxima, Máxima Medical Center, Postbus 90052, 5600 PD Eindhoven, The Netherlands.

Background: In clinical practice, clubfeet feel stiffer compared to healthy feet. Furthermore, the clinical impression is that stiffer clubfeet have a higher tendency to relapse. Until now, no objective measure has been available to determine the stiffness of clubfeet. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2018.10.022DOI Listing
December 2018

[Classification Systems to Evaluate the Clubfoot and Their Potential Use to Predict the Course and the Results of the Ponseti Method Treatment].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):331-335

Klinika dětské chirurgie, ortopedie a traumatologie Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice Brno.

INTRODUCTION The clubfoot ranks among the most frequent paediatric structural deformities of the lower extremity. Currently, the Ponseti method is considered the gold standard for the treatment. To evaluate the degree and severity of the deformity, clinical classification systems have been developed, commonly used in clinical practice. Read More

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January 2018

Club foot in association with the 22q11.2 deletion syndrome: An observational study.

Am J Med Genet A 2018 Oct;176(10):2135-2139

Division of Human Genetics and 22q and You Center, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.

The 22q11.2 Deletion Syndrome (22q11.2DS) occurs in ~1:3,000-6,000 individuals. Read More

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http://doi.wiley.com/10.1002/ajmg.a.40649
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http://dx.doi.org/10.1002/ajmg.a.40649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221052PMC
October 2018
2 Reads

Radiological assessment of congenital talipes equinovarus (clubfoot): Is it worthwhile?

Foot (Edinb) 2018 Dec 8;37:91-94. Epub 2018 Jun 8.

Department of Orthopaedic Surgery, Kasturba Medical College, Mangalore, 575001, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India. Electronic address:

The lack in consensus with regard to qualitative use of standard radiographs and their predictive value in evaluating congenital talipes equinovarus among infants continues to be apparent in clinical practice. Since standard radiographs continue to play a role in the assessment of clubfoot it is essential to ensure that the values measured are reliable and reproducible keeping in mind acceptable tolerances for clinical application. This study was undertaken to assess the inter-observer and the intra-observer reliability in estimation of talocalcaneal and talo-first metatarsal angles on standard radiographs done according to Simon's method. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183000
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http://dx.doi.org/10.1016/j.foot.2018.06.001DOI Listing
December 2018
10 Reads

Timing for Ponseti clubfoot management: does the age matter? 90 children (131 feet) with a mean follow-up of 5 years.

Acta Orthop 2018 Dec 18;89(6):662-667. Epub 2018 Oct 18.

c Department of Pediatric Orthopaedics, Xin-Hua Hospital affiliated to Shanghai Jiao Tong University School of Medicine , Shanghai , China.

Background and purpose - There are still controversies as to the age for beginning treatment with the Ponseti method. We evaluated the clinical outcome with different age at onset of Ponseti management for clubfoot. Patients and methods - 90 included children were divided into 3 groups in terms of age at start of treatment. Read More

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https://www.tandfonline.com/doi/full/10.1080/17453674.2018.1
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http://dx.doi.org/10.1080/17453674.2018.1526534DOI Listing
December 2018
9 Reads

Treatment of complex foot deformities with hexapod external fixator in growing children and young adult patients.

Foot Ankle Surg 2018 Jul 9. Epub 2018 Jul 9.

Orthopedics and Traumatology Unit, Giannina Gaslini Children's Hospital, Genova, Italy.

Background: Treatment of complex foot deformities in growing children and young adult patients is challenging. The traditional approach consists of extensive soft tissues releases, osteotomies and/or arthrodesis. More recently, distraction osteogenesis has been proposed as an alternative strategy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183027
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http://dx.doi.org/10.1016/j.fas.2018.07.001DOI Listing
July 2018
8 Reads

The Ponseti method of clubfoot treatment in walking age children: is it effective? A study of 56 children from 1 to 10 years of age.

J Pediatr Orthop B 2018 Oct 11. Epub 2018 Oct 11.

Department of Paediatric Orthopaedics, Bai Jerbai Wadia Hospital for Children, Mumbai, India.

The Ponseti method is well-established for the treatment of clubfoot in younger babies; however, its effectiveness in older children is still unclear. The aim of our study was to report our results of the 'traditional' Ponseti method in the management of clubfoot in children of walking age. A total of 56 (81 clubfeet) children with a mean age of 3. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000562DOI Listing
October 2018

Non-motor difficulties in children with idiopathic clubfoot: can this impact brace adherence?

Authors:
Alice Chu

Dev Med Child Neurol 2019 Jan 10;61(1):11-12. Epub 2018 Oct 10.

Rutgers-New Jersey Medical School, Newark, NJ, USA.

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http://dx.doi.org/10.1111/dmcn.14037DOI Listing
January 2019

Range of motion in the talo-navicular and the calcaneo-cuboid joints evaluated by ultrasound during clubfoot treatment with normal references up to the age of four years.

J Child Orthop 2018 Oct;12(5):526-538

Department of Orthopaedics, Sahlgrenska University Hospital/Mölndal, Gothenburg, Sweden.

Purpose: Previous ultrasound studies of clubfeet have mainly focused on the first year of life. The purpose of this study was to improve the evaluation of the talo-navicular and calcaneo-cuboid joints by adding new variables, evaluating the repeatability of ultrasound measurements for normal feet and clubfeet and establishing values for normal feet up to four years of age.

Methods: A control group of 105 children divided into ten age groups, and 71 clubfeet in 46 children were examined. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
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http://dx.doi.org/10.1302/1863-2548.12.180002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169564PMC
October 2018
5 Reads

Birth Anomalies in Monozygotic and Dizygotic Twins: Results From the California Twin Registry.

J Epidemiol 2018 Sep 29. Epub 2018 Sep 29.

Department of Preventive Medicine, Keck School of Medicine, University of Southern California.

Background: Inherited factors and maternal behaviors are thought to play an important role in the etiology of several congenital malformations. Twin studies can offer additional evidence regarding the contribution of genetic and lifestyle factors to common birth anomalies, but few large-scale studies have been reported.

Methods: We included data from twins (20,803 pairs) from the population-based California Twin Program. Read More

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https://www.jstage.jst.go.jp/article/jea/advpub/0/advpub_JE2
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http://dx.doi.org/10.2188/jea.JE20170159DOI Listing
September 2018
3 Reads

Neural tube defects in Uganda: follow-up outcomes from a national referral hospital.

Neurosurg Focus 2018 Oct;45(4):E9

Department of Neurosurgery, Stanford University.

Objective: Children with neural tube defects (NTDs) require timely surgical intervention coupled with long-term management by multiple highly trained specialty healthcare teams. In resource-limited settings, outcomes are greatly affected by the lack of coordinated care. The purpose of this study was to characterize outcomes of spina bifida patients treated at Mulago National Referral Hospital (MNRH) through follow-up phone surveys. Read More

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http://thejns.org/doi/10.3171/2018.7.FOCUS18280
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http://dx.doi.org/10.3171/2018.7.FOCUS18280DOI Listing
October 2018
2 Reads

Foot size asymmetry following Ponseti treatment versus comprehensive surgical releases for unilateral clubfeet.

J Pediatr Orthop B 2018 Sep 26. Epub 2018 Sep 26.

Shriners Hospital for Children Medical Center.

Using age and height matched cohorts with unilateral idiopathic clubfeet (n=40 each), we retrospectively reviewed pedobarographic studies to determine the impact of treatment, Ponseti versus comprehensive surgical releases (CSR), on the foot length, width, and contact area. The foot pressures were determined by self-selected walking across a force plate. Ponseti treatment results in more symmetrical foot lengths, widths, and total contact areas with an improvement of 1. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000548DOI Listing
September 2018
4 Reads

Broad phenotypic spectrum and genotype-phenotype correlations in GMPPB-related dystroglycanopathies: an Italian cross-sectional study.

Orphanet J Rare Dis 2018 Sep 26;13(1):170. Epub 2018 Sep 26.

Department of Developmental Neuroscience and Molecular Medicine Neuromuscular Unit and Child Neurology, IRCCS Fondazione Stella Maris, Via dei Giacinti 2, 56018, Pisa, Italy.

Background: Dystroglycanopathy (α-DG) is a relatively common, clinically and genetically heterogeneous category of congenital forms of muscular dystrophy (CMD) and limb-girdle muscular dystrophy (LGMD) associated with hypoglycosylated α-dystroglycan. To date, mutations in at least 19 genes have been associated with α-DG. One of them, GMPPB, encoding the guanosine-diphosphate-mannose (GDP-mannose) pyrophosphorylase B protein, has recently been associated with a wide clinical spectrum ranging from severe Walker-Warburg syndrome to pseudo-metabolic myopathy and even congenital myasthenic syndromes. Read More

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http://dx.doi.org/10.1186/s13023-018-0863-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158856PMC
September 2018
5 Reads

Proposal of an innovative casting technique for correction of clubfoot according to Ponseti method: a pilot study.

J Pediatr Orthop B 2018 Sep 24. Epub 2018 Sep 24.

Biostatistics and Clinical Epidemiology Unit, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.

A total of 70 clubfeet were treated by a posterior above-knee cast (pressure points on the talus and on the first metatarsal) according to Ponseti method. At diagnosis, average Pirani score was 4.44, and mean time of treatment was 50. Read More

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http://Insights.ovid.com/crossref?an=01202412-900000000-9898
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http://dx.doi.org/10.1097/BPB.0000000000000539DOI Listing
September 2018
8 Reads

Letter to the Editor: Art in Science: Jusepe de Ribera's Puzzle in The Clubfoot.

Authors:
Mathew Varghese

Clin Orthop Relat Res 2018 Nov;476(11):2292-2293

M. Varghese, Head, Department of Orthopaedics, St. Stephens Hospital, Delhi, India.

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http://dx.doi.org/10.1097/CORR.0000000000000496DOI Listing
November 2018
6 Reads

Efficacy of Ponseti Technique in Virgin and Relapsed Clubfeet: A Comparative Study.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1110-1114. Epub 2018 Sep 20.

Associate Professor, Department of Orthopaedics, Christian Medical College, Ludhiana, Punjab, India.

Doubts still loom over the effectiveness of Ponseti casting in treating children with recurrent clubfeet. We have undertaken this study to confirm whether excellent results obtained in treating virgin clubfeet by Ponseti casting can be reproduced with equal success in relapsed clubfeet. The patients were divided into 2 groups; Group I was untreated children with congenital clubfeet younger than 1 year of age (21 feet) and Group II was children with relapsed congenital clubfeet younger than 2 years of age (21 feet). Read More

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http://dx.doi.org/10.1053/j.jfas.2018.05.004DOI Listing
September 2018

Autopsy findings of ectodermal dysplasia and sex development disorder in a fetus with 19q12q13 microdeletion.

Eur J Med Genet 2018 Sep 18. Epub 2018 Sep 18.

Centre de Génétique Humaine, Centre Hospitalier Universitaire, Université de Franche-Comté, Besançon, France.

A 5,6 Mb de novo 19q12-q13.12 interstitial deletion was diagnosed prenatally by array-comparative genomic hybridization in a 26 weeks male fetus presenting with intra-uterine growth retardation, left clubfoot, atypical genitalia and dysmorphic features. Autopsic examination following termination of pregnancy identified a severe disorder of sex development (DSD) including hypospadias, micropenis, bifid scrotum and right cryptorchidism associated with signs of ectodermal dysplasia: scalp hypopigmentation, thick and frizzy hair, absence of eyelashes, poorly developed nails and a thin skin with prominent superficial veins. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17697212183005
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http://dx.doi.org/10.1016/j.ejmg.2018.09.006DOI Listing
September 2018
6 Reads

Botulinum Toxin Type A Versus Placebo for Idiopathic Clubfoot: A Two-Center, Double-Blind, Randomized Controlled Trial.

J Bone Joint Surg Am 2018 Sep;100(18):1589-1596

Division of Orthopaedics, Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Congenital idiopathic clubfoot is a condition that affects, on average, approximately 1 in 1,000 infants. One broadly adopted method of management, described by Ponseti, is the performance of a percutaneous complete tenotomy when hindfoot stall occurs. The use of onabotulinum toxin A (BTX-A) along with the manipulation and cast protocol described by Ponseti has been previously reported. Read More

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http://dx.doi.org/10.2106/JBJS.17.01652DOI Listing
September 2018

Clubfoot treatment in 2015: a global perspective.

BMJ Glob Health 2018 3;3(4):e000852. Epub 2018 Sep 3.

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Introduction: Clubfoot affects around 174 000 children born annually, with approximately 90% of these in low-income and middle-income countries (LMIC). Untreated clubfoot causes life-long impairment, affecting individuals' ability to walk and participate in society. The minimally invasive Ponseti treatment is highly effective and has grown in acceptance globally. Read More

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http://dx.doi.org/10.1136/bmjgh-2018-000852DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135438PMC
September 2018
1 Read

Treatment of rigid congenital clubfoot with Ilizarov technique in older children

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1267-1270

Orthopedic Center of Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, 400014, P.R.China.

Objective: To investigate the effectiveness of Ilizarov technique in treatment of rigid congenital clubfoot in older children.

Methods: A clinical data of 55 patients (69 feet) with rigid congenital clubfoot (Diméglio grade Ⅳ) between September 2005 and September 2015 were retrospectively analyzed. There were 33 boys and 22 girls with an average age of 11 years (range, 6-14 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201805005DOI Listing
October 2018
1 Read

The feasibility of a training course for clubfoot treatment in Africa: A mixed methods study.

PLoS One 2018 13;13(9):e0203564. Epub 2018 Sep 13.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.

Background: There is no available training programme with standard elements for health workers treating clubfoot in Africa. Standardised training with continued mentorship has the potential to improve management of clubfoot. We aimed to evaluate the feasibility of such a training programme among clubfoot providers in Africa, and assess implications for training effectiveness and scale up. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203564PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136756PMC
September 2018
1 Read

Reply to the Letter to the Editor: Art in Science: Jusepe de Ribera's Puzzle in The Clubfoot.

Clin Orthop Relat Res 2018 Nov;476(11):2294

K. Abul, Acibadem Maslak Hospital, Comprehensive Spine Center, Istanbul, Turkey A. Misir, Sanliurfa Training and Research Hospital, Department of Orthopaedics and Traumatology, Sanliurfa, Turkey A. F. Buyuk, Twin Cities Spine Center, Minneapolis, Minnesota, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000497DOI Listing
November 2018

The top 100 most-cited articles on 'Clubfoot'.

J Pediatr Orthop B 2018 Sep 10. Epub 2018 Sep 10.

Department of Surgery, Section of Orthopaedic Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Clubfoot is an important aspect of pediatric orthopedics and is a readily prevalent condition presenting to orthopedic clinics worldwide. To identify landmark articles and important contributions to this field, we sought to do a citation analysis of the top 100 most-cited articles on clubfoot. Using the Scopus database and the search strategy 'Clubfoot', 'Clubfeet' OR 'Talipes Equinovarus', we identified 5753 articles. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000544DOI Listing
September 2018

Midterm Results of the Ponseti Method for Treatment of Clubfoot in Patients With Spina Bifida.

J Pediatr Orthop 2018 Nov/Dec;38(10):e588-e592

Ann & Robert H. Lurie Children's Hospital of Chicago.

Background: Clubfoot occurs in 30% to 50% of patients with spina bifida. The Ponseti casting method has changed treatment of idiopathic clubfoot to a primarily nonoperative regimen. The Ponseti method is now widely applied to clubfoot in spina bifida, however, few studies report treatment outcomes. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001248DOI Listing
December 2018
1 Read

Francisco Arceo de Fregenal and the treatment of clubfoot up to the sixteenth century.

Acta Med Hist Adriat 2018 Jun;16(1):19-48

Área de Didáctica de las Ciencias Experimentales, Equipo de Historia de la Ciencia y Antropología de la Salud, Facultad de Educación, Universidad de Extremadura, Badajoz, Spain.

The correction of clubfoot as a subject of study is somewhat unusual, especially if one considers that up until the Renaissance only two authors dealt with the subject of this inherited disorder. On the one hand is Ambroise Paré, whose contributions to traumatology and orthopaedics are staggering, and on the other, Francisco Arceo de Fregenal, also known as the Ambroise Paré of Spain. Both men developed a method for treating this condition, and a special orthopaedic shoe. Read More

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Letter to the Editor: Art in Science: Jusepe de Ribera's Puzzle in The Clubfoot.

Clin Orthop Relat Res 2018 Nov;476(11):2290

B. Joseph, Consultant Paediatric Orthopaedic Surgeon, Aster Medcity, Kochi, Kerala, India H. Watts, Shriner's Hospitals for Children, Los Angeles, CA, USA and the Department of Orthopedic Surgery, University of California at Los Angeles, CA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000482DOI Listing
November 2018
9 Reads

Reply to the Letter to the Editor: Art in Science: Jusepe de Ribera's Puzzle in The Clubfoot.

Clin Orthop Relat Res 2018 Nov;476(11):2291

K. Abul, Acibadem Maslak Hospital, Comprehensive Spine Center, Istanbul, Turkey A. Misir, Sanliurfa Training and Research Hospital, Department of Orthopaedics and Traumatology, Sanliurfa, Turkey A. F. Buyuk, Twin Cities Spine Center, Minneapolis, Minnesota, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000483DOI Listing
November 2018
7 Reads

Gait kinetics in children with clubfeet treated surgically or with the Ponseti method: A meta-analysis.

Gait Posture 2018 Oct 13;66:94-100. Epub 2018 Aug 13.

Department of Orthopaedic Surgery, Catharina Hospital Eindhoven, Postbus 1350, 5602 ZA, Eindhoven, The Netherlands. Electronic address:

Background: Currently, the Ponseti method is the gold standard for treatment of clubfeet. For long-term functional evaluation of this method, gait analysis can be performed. Previous studies have assessed gait differences between Ponseti treated clubfeet and healthy controls. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09666362183051
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http://dx.doi.org/10.1016/j.gaitpost.2018.08.006DOI Listing
October 2018
5 Reads

A Rare Case of Severe Congenital RYR1-Associated Myopathy.

Case Rep Genet 2018 1;2018:6184185. Epub 2018 Aug 1.

Medical Genetics Unit, Department of Biomedical Sciences and Human Oncology, "Aldo Moro" University of Bari, Policlinico Hospital, Piazza Giulio Cesare n. 11, 70124 Bari, Italy.

Congenital myopathies are a group of rare inherited diseases, defined by hypotonia and muscle weakness. We report clinical and genetic characteristics of a male preterm newborn, whose phenotype was characterized by severe hypotonia and hyporeactivity, serious respiratory distress syndrome that required mechanical ventilation, clubfoot, and other dysmorphic features. The diagnostic procedure was completed with the complete exome sequencing of the proband and of his parents and his sister, which showed new mutations in the ryanodine receptor gene (RYR1), which maps to chromosome 19q13. Read More

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https://www.hindawi.com/journals/crig/2018/6184185/
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http://dx.doi.org/10.1155/2018/6184185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092990PMC
August 2018
7 Reads

Motor abilities in 182 children treated for idiopathic clubfoot: a comparison between the traditional and the Ponseti method and controls.

J Child Orthop 2018 Aug;12(4):383-389

Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Box 4956 Nydalen, 0424 Oslo, Norway.

Purpose: The aim of the study was to examine motor abilities in children treated for idiopathic clubfoot with either the traditional extensive surgery method or the Ponseti method, and compare their motor skills with a control group without clubfoot.

Methods: A total of 89 children treated according to the traditional method (mean age 9.0 years, 7 to 10) and 93 treated ad modum Ponseti (mean age 8. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
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http://dx.doi.org/10.1302/1863-2548.12.170195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090191PMC
August 2018
6 Reads

Comparison of two methods for idiopathic clubfoot treatment: A case-controlled study in Taiwan.

J Formos Med Assoc 2018 Aug 24. Epub 2018 Aug 24.

Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, Taiwan; School of Medicine, National Taiwan University, Taipei, Taiwan; Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.

Background/purpose: In last century, two distinctive methods of manipulation and casting were developed, Kite method and Ponseti method. The purpose of this study is to compare the outcomes of parallel series between two methods in one institution.

Methods: From 2003 to 2008, two pediatric orthopedic services in one institution treated 57 patients with 88 idiopathic clubfeet. Read More

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http://dx.doi.org/10.1016/j.jfma.2018.08.001DOI Listing
August 2018
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Severe Phenotype of Cutis Laxa Type 1B with Antenatal Signs due to a Novel Homozygous Nonsense Mutation in .

Mol Syndromol 2018 Jul 8;9(4):190-196. Epub 2018 Jun 8.

Unités Fonctionnelles de Fœtopathologie.

mutations are known to be responsible for autosomal recessive cutis laxa type 1B (ARCL1B), a rare multisystem disease affecting skin, skeleton, and vascular structures. We report 2 additional related cases of ARCL1B of particular severity leading to termination of pregnancy. Cardinal signs of this connective tissue disease were already seen during the second trimester of pregnancy, then confirmed and clarified at autopsy. Read More

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https://www.karger.com/Article/FullText/489838
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http://dx.doi.org/10.1159/000489838DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103346PMC
July 2018
12 Reads

The etiology of idiopathic congenital talipes equinovarus: a systematic review.

J Orthop Surg Res 2018 Aug 22;13(1):206. Epub 2018 Aug 22.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico-Vittorio Emanuele, University of Catania, Via Plebiscito, 628, 95124, Catania, Italy.

Background: Also known as clubfoot, idiopathic congenital talipes equinovarus (ICTEV) is the most common pediatric deformity and occurs in 1 in every 1000 live births. Even though it has been widely researched, the etiology of ICTEV remains poorly understood and is often described as being based on a multifactorial genesis. Genetic and environmental factors seem to have a major role in the development of this disease. Read More

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http://dx.doi.org/10.1186/s13018-018-0913-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104023PMC
August 2018
7 Reads