4,187 results match your criteria Clubfoot


ARE SCORING SYSTEMS USEFUL FOR PREDICTING RESULTS OF TREATMENT FOR CLUBFOOT USING THE PONSETI METHOD?

Acta Ortop Bras 2019 Jan-Feb;27(1):8-11

Masaryk University, Medical Faculty, Faculty Hospital, Children´s Medical Centre (CMC), Department of Pediatric Surgery, Orthopedics and Traumatology (DPSOT), Brno, Czech Republic.

Objective: The aim of this study was to verify whether the Pirani and Dimeglio clinical scoring systems could predict results of Ponseti therapy.

Methods: Forty-seven patients with clubfoot deformities treated with the Ponseti method were enrolled in the study. Clinical evaluation with the Pirani and Dimeglio scoring systems was performed before the treatment and after the second cast fixation. Read More

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http://dx.doi.org/10.1590/1413-785220192701189801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362704PMC
February 2019

EVALUATION OF KITE AND PONSETI METHODS IN THE TREATMENT OF IDIOPATHIC CONGENITAL CLUBFOOT.

Acta Ortop Bras 2018 ;26(6):366-369

Hospital Martagão Gesteira, Salvador, BA, Brazil.

Objective: Clubfoot is one of the most common congenital deformities affecting the musculoskeletal system. The main conservative treatment for clubfoot includes the Ponseti's and Kite's methods. This study aimed to perform a comparative evaluation of the effectiveness of the Ponseti and Kite approaches for the conservative treatment of clubfoot. Read More

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http://dx.doi.org/10.1590/1413-785220182606183925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362682PMC
January 2018

The congenital clubfoot - immunohistological analysis of the extracellular matrix.

Orthop Res Rev 2018 23;10:55-62. Epub 2018 Aug 23.

Holger Mellerowicz, Clinic for Pediatric Orthopedics and Traumatology, Helios Klinikum Emil von Behring, Berlin, Germany.

Purpose: Congenital clubfoot is one of the most common limb disorders in humans and its etiology is still unclear. In order to better understand the pathogenesis of patients with primary clubfoot, we examined whether there are quantitative changes in the extracellular matrix (ECM; based on common interstitial collagens [C] like CI and CIII, microfilamentous collagens like CVI, noncollagenous proteins like undulin, and enzymes like matrixmetalloproteinase [MMP]-2 and tissue inhibitor of matrixmetalloproteinase [TIMP]-2 that are known to play a role in fibrogenesis and fibrolysis) of muscles involved in the foot deformity of patients with primary clubfoot corresponding to fibrosis.

Patients And Methods: Thirty patients (age ranging from 4 months to 5 years and 7 months) with primary clubfoot were examined (23 male and 7 female patients), among whom 18 patients were affected on one side and 12 affected on both sides. Read More

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http://dx.doi.org/10.2147/ORR.S156449DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209367PMC

Congenital orthopaedic limp deformities in Corpus Hippocraticum.

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested. Read More

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http://link.springer.com/10.1007/s00264-019-04308-y
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http://dx.doi.org/10.1007/s00264-019-04308-yDOI Listing
February 2019
2 Reads

Factors affecting compliance to hospital visit among clubfoot patients: A cross-sectional study from a tertiary referral clubfoot clinic in the developing country.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019825598

2 Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

Purpose:: Ensuring compliance to treatment protocol, especially regular visit to treating facility, is an important aspect of clubfoot management. However, the factors affecting compliance to follow-up schedule are myriad.

Methods:: A cross-sectional study was undertaken among caregivers of clubfoot patients from a tertiary referral clubfoot clinic in a developing country. Read More

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http://dx.doi.org/10.1177/2309499019825598DOI Listing
February 2019

Incidence and risk factors for iatrogenic distal tibia/fibula fracture during Ponseti technique of clubfoot treatment.

J Pediatr Orthop B 2019 Feb 6. Epub 2019 Feb 6.

Lady Hardinge Medical College, New Delhi.

The incidence and risk factors of distal tibia/fibula fracture, an uncommon complication during Ponseti manipulation, are unknown. We evaluated 222 virgin clubfeet of patients aged less than 3 years for fractures of distal tibia/fibula. Incidence rate was found to be 1. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000595DOI Listing
February 2019

Congenital clubfoot in Europe: A population-based study.

Am J Med Genet A 2019 Feb 10. Epub 2019 Feb 10.

Paediatric Department, Hospital Lillebaelt Kolding, Kolding, Denmark.

We aimed to assess prevalence, birth outcome, associated anomalies and prenatal diagnosis of congenital clubfoot in Europe using data from the EUROCAT network, and to validate the recording of congenital clubfoot as a major congenital anomaly by EUROCAT registries. Cases of congenital clubfoot were included from 18 EUROCAT registries covering more than 4.8 million births in 1995-2011. Read More

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http://dx.doi.org/10.1002/ajmg.a.61067DOI Listing
February 2019
2 Reads

Is the same brace fit for all? The length of abduction bar in Steenbeek foot abduction brace for Indian children-A pilot study.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):209-212. Epub 2017 Oct 28.

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi-110031, India.

Purpose: We measured the foot size and shoulder width in North Indian children with idiopathic clubfoot and calculated the corresponding metal rod length for abduction brace. The differences in the foot length in unaffected, unilateral and bilateral clubfeet were also measured.

Patient And Methods: Two sets of measurements were taken on each child: feet size and shoulder width. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.10.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349614PMC
October 2017

Simultaneous lateral column shortening along with differential distraction by Joshi's external stabilization system for rigid neglected clubfoot correction.

J Pediatr Orthop B 2019 Jan 29. Epub 2019 Jan 29.

Depatrment of Orthopaedics, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India.

Correction of rigid clubfoot in an older child by gradual differential distraction using the Ilizarov's device or Joshi's external stabilization system (JESS) is a time-consuming procedure. We simultaneously combined the lateral column shortening by cuboid wedge resection along with the differential distraction by application of JESS fixator for the treatment of severe, rigid, neglected, or relapsed congenital talipes equinovarus (CTEV) foot deformity in 30 feet in 18 children with mean age of 5.3 years and mean follow-up of 27. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000594DOI Listing
January 2019

Novel contribution to clubfoot pathogenesis: The possible role of extracellular matrix proteins.

J Orthop Res 2019 Jan 7. Epub 2019 Jan 7.

First Faculty of Medicine, Department of Orthopaedics, University Hospital Bulovka, Charles University, Prague, Czech Republic.

Idiopathic pes equinovarus (clubfoot) is a congenital deformity of the feet and lower legs. Clubfoot belongs to a group of fibro-proliferative disorders but its origin remains unknown. Our study aimed to achieve the first complex proteomic comparison of clubfoot contracted tissue of the foot (medial side; n = 16), with non-contracted tissue (lateral side; n = 13). Read More

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http://dx.doi.org/10.1002/jor.24211DOI Listing
January 2019

Correction: .

Authors:

BMJ Glob Health 2018 14;3(6):e000023corr1. Epub 2018 Dec 14.

[This corrects the article DOI: 10.1136/bmjgh-2015-000023.]. Read More

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http://dx.doi.org/10.1136/bmjgh-2015-000023corr1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304091PMC
December 2018

Classic metaphyseal lesion acquired during physical therapy.

Clin Imaging 2018 Nov 20;54:100-102. Epub 2018 Nov 20.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

A classic metaphyseal lesion (CML) is highly specific for nonaccidental trauma. Missing CMLs can be devastating to the child as the child can continue to be exposed to inflicted trauma. Yet, there are rare case reports on CMLs that occur due to birth trauma, IV line placement, and treatment for clubfoot. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.007DOI Listing
November 2018
2 Reads

Dimeglio Score Predicts Treatment Difficulty During Ponseti Casting for Isolated Clubfoot.

J Pediatr Orthop 2019 Jan 2. Epub 2019 Jan 2.

Department of Orthopaedic Surgery, Children's Hospital Colorado, Aurora, CO.

Background: The Dimeglio score (DS) is widely used to assess clubfoot severity, but its ability to predict long-term outcomes following Ponseti treated isolated clubfoot (IC) is controversial. This study tested the association between the initial DS and its individual parameters with the number of Ponseti clubfoot casts required to achieve correction and the rate of early recurrence following treatment.

Methods: Data were retrospectively collected from patients who underwent treatment of IC between March 2012 and March 2015 and were followed for ≥2 years. Read More

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http://Insights.ovid.com/crossref?an=01241398-900000000-9860
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http://dx.doi.org/10.1097/BPO.0000000000001325DOI Listing
January 2019
2 Reads

Paediatric orthopaedics through paintings.

J Child Orthop 2018 Dec;12(6):647-651

Department of Orthopaedics and Traumatology, Sivas Numune Hospital, Sivas, Turkey.

Purpose: Some famous artistic representations created throughout the centuries can reveal a hidden or mysterious diagnosis of some diseases and these paintings have always drawn the attention of physicians interested in art. Artistic illustration of a child with a malformation or disability can reflect the characteristic appearance of a disease and its historic perspective. Some articles have revealed the definite diagnosis of a child with achondroplasia through portraits of dwarfs and some studies have discussed the secret diagnosis of a crippled child with Pes Equinovarus or poliomyelitis. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/1863-2548.12.
Publisher Site
http://dx.doi.org/10.1302/1863-2548.12.180141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293333PMC
December 2018
4 Reads

Relapse following use of Ponseti method in idiopathic clubfoot.

J Child Orthop 2018 Dec;12(6):566-574

Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.

Purpose: We assessed the pattern of relapse as well as the correlation between the number of casts required for correction and Pirani and Dimeglio scores at presentation, and age at presentation. We hypothesized that the Ponseti method would be effective in treatment of relapsed clubfoot as well.

Methods: We evaluated 115 idiopathic clubfeet in 79 children presenting with relapse following treatment by the Ponseti method. Read More

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http://dx.doi.org/10.1302/1863-2548.12.180117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293330PMC
December 2018

Prenatal Diagnosis and Management of Ectopia Cordis: Varied Presentation Spectrum.

Fetal Pediatr Pathol 2019 Jan 2:1-11. Epub 2019 Jan 2.

a Department of Obstetrics and Gynecology, Istanbul Faculty of Medicine , Istanbul University , Istanbul , Turkey.

Background: Ectopia cordis (EC) is a congenital anomaly associated with heart defects and extracardiac malformations.

Objectives: We determined the various presentations of EC diagnosed in our center between 2010 and 2017.

Results: Seven fetuses from six pregnancies with EC were detected, five during the first trimester. Read More

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https://www.tandfonline.com/doi/full/10.1080/15513815.2018.1
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http://dx.doi.org/10.1080/15513815.2018.1556367DOI Listing
January 2019
6 Reads

[Data analysis of 8 113 cases of limb deformities corrected by external fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1241-1248

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To analyze the data of external fixation instruments (including Ilizarov instruments) used by QIN Sihe orthopaedic surgical team in the treatment of limb deformities in the past 30 years, and to explore the indications for the application of modern external fixation techniques in the correction of limb deformities and individual device configuration selection strategy.

Methods: According to QIN Sihe orthopaedic surgical team, the use of external fixator between January 1988 and December 2017 was analyzed retrospectively. The total use of external fixation and the proportion of different external fixators were analyzed in gender, different operation time, different age, different parts, and different diseases. Read More

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http://dx.doi.org/10.7507/1002-1892.201807055DOI Listing
October 2018
2 Reads

Neurodevelopmental difficulties negatively affect health-related quality of life in children with idiopathic clubfoot.

Acta Paediatr 2018 Dec 27. Epub 2018 Dec 27.

Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet and Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.

Aim: To study health-related quality of life (HRQoL) in children with idiopathic clubfoot (IC) and the influence of sex, clubfoot laterality and neurodevelopmental difficulties (NDD) on HRQoL.

Methods: A cross-sectional questionnaire-based study in Stockholm and Skåne Counties, Sweden, of 106 children with IC born 2004-2007 (mean 9.4 ± 0. Read More

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http://dx.doi.org/10.1111/apa.14709DOI Listing
December 2018
1 Read

A comparison of outcome measures used to report clubfoot treatment with the Ponseti method: results from a cohort in Harare, Zimbabwe.

BMC Musculoskelet Disord 2018 Dec 22;19(1):450. Epub 2018 Dec 22.

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

Background: There are various established scoring systems to assess the outcome of clubfoot treatment after correction with the Ponseti method. We used five measures to compare the results in a cohort of children followed up for between 3.5 to 5 years. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-018-2365-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303847PMC
December 2018
7 Reads

[Clubfoot in adult patients treated with tibiocalcaneal arthrodesis: about two cases (3 feet)].

Pan Afr Med J 2018 20;30:222. Epub 2018 Jul 20.

CTGB-CHN/Faculty of Medicine of Nouakchott, Mauritania.

Inveterate clubfoot (inveterate talipes equinovarus, ITEV) is a vicious attitude of the foot which doesn't rest on the floor through its normal base of support but weight is thrown to the outer side of the foot and to the foot point. When this vicious attitude persists a long time, it results in severe osteoarticular deformities in adults. Fixed ITEV is a good indication for tibiocalcaneal arthrodesis. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.222.15297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295309PMC
January 2019

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
4 Reads

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
1 Read

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
7 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
14 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
13 Reads

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

Am J Med Genet A 2018 Dec 21;176(12):2915-2918. 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
December 2018
27 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
10 Reads

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

Am J Med Genet A 2018 Dec 18;176(12):2911-2914. 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
Publisher Site
http://dx.doi.org/10.1002/ajmg.a.40645DOI Listing
December 2018
11 Reads

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

J Obstet Gynaecol Res 2019 Feb 18;45(2):280-288. 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
February 2019
1 Read

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
10 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
11 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-
Publisher Site
http://dx.doi.org/10.1186/s13052-018-0566-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238262PMC
November 2018
9 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
1 Read

[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
6 Reads

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
3 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
17 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300741PMC
December 2018
14 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
13 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 2019 Mar;28(2):159-166

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://Insights.ovid.com/crossref?an=01202412-201903000-0001
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http://dx.doi.org/10.1097/BPB.0000000000000562DOI Listing
March 2019
1 Read

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

Authors:
Alice Chu

Dev Med Child Neurol 2019 01 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 2019 Jan 29;29(1):18-25. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290277PMC
January 2019
3 Reads

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

Neurosurg Focus 2018 Oct;45(4):E9

1Department 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
4 Reads

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

J Pediatr Orthop B 2019 Mar;28(2):153-158

Shriners Hospitals 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
March 2019
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
11 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
11 Reads