838 results match your criteria Clubfoot Imaging


Congenital talipes equinovarus (clubfoot).

Am J Obstet Gynecol 2019 12;221(6):B10-B12

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http://dx.doi.org/10.1016/j.ajog.2019.09.022DOI Listing
December 2019

Management of pediatric foot deformities: an imaging review.

Pediatr Radiol 2019 11 4;49(12):1678-1690. Epub 2019 Nov 4.

Mount Joy Foot and Ankle Associates, Mount Joy, PA, USA.

Abnormalities of foot alignment can be a cause of significant morbidity in children, and some require complex surgical intervention to improve functionality and decrease pain. Imaging plays a key role in management decisions. We address some of the most common surgical strategies for selected diagnoses including pes planus, congenital vertical talus, pes cavus, and clubfoot, with a focus on imaging findings. Read More

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http://dx.doi.org/10.1007/s00247-019-04503-4DOI Listing
November 2019

A Modified Ponseti Method for the Treatment of Rigid Idiopathic Congenital Clubfoot.

J Foot Ankle Surg 2019 Nov;58(6):1192-1196

Professor, 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, China. Electronic address:

This study reviewed the efficacy of a modified Ponseti method (MP) for treating rigid clubfeet insufficiently corrected by the classic Ponseti method. Briefly, the MP consisted of 3 procedures. First, Achilles tenotomy, abductor hallucis tenotomy, and plantar fasciotomy were conducted through 3 small incisions. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.04.003DOI Listing
November 2019
3 Reads
0.979 Impact Factor

Myelomeningocele sac associated with worse lower-extremity neurological sequelae: evidence for prenatal neural stretch injury?

Ultrasound Obstet Gynecol 2020 Jun;55(6):740-746

Perelman School of Medicine, University of Pennsylvania, PA, USA.

Objective: To determine whether the presence of a myelomeningocele (MMC) sac and sac size correlate with compromised lower-extremity function in fetuses with open spinal dysraphism.

Methods: A radiology database search was performed to identify cases of MMC and myeloschisis (MS) diagnosed prenatally in a single center from 2013 to 2017. All cases were evaluated between 18 and 25 weeks. Read More

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http://dx.doi.org/10.1002/uog.21891DOI Listing
June 2020
1 Read

Clubfoot Versus Positional Foot Deformities on Prenatal Ultrasound Imaging.

J Ultrasound Med 2020 Mar 2;39(3):615-623. Epub 2019 Oct 2.

Department of Obstetrics and Gynecology, Rouen University Hospital, Rouen, France.

Clubfoot and positional foot deformities (eg, pes spinatus) may have the same aspects on prenatal ultrasound (US) imaging. Nevertheless, differentiating these entities is essential because their prognoses are different. This pictorial review illustrates the US findings of clubfoot and positional foot deformities. Read More

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http://dx.doi.org/10.1002/jum.15136DOI Listing
March 2020
1 Read

TAZ and myostatin involved in muscle atrophy of congenital neurogenic clubfoot.

World J Clin Cases 2019 Aug;7(16):2238-2246

Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Background: Muscular atrophy is the basic defect of neurogenic clubfoot. Muscle atrophy of clubfoot needs more scientific and reasonable imaging measurement parameters to evaluate. The Hippo pathway and myostatin pathway may be directly correlated in myogenesis. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i16.2238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718803PMC
August 2019
3 Reads

Effect of bar length on foot abduction and ankle dorsiflexion in Steenbeek foot abduction brace.

J Pediatr Orthop B 2019 Nov;28(6):564-571

Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Delhi, India.

We investigated the impact of changes in bar length of Steenbeek foot abduction brace on foot and ankle range of motion in 150 children. The ankle dorsiflexion and foot abduction was measured without brace, with standard brace size (0) as depicted in Steenbeek manual and after variations in bar length (-2˝ to +2˝). The bar length (0) was also compared with shoulder width for Indian population. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000652DOI Listing
November 2019
1 Read

Comparison of two different methods in preoperative planning of the amount of lengthening in Z achilloplasty technique.

J Pediatr Orthop B 2020 Jan;29(1):35-39

Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Baltalimani, Sariyer, Istanbul, Turkey.

Achilles tendon lengthening (ATL) surgery is a technique that is frequently used in the surgical treatment of contracture of the Achilles tendon seen in many pediatric orthopedic problems such as cerebral palsy, clubfoot, pes planovalgus and myelomeningocele. It is important to appropriately adjust the amount of ATL. However, the literature on the preoperative calculation of the required amount of tendon lengthening is limited. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000666DOI Listing
January 2020
5 Reads

Acute Rupture of Achilles Tendon in an Adolescent with a History of Ponseti Casting and Achilles Tenotomy: A Case Report.

JBJS Case Connect 2019 Apr-Jun;9(2):e0197

MetroHealth Medical Center, Cleveland, Ohio.

Case: We present the case of a 15-year-old girl who has a history of Ponseti casting followed by Achilles tenotomies for congenital clubfeet as an infant and subsequently suffered an acute traumatic midsubstance Achilles tendon rupture on the left and midsubstance Achilles tendinosis on the right.

Conclusions: Traumatic pediatric Achilles ruptures are rare. There are no prior reported cases in patients with a history of Achilles tenotomy, despite it being a described potential complication. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00197DOI Listing
June 2020
6 Reads

Mosaic trisomy 14 and aorta-pulmonary window association: A case report.

Turk Kardiyol Dern Ars 2019 Jun;47(4):319-323

Necmettin Erbakan University Meram Medical Faculthy, Department of Neonatology, Konya, Turkey.

Trisomy 14 mosaicism is a rare chromosomal abnormality with distinct and recognizable clinical features. Congenital heart anomalies can accompany in this syndrome. To the best of our knowledge, this is the first case of mosaic trisomy 14 with an aortopulmonary window to be described in the literature. Read More

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http://dx.doi.org/10.5543/tkda.2018.25273DOI Listing
June 2019
2 Reads

Split hand/foot malformation with long bone deficiency associated with BHLHA9 gene duplication: a case report and review of literature.

BMC Med Genet 2019 06 14;20(1):108. Epub 2019 Jun 14.

Human Genetics Unit, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo, 00800, Sri Lanka.

Background: Split hand/foot malformation (SHFM) is a group of congenital skeletal disorders which may occur either as an isolated abnormality or in syndromic forms with extra-limb manifestations. Chromosomal micro-duplication or micro-triplication involving 17p13.3 region has been described as the most common cause of split hand/foot malformation with long bone deficiency (SHFLD) in several different Caucasian and Asian populations. Read More

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http://dx.doi.org/10.1186/s12881-019-0839-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570964PMC
June 2019
13 Reads

Osteomyelitis Secondary to Ponseti Method for the Treatment of Clubfoot Associated with Meningomyelocele.

Cureus 2019 Mar 22;11(3):e4301. Epub 2019 Mar 22.

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Congenital talipes equinovarus (CTEV), otherwise known as clubfoot (CF), is a common congenital abnormality of the foot, stemming in most cases from an idiopathic cause or in the remaining non-idiopathic occurrences, from meningomyelocele (MMC). Ponseti method (PM), being a gold standard treatment for the correction of this foot deformity, requires a series of regular casting usually accompanied by percutaneous tenotomy of the Achilles tendon and later maintained via abduction braces. Osteomyelitis (OM), as a complication of PM, is rarely reported especially in cases of CF-associated with MMC in which majority of the patients present with varying level of sensory deficit in the lower limbs. Read More

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http://dx.doi.org/10.7759/cureus.4301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538121PMC
March 2019
17 Reads

Diagnostic accuracy of isolated clubfoot in twin compared to singleton gestations.

J Perinat Med 2019 Jul;47(5):564-567

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Weill Cornell Medical College, New York, NY 10065, USA.

Background Our objective was to determine the predictive value of the prenatal diagnosis of isolated clubfoot in twin gestations compared to singleton gestations. Methods A prospectively entered ultrasound database was reviewed for all pregnancies scanned at our institution from 2002 to 2014. Cases of suspected clubfoot were identified. Read More

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http://dx.doi.org/10.1515/jpm-2018-0231DOI Listing
July 2019
13 Reads

Outcome of isolated fetal talipes: A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2019 11 6;98(11):1367-1377. Epub 2019 Jun 6.

Women's Health and Perinatology Research Group, Department of Clinical Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.

Introduction: The aim of this systematic review was to explore the outcome of fetuses with a prenatal diagnosis of isolated talipes.

Material And Methods: Medline, Embase, Cinahl, and Clinicaltrials.gov databases were searched. Read More

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http://dx.doi.org/10.1111/aogs.13637DOI Listing
November 2019
34 Reads
1.985 Impact Factor

Prevalence of Hip Dysplasia and Associated Conditions in Children Treated for Idiopathic Early-onset Scoliosis-Don't Just Look at the Spine.

J Pediatr Orthop 2020 Jan;40(1):e49-e52

Shriners Hospitals for Children Salt Lake City.

Background: Hip dysplasia, congenital muscular torticollis, plagiocephaly, and metatarsus adductus are known to be associated. The etiology of infantile idiopathic scoliosis and its association with the aforementioned conditions is unknown. This study reviews a series of infantile scoliosis patients to address this gap. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001390DOI Listing
January 2020
11 Reads

The "Gastrocnemius-Achilles Tendon-Calcaneus Complex": Different Responses after Percutaneous versus Vulpius Achilles Tendon Lengthening in New Zealand White Rabbits.

Indian J Orthop 2019 Mar-Apr;53(2):333-339

Department of Orthopedics, St. Roch Hospital and University of Montpellier, Faculty of Medicine, Montpellier, France.

Background: This study aimed to describe the clinical, radiological, biomechanical, electromyographic, and histoenzymologic modifications in the "Gastrocnemius-Achilles Tendon-Calcaneus complex" caused by percutaneous Achilles tendon lengthening (PATL) versus Vulpius Achilles tendon lengthening (VATL) in New Zealand White (NZW) rabbits.

Materials And Methods: Eight female NZW rabbits were used at 7 months of age. Two rabbits were euthanized before surgery for anatomical dissection, three underwent PATL (two bilateral and one unilateral), and the three others underwent VATL (two bilateral and one unilateral). Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_397_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415558PMC
April 2019
11 Reads

A comparison study on hindfoot correction, Achilles tendon length and thickness between clubfoot patients treated with percutaneous Achilles tendon tenotomy versus casting alone using Ponseti method.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839126

2 Department of Biomedical Imaging, University Malaya Medical Centre, Kuala Lumpur, Malaysia.

Purpose: To compare the hindfoot correction using clinical and ultrasonography assessment in clubfoot patients undergoing Achilles tendon tenotomy with patients corrected with casting alone.

Method: A prospective observational study on idiopathic clubfoot patients less than 3 months old. Clinical assessment was done using hindfoot Pirani score and measurement of ankle dorsiflexion. Read More

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http://dx.doi.org/10.1177/2309499019839126DOI Listing
March 2020
10 Reads

The incidence of biphalangeal fifth toe: Comparison of normal population and patients with foot deformity.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019825521

4 Sivas Numune Hospital, Sivas, Turkey.

Background: Pedal biphalangism, which was also defined as symphalangism, is seen at a frequency that cannot be ignored; however, no study can be found in the literature evaluating biphalangism in normal population in comparison to those who have foot disorders. The aim of this study was to evaluate the incidence of the pedal fifth toe symphalangism in normal population and in patients with foot deformity including hallux valgus, pes planus, pes cavus, and pes equinovarus. We hypothesized that pedal fifth toe symphalangism may be a predisposing factor or an accompanying structural variation for foot deformity. Read More

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http://dx.doi.org/10.1177/2309499019825521DOI Listing
March 2020
10 Reads

Long-term outcome after Lambrinudi arthrodesis: How they're doing after three decades.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019826492

Department of Orthopaedics and Traumatology, Duchess of Kent Children's Hospital, Hong Kong.

Objective: The aim of the study is to investigate the long-term outcome of patients who received Lambrinudi arthrodesis for severe equinovarus deformities.

Methods: This is a single-center, retrospective study of patients who received Lambrinudi triple arthrodesis of the foot. Both clinical and radiological information were analyzed. Read More

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http://dx.doi.org/10.1177/2309499019826492DOI Listing
March 2020
11 Reads

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

J Pediatr Orthop B 2019 Nov;28(6):572-578

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://Insights.ovid.com/crossref?an=01202412-900000000-9894
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http://dx.doi.org/10.1097/BPB.0000000000000595DOI Listing
November 2019
15 Reads
0.656 Impact Factor

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

J Pediatr Orthop B 2019 Nov;28(6):579-585

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
November 2019
4 Reads

Classic metaphyseal lesion acquired during physical therapy.

Clin Imaging 2019 Mar - Apr;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
May 2019
13 Reads

Fetal akinesia deformation sequence, arthrogryposis multiplex congenita, and bilateral clubfeet: Is motor assessment of additional value for in utero diagnosis? A 10-year cohort study.

Prenat Diagn 2019 02 7;39(3):219-231. Epub 2019 Feb 7.

Department of Obstetrics and Gynaecology, Amsterdam Movement Sciences, Amsterdam University Medical Centre, VUmc, Amsterdam, the Netherlands.

Objective: The diagnosis of fetal akinesia deformation sequence (FADS) is a challenge. Motor assessment is of additional value to advanced ultrasound examinations (AUE) for in utero FADS diagnosis before 24 weeks of gestation.

Methods: All consecutive fetuses with greater than or equal to two contractures on the 20 week structural anomaly scan (2007-2016) were included. Read More

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http://dx.doi.org/10.1002/pd.5411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593723PMC
February 2019
8 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
8 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587499PMC
February 2019
31 Reads

Posteromedial release combined with arthrodesis of the talocalcaneal and calcaneocuboid joints for equinovarus associated with myelodysplasia: Clinical outcomes assessment preliminary report.

J Orthop Sci 2019 Mar 2;24(2):320-325. Epub 2018 Nov 2.

Department of Pediatric Orthopedic Surgery, Jichi Children's Medical Center, Tochigi 329-0498, Japan.

Background: Whether arthrodesis is necessary to correct equinovarus associated with myelodysplasia in children, possibly preventing its recurrence, is controversial. At our hospital, patients >4 years of age with equinovarus associated with myelodysplasia are treated with posteromedial release combined with arthrodesis of the talocalcaneal and calcaneocuboid joints. This retrospective study aimed to reinvestigate the postoperative outcomes of this surgery. Read More

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http://dx.doi.org/10.1016/j.jos.2018.09.023DOI Listing
March 2019
2 Reads

[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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February 2019
14 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
46 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
13 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
10 Reads

Is unilateral lower leg orthosis with a circular foot unit in the treatment of idiopathic clubfeet a reasonable bracing alternative in the Ponseti method? Five-year results of a supraregional paediatric-orthopaedic centre.

BMC Musculoskelet Disord 2018 Jul 18;19(1):229. Epub 2018 Jul 18.

Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.

Background: In the Ponseti treatment of idiopathic clubfoot, children are generally provided with a standard foot abduction orthosis (FAO). A significant proportion of these patients experience irresolvable problems with the FAO leading to therapeutic non-compliance and eventual relapse. Accordingly, these patients were equipped with a unilateral lower leg orthosis (LLO) developed in our institution. Read More

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http://dx.doi.org/10.1186/s12891-018-2160-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052525PMC
July 2018
7 Reads

Correlations between physical and ultrasound findings in congenital clubfoot at birth.

Orthop Traumatol Surg Res 2018 09 12;104(5):651-655. Epub 2018 Jun 12.

Société d'orthopédie de l'ouest (SOO), 18, rue de Bellinière, 49800 Trélazé, France.

Background: At birth, clinical classifications are the only available tools for evaluating the severity of congenital clubfoot. Ultrasound provides an assessment of the anatomical abnormalities. The objective of this study was to assess correlations between physical and ultrasound findings at birth. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.02.019DOI Listing
September 2018
15 Reads

Finite-element-based 3D computer modeling for personalized treatment planning in clubfoot deformity: Case report with technique description.

Medicine (Baltimore) 2018 Jun;97(24):e11021

Laboratory of Advanced Research in Multimodality Imaging, University of Medicine and Pharmacy.

Rationale: In clubfoot deformity, planning of corrective treatment requires a complex understanding of the foot anatomy, as well as of the geometry and distribution of altered mechanical forces acting at the level of the deformed foot. At the same time, treatment success depends largely on the selection of the most appropriate shape and angles of the customized orthesis developed for foot correction. Therefore, a complex assessment of the intensity and distribution of the mechanical forces at this site is mandatory prior to initiation of any corrective therapy. Read More

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http://Insights.ovid.com/crossref?an=00005792-201806150-0002
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http://dx.doi.org/10.1097/MD.0000000000011021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6024088PMC
June 2018
25 Reads

Cephalometric Findings in Nine Individuals With Richieri-Costa-Pereira Syndrome.

J Craniofac Surg 2018 Sep;29(6):1596-1600

Pediatric and Community Dentistry Sector, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil.

The Richieri-Costa-Pereira syndrome (RCPS) is an autosomal-recessive acrofacial dysostosis caused by mutations in EIF4A3, characterized by mandibular cleft comprising other craniofacial anomalies and limb defects such as cleft palate/Robin Sequence, microstomia, absence of mandibular central incisors, minor ear anomalies, clubfeet and first and 5 ray defects. The findings from this study are useful for better understanding the morphological consequences of disorders of EIF4A3, and having a better picture of the anatomic characteristics of the syndrome for a better therapeutic planning. Twenty-four angular and linear variables were measured to assess anteroposterior and vertical (superior-inferior) position of the cranial base, maxilla, mandible, and facial profile. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004588DOI Listing
September 2018
34 Reads

A novel NKX3-2 mutation associated with perinatal lethal phenotype of spondylo-megaepiphyseal-metaphyseal dysplasia in a neonate.

Eur J Med Genet 2019 Jan 25;62(1):21-26. Epub 2018 Apr 25.

Division of Pediatric Genetics, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey; Department of Medical Genetics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Spondylo-megaepiphyseal-metaphyseal dysplasia (SMMD) is an autosomal recessive skeletal dysplasia, characterized by disproportionate short stature with a short and stiff neck and trunk. SMMD is caused by inactivating mutations in NKX3-2, which encodes a homeobox-containing protein. Because of the rarity of the disorder, the diagnostic feature has not been fully established yet. Read More

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http://dx.doi.org/10.1016/j.ejmg.2018.04.013DOI Listing
January 2019
20 Reads

Residual Equinus After the Ponseti Method: An MRI-based 3-Dimensional Analysis.

J Pediatr Orthop 2018 May/Jun;38(5):e271-e277

Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health.

Background: Residual equinus deformity is present in up to 20% of clubfeet treated by the Ponseti method. These patients may require surgical release to restore dorsiflexion. Despite complete posterior release; persistent intraoperative equinus may be present and suggest concurrent joint incongruity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001147DOI Listing
August 2018
12 Reads

The ultrasonography evaluation of talar dysplasia as a potential prognostic factor for predicting the course and outcomes of clubfoot deformity treatment using Ponseti technique.

Acta Orthop Traumatol Turc 2018 Mar 13;52(2):87-91. Epub 2018 Feb 13.

Department of Paediatric Surgery, Orthopaedics and Traumatology (DPSOT) of the Children´s Medical Centre (CMC), Faculty Hospital in Brno, Medical Faculty of the Masaryk University in Brno, Brno, Czech Republic.

Objective: The aim of this study was to assess the role of sonographic evaluation of Talar dysplasia in predicting the outcome of standard Ponseti method in the treatment of clubfoot deformity.

Methods: A total 23 children (15 boys and 8 girls; mean age: 18.2 ± 5. Read More

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http://dx.doi.org/10.1016/j.aott.2017.11.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136334PMC
March 2018
22 Reads

Radiographic Prognostic Factors for Selective Soft Tissue Release After Ponseti Failure in Young Pediatric Clubfoot Patients.

Foot Ankle Int 2018 06 15;39(6):712-719. Epub 2018 Feb 15.

1 Department of Orthopedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Songpa-gu, Seoul, South Korea.

Background: Selective soft tissue release (SSTR), which includes a combination of abductor hallucis, tibialis posterior, and Achilles lengthening, has been used in patients with recurrent clubfoot deformity after Ponseti treatment. The aim of this study was to investigate the prognostic factors for recurrence of clubfoot deformity after SSTR.

Methods: Consecutive patients with idiopathic clubfoot and residual or recurrent deformity after Ponseti treatment underwent SSTR between 2005 and 2013. Read More

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http://dx.doi.org/10.1177/1071100718755475DOI Listing
June 2018
25 Reads

Early radiographic risk factors for rigid relapse in idiopathic clubfoot treated with the Ponseti method.

Foot Ankle Surg 2018 Dec 17;24(6):509-513. Epub 2017 Jun 17.

Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan.

Background: This study aimed at identifying early risk factors for rigid relapse in idiopathic clubfoot using foot radiographs.

Methods: Thirty-four patients with 43 idiopathic clubfeet treated with the Ponseti method were retrospectively reviewed.

Results: There were seven rigid relapse recalcitrant to manipulation and requiring extensive soft-tissue release. Read More

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http://dx.doi.org/10.1016/j.fas.2017.06.003DOI Listing
December 2018
19 Reads

Persistent Extreme Hyperextension of the Fetal Neck: Clinical and Neuroimaging Findings.

J Neuroimaging 2018 05 5;28(3):278-282. Epub 2018 Feb 5.

Section of Pediatric Neuroradiology, Division of Pediatric Radiology and Pediatric Neuroradiology, Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD.

Background And Purpose: Persistent hyperextension of the fetal craniocervical junction or neck is one of several fetal positions commonly observed on prenatal imaging. Underlying fetal structural etiologies such as fetal neck masses and iniencephaly can be detected as causes of hyperextension. Caesarean delivery is considered in cases of vaginal delivery or obstructed labor for fear of cervical spinal cord injury. Read More

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http://dx.doi.org/10.1111/jon.12499DOI Listing
May 2018
41 Reads

Developing a Three-Dimensional (3D) Assessment Method for Clubfoot-A Study Protocol.

Front Physiol 2017 4;8:1098. Epub 2018 Jan 4.

Department of Physiotherapy, The Children's Hospital at Westmead, Sydney, NSW, Australia.

Congenital talipes equinovarus (CTEV) or clubfoot is a common pediatric congenital foot deformity that occurs 1 in 1,000 live births. Clubfoot is characterized by four types of foot deformities: hindfoot equinus; midfoot cavus; forefoot adductus; and hindfoot varus. A structured assessment method for clubfoot is essential for quantifying the initial severity of clubfoot deformity and recording the progress of clubfoot intervention. Read More

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http://journal.frontiersin.org/article/10.3389/fphys.2017.01
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http://dx.doi.org/10.3389/fphys.2017.01098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758584PMC
January 2018
95 Reads

[Which foot deformities should be radiologist be familiar with?]

Authors:
E von Stillfried

Radiologe 2018 May;58(5):476-481

Abteilung für Orthopädie, Sektion Kinderorthopädie, Vulpius Klinik Bad Rappenau, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

Most deformities of the foot are visible at birth and can be diagnosed without imaging. They can be divided into congenital flexible, congenital structural and acquired foot deformities. The most common congenital flexible foot deformity in children is the metatarsus adductus, which usually requires no long-term therapy. Read More

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http://dx.doi.org/10.1007/s00117-017-0349-1DOI Listing
May 2018
14 Reads

KIAA1109 Variants Are Associated with a Severe Disorder of Brain Development and Arthrogryposis.

Am J Hum Genet 2018 01 28;102(1):116-132. Epub 2017 Dec 28.

Center for Integrative Genomics, University of Lausanne, 1015 Lausanne, Switzerland. Electronic address:

Whole-exome and targeted sequencing of 13 individuals from 10 unrelated families with overlapping clinical manifestations identified loss-of-function and missense variants in KIAA1109 allowing delineation of an autosomal-recessive multi-system syndrome, which we suggest to name Alkuraya-Kučinskas syndrome (MIM 617822). Shared phenotypic features representing the cardinal characteristics of this syndrome combine brain atrophy with clubfoot and arthrogryposis. Affected individuals present with cerebral parenchymal underdevelopment, ranging from major cerebral parenchymal thinning with lissencephalic aspect to moderate parenchymal rarefaction, severe to mild ventriculomegaly, cerebellar hypoplasia with brainstem dysgenesis, and cardiac and ophthalmologic anomalies, such as microphthalmia and cataract. Read More

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http://dx.doi.org/10.1016/j.ajhg.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5777449PMC
January 2018
43 Reads

Development of an orthosis for simultaneous three-dimensional correction of clubfoot deformity.

Clin Biomech (Bristol, Avon) 2018 01 6;51:67-75. Epub 2017 Dec 6.

Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India; All India Institute of Medical Sciences, New Delhi, India.

Background: Clubfoot is a three-dimensional deformity of the foot in which the foot is twisted in three mutually perpendicular planes from the normal shape of the foot. Of the various treatment methods that are available to manage clubfoot, non-operative approaches are preferred. The conventional non-operative method of treatment is to apply a series of casts to the infant's clubfoot to gradually manipulate its position. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2017.12.002DOI Listing
January 2018
12 Reads

[Sonographic evaluation of Achilles tendon healing in tenotomies for congenital clubfoot and Ponsetis treatment. A 12-week follow-up].

Acta Ortop Mex 2017 May-Jun;31(3):123-127

Shriners Hospital for Children-Mexico. Av. del Imán Núm. 257, Col. Pedregal de Santa Úrsula, CP 04600, Deleg. Coyoacán, Ciudad de México. México.

Objective: The aim of this study was to determine the healing time of Achilles tendon in pediatric patients treated with Achilles tenotomy with the Ponseti method in Shriners Childrens Hospital of Mexico, AC.

Material And Methods: Experimental, analytical, prospective, longitudinal study of patients with a diagnosis of idiopathic congenital clubfoot treated with the Ponseti method with serial static and dynamic evaluation by ultrasound in real time with a Siemens Diagnostic Ultrasound System Sonoline 650, linear transducer 10.5 MHz of Achilles tendon before tenotomy and at three, six, nine and 12 weeks after the surgical treatment. Read More

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April 2019
15 Reads

Clinico-sonographical evaluation of idiopathic clubfoot and its correction by Ponseti method - A prospective study.

Foot (Edinb) 2017 Dec 29;33:7-13. Epub 2017 Sep 29.

Department of Orthopaedics, M.L.B. Medical College, Jhansi, 284128, Uttar Pradesh, India. Electronic address:

Background: Objective evaluation of infant with clubfoot is required as conventional imaging modality is of limited usefulness. Ultrasound shows to be a promising technique for assessing deformity and monitoring of clubfoot correction.

Aim: Study was done to evaluate the deformity sonographically; to assess the changes in these parameters after treatment by Ponseti method and to correlate these ultrasonographic variables with clinical Pirani score. Read More

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http://dx.doi.org/10.1016/j.foot.2017.09.005DOI Listing
December 2017
21 Reads

Prenatal Diagnosis of Clubfoot: A Review of Current Available Methodology.

Folia Med (Plovdiv) 2017 Sep;59(3):247-253

Department of Orthopaedics and Traumatology, Department of Biomedical Sciences and Morphological and Functional Images, University of Messina, Italy

Background: Clubfoot is one of the most common congenital limb deformities. Prenatal diagnosis of the condition is essential as it can help treat the malformation as early as possible. We reviewed the recent available literature concerning the current methods for prenatal diagnosis of clubfoot. Read More

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http://dx.doi.org/10.1515/folmed-2017-0030DOI Listing
September 2017
61 Reads

Early prenatal diagnosis of a lumbo-costo-vertebral syndrome.

J Med Ultrason (2001) 2018 Apr 13;45(2):353-355. Epub 2017 Sep 13.

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Grigore T. Popa", Str. Universitatii 16, 700115, Iasi, Romania.

Lumbo-costo-vertebral syndrome (LCVS) is a rare type of lumbar hernia with associated abnormalities of the vertebral bodies, ribs, and trunk muscles. Only a few cases have been reported in the literature, all of which were diagnosed after birth. We present a case of LCVS diagnosed early in the second trimester of pregnancy using two- and three-dimensional ultrasound. Read More

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http://dx.doi.org/10.1007/s10396-017-0827-0DOI Listing
April 2018
13 Reads

Ponseti method is superior to surgical treatment in clubfoot - Long-term, randomized, prospective trial.

Gait Posture 2017 10 11;58:346-351. Epub 2017 Aug 11.

Medical University Graz, Auenbruggerplatz 34, 8036 Graz, Austria. Electronic address:

Treatment of idiopathic clubfoot has shifted from extensive surgical release to conservative Ponseti method; however, randomized prospective trials to compare both methods are lacking. The goal of this study was to compare the long-term results of Ponseti method with those of surgery in terms of morphology, function, X-rays, overall health and gait. In 2001, a single center, prospective, randomized, and controlled trial with a parallel design was started. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2017.08.010DOI Listing
October 2017
13 Reads