803 results match your criteria Clubfoot Imaging


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

[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

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
15 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
4 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
9 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
4 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
13 Reads

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

J Neuroimaging 2018 May 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
16 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
26 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
7 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
21 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
16 Reads

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

Folia Med (Plovdiv) 2017 09;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
25 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
5 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
7 Reads

Flatfoot in the contralateral foot in patients with unilateral idiopathic clubfoot treated using the foot abduction brace.

Medicine (Baltimore) 2017 Sep;96(35):e7937

aDepartment of Orthopaedic Surgery bDepartment of Rehabilitation Medicine, Nagoya City University Graduate School of Medicine, Nagoya, Aichi, Japan.

While the foot abduction brace (FAB) plays an important role in the Ponseti method, the true function of the FAB in the treatment of idiopathic clubfoot remains unknown. In our clinical experience, we have noted that many patients with unilateral idiopathic clubfoot developed significant flatfoot in the contralateral foot during brace treatment. The purpose of this study was to investigate the natural history of the contralateral foot development during and after brace wear. Read More

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http://Insights.ovid.com/crossref?an=00005792-201709010-0004
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http://dx.doi.org/10.1097/MD.0000000000007937DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585513PMC
September 2017
14 Reads

FOREFOOT ADDUCTION IN CHILDREN. Management and Treatment.

J Med Liban 2016 Jul-Sep;64(3):134-41

Forefoot adduction is a common condition between metatarsus adductus, Z-shaped foot and residual clubfoot. This deformity is located in a pure transverse plane at Lisfranc’s joint. Isolated metatarsus adductus is corrected spontaneously for the majority of newborns. Read More

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September 2017
11 Reads

Ilizarov technique and limited surgical methods for correction of post-traumatic talipes equinovarus in children.

ANZ J Surg 2017 Oct 16;87(10):815-819. Epub 2017 Aug 16.

Department of Orthopaedics, Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, China.

Background: The objective of this study was to evaluate the efficacy and safety of using Ilizarov invasive distraction technique combined with limited surgical operations in the treatment of post-traumatic talipes equinovarus in children.

Methods: Eighteen cases of post-traumatic deformed feet in 15 patients who received the treatment of Ilizarov frame application, limited soft-tissue release or osteotomy were selected in this study. After removal of the frame, an ankle-foot orthosis was used continuously for another 6-12 months. Read More

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http://dx.doi.org/10.1111/ans.14123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100764PMC
October 2017
6 Reads

Quantification of the ossification of the lateral cuneiform in the feet of young children with unilateral congenital talipes equinovarus.

Bone Joint J 2017 Aug;99-B(8):1109-1114

University of California, Los Angeles, 403 W. Adams Blvd, Los Angeles, CA 90007, USA.

Aims: After the initial correction of congenital talipes equinovarus (CTEV) using the Ponseti method, a subsequent dynamic deformity is often managed by transfer of the tendon of tibialis anterior (TATT) to the lateral cuneiform. Many surgeons believe the lateral cuneiform should be ossified before surgery is undertaken. This study quantifies the ossification process of the lateral cuneiform in children with CTEV between one and three years of age. Read More

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http://dx.doi.org/10.1302/0301-620X.99B8.BJJ-2016-0999.R2DOI Listing
August 2017
7 Reads

Biallelic COL3A1 mutations result in a clinical spectrum of specific structural brain anomalies and connective tissue abnormalities.

Am J Med Genet A 2017 Sep 25;173(9):2534-2538. Epub 2017 Jul 25.

Institut für Medizinische Genetik und Humangenetik, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Vascular Ehlers-Danlos syndrome (type IV) is an autosomal dominant disorder caused by heterozygous variants of COL3A1. We identified biallelic COL3A1 variants in two unrelated families. In a 3-year-old female with developmental delay the nonsense variant c. Read More

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http://dx.doi.org/10.1002/ajmg.a.38345DOI Listing
September 2017
24 Reads

Real-Time Volume Contrast Imaging in the A Plane with a Four-Dimensional Electronic Probe Facilitates the Evaluation of Fetal Extremities in Midtrimester Sonograms.

Fetal Diagn Ther 2018 18;43(4):291-296. Epub 2017 Jul 18.

Department of Obstetrics and Gynecology, University of Bologna, Bologna, Italy.

Objective: To evaluate the efficiency of real-time volume contrast imaging in the A plane (VCI-A) of fetal extremities, compared with conventional two-dimensional ultrasound (2D).

Methods: This was a randomized controlled trial of 100 patients undergoing midtrimester sonography. The fetal limbs were imaged with either 2D or VCI-A with a four-dimensional (4D) electronic probe. Read More

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https://www.karger.com/Article/FullText/477931
Publisher Site
http://dx.doi.org/10.1159/000477931DOI Listing
October 2018
11 Reads

Deficient dorsalis pedis flow in severe idiopathic clubfeet: Does Ponseti casting affect the outcome?

Foot (Edinb) 2017 Aug 8;32:30-34. Epub 2017 Jun 8.

Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia (USM), Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.

Background: Arterial deficiency in congenital clubfoot or congenital talipes equinovarus (CTEV) was postulated as either the primary cause of deformity or secondary manifestation of other bony and soft tissue abnormalities. The objectives of the study were to find any association between arterial deficiency with severity of CTEV and its treatment.

Method: This prospective study conducted on 24 feet with CTEV (18 babies) with Pirani score ranging between 2 to 6. Read More

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http://dx.doi.org/10.1016/j.foot.2017.05.003DOI Listing
August 2017
9 Reads

Diagnostic accuracy, work-up, and outcomes of pregnancies with clubfoot detected by prenatal sonography.

Prenat Diagn 2017 Aug 18;37(8):754-763. Epub 2017 Jul 18.

Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel.

Objective: To assess diagnostic accuracy, related findings, and outcomes of fetuses with clubfoot.

Methods: Sonographic characteristics, pregnancy work-up, and postnatal outcomes were evaluated in 109 fetuses with clubfoot.

Results: Among 40 320 prenatal ultrasound anomaly scans, clubfoot was diagnosed in 150 (0. Read More

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http://dx.doi.org/10.1002/pd.5077DOI Listing
August 2017
29 Reads

Congenital talipes equinovarus and congenital vertical talus secondary to sacral agenesis.

BMJ Case Rep 2017 May 5;2017. Epub 2017 May 5.

Trauma and Orthopaedic Department, Cheltenham General Hospital, Cheltenham, UK.

Sacral agenesis is a rare congenital defect which is associated with foot deformities such as congenital talipes equinovarus (CTEV) and less commonly congenital vertical talus (CVT). We report a 3-year-old Caucasian girl who was born with right CTEV and left CVT secondary to sacral agenesis. Her right foot was managed with a Ponseti casting method at 2 weeks, followed by an Achilles tenotomy at 4 months. Read More

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http://dx.doi.org/10.1136/bcr-2017-219786DOI Listing
May 2017
8 Reads

Nonoperatively Corrected Clubfoot at Age 2 Years: Radiographs Are Not Helpful in Predicting Future Relapse.

J Bone Joint Surg Am 2017 Jan;99(2):155-160

1Texas Scottish Rite Hospital for Children, Dallas, Texas 2University of Texas-Southwestern Medical Center, Dallas, Texas.

Background: Nonoperative treatment of idiopathic clubfoot is standard. The purpose of this study was to determine if measurements made on standing lateral radiographs of successfully treated clubfeet made at 18 to 24 months of age were predictive of late recurrence.

Methods: Inclusion criteria were idiopathic clubfoot with an age at presentation of ≤3 months, nonoperative treatment resulting in a clinically plantigrade foot at 2 years of age, standing lateral radiograph of the involved foot made at 18 to 24 months of age, and a minimum age of 4 years at the time of follow-up. Read More

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http://Insights.ovid.com/crossref?an=00004623-201701180-0000
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http://dx.doi.org/10.2106/JBJS.16.00693DOI Listing
January 2017
11 Reads

Management of foot deformity in children.

J Orthop Sci 2017 Mar 9;22(2):175-183. Epub 2017 Jan 9.

Department of Orthopaedics, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, 232-8555, Japan.

This study describes the management of foot deformity in children. Severe congenital clubfeet treated using posteromedial release without talocalcaneal joint release were flexible and functional. Talectomy may be necessary for congenital clubfeet with arthrogryposis multiplex congenita. Read More

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http://dx.doi.org/10.1016/j.jos.2016.12.009DOI Listing
March 2017
8 Reads

The quality of Achilles tendon repair five to eight years after percutaneous tenotomy in the treatment of clubfoot: clinical and ultrasonographic findings.

Bone Joint J 2017 Jan;99-B(1):139-144

Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, nº 3900, Monte Alegre, City: Ribeirão Preto, State of São Paulo, Brazil.

Aims: Our aim was to describe the mid-term appearances of the repair process of the Achilles tendon after tenotomy in children with a clubfoot treated using the Ponseti method.

Patients And Methods: A total of 15 children (ten boys, five girls) with idiopathic clubfoot were evaluated at a mean of 6.8 years (5. Read More

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http://www.bjj.boneandjoint.org.uk/content/jbjsbr/99-B/1/139
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http://dx.doi.org/10.1302/0301-620X.99B1.BJJ-2016-0131.R1DOI Listing
January 2017
6 Reads

Fetal Neurosonogaphy: Ultrasound and Magnetic Resonance Imaging in Competition.

Ultraschall Med 2016 12 15;37(6):555-557. Epub 2016 Dec 15.

Both in routine diagnostics and detailed, highly specialized workups, major advances have been observed in many areas of ultrasound due to an increase in expertise and improved technology in recent years. This is particularly true in the case of fetal neurosonography 1 2 3 4. Malformations of the CNS together with fetal heart defects are among the most common congenital anomalies. Read More

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http://dx.doi.org/10.1055/s-0042-117142DOI Listing
December 2016
32 Reads

Relative Risk and Incidence for Developmental Dysplasia of the Hip.

J Pediatr 2017 02 18;181:202-207. Epub 2016 Nov 18.

Manitoba Centre for Health Policy, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Objective: To determine the incidence and associated risk factors of developmental dysplasia of the hip (DDH) in a modern population without universal screening.

Study Design: Children with DDH were identified from the Manitoba Centre for Health Policy's Data Repository by the use of International Classification of Diseases diagnosis codes as well as physician billing tariffs for surgical procedures for DDH for all children born between 1995 and 2012. To identify the outpatient-treated patients, ultrasound scans and radiographic imaging for DDH were reviewed for 2004-2012. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223476163108
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http://dx.doi.org/10.1016/j.jpeds.2016.10.017DOI Listing
February 2017
27 Reads

The impact of different types of talus deformation after treatment of clubfeet.

Int Orthop 2017 01 11;41(1):93-99. Epub 2016 Oct 11.

Department of Orthopaedics, Medical University of Vienna, Waehringer Gürtel 18-20, 1090, Vienna, Austria.

Purpose: Deformation of the talus in idiopathic congenital clubfeet is a known problem after treatment. However evidence on types of talus deformation and clinical relevance is rare. The aims of this study were first to define different types of talus deformation, and second, to evaluate the impact of these types on long-term results. Read More

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http://dx.doi.org/10.1007/s00264-016-3301-5DOI Listing
January 2017
17 Reads

[Application of chromosomal microarray analysis for fetuses with talipes equinovarus].

Zhonghua Fu Chan Ke Za Zhi 2016 Jul;51(7):484-90

Institute of Perinatology and Birth Health, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510623, China.

Objective: To investigate the application of fetuses with talipes equinovarus(TE)using chromosomal microarray analysis(CMA)technology.

Methods: From May 2012 to June 2015, 54 fetuses were found with TE and with or without other structural anomalies by prenatal ultrasound. Karyotyping was taking for them all, and the fetuses with normal karyotypes took another CMA test. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567X.2016.07.002DOI Listing
July 2016
11 Reads

Diagnosis of Van den Ende-Gupta syndrome: Approach to the Marden-Walker-like spectrum of disorders.

Am J Med Genet A 2016 09 4;170(9):2310-21. Epub 2016 Jul 4.

Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.

Marden-Walker syndrome is challenging to diagnose, as there is significant overlap with other multi-system congenital contracture syndromes including Beals congenital contractural arachnodactyly, D4ST1-Deficient Ehlers-Danlos syndrome (adducted thumb-clubfoot syndrome), Schwartz-Jampel syndrome, Freeman-Sheldon syndrome, Cerebro-oculo-facio-skeletal syndrome, and Van den Ende-Gupta syndrome. We discuss this differential diagnosis in the context of a boy from a consanguineous union with Van den Ende-Gupta syndrome, a diagnosis initially confused by the atypical presence of intellectual disability. SNP microarray and whole exome sequencing identified a homozygous frameshift mutation (p. Read More

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http://dx.doi.org/10.1002/ajmg.a.37831DOI Listing
September 2016
6 Reads

Gait in 5-year-old children with idiopathic clubfoot: A cohort study of 59 children, focusing on foot involvement and the contralateral foot.

Acta Orthop 2016 Oct 22;87(5):522-8. Epub 2016 Jun 22.

a Department of Women's and Children's Health , Karolinska Institutet, Karolinska University Hospital , Stockholm ;

Background and purpose - Idiopathic clubfoot can be bilateral or unilateral; however, most studies of gait have assessed clubfoot cases as one uniform group. The contralateral foot in children with unilateral clubfoot has shown deviations in pedobarographic measurements, but it is seldom included in studies of gait. We evaluated gait in children with idiopathic clubfoot, concentrating on foot involvement. Read More

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http://dx.doi.org/10.1080/17453674.2016.1202013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016913PMC
October 2016
8 Reads

[Ilizarov TECHNOLOGY COMBINED WITH TARSAL V-SHAPE OSTEOTOMY FOR TREATMENT OF TRAUMATIC CLUBFOOT].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Dec;29(12):1474-7

Objective: To discuss the effectiveness of Ilizarov technology combined with tarsal V-shape osteotomy for the treatment of traumatic clubfoot.

Methods: Between August 2011 and August 2014, 14 patients with traumatic clubfoot were treated. There were 10 males and 4 females, aged 13 to 61 years (mean, 31 years). Read More

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December 2015
4 Reads

Development of congenital clubfoot during growth: a long-term study on the basis of pedobarography, biomechanics, and magnetic resonance imaging measurements of muscle volumes.

J Pediatr Orthop B 2017 Mar;26(2):122-132

aMarkus Würth Foundation bDepartment of Cerebral Palsy and Children Neuro-Orthopedics cDepartment Orthopedic, Klinikum Rechts der Isar, Technical University of Munich, Munich dDepartment Orthopedic and Trauma Surgery, Schlosspark-Klinik, Berlin, Germany.

The aim of this study was to clarify the degree to which the operated congenital asymptomatic clubfoot still shows malpositions or whether it approaches a physiological development with increasing age. Clubfeet of 12 children were examined repeatedly over up to 10 years using pedobarography. The muscle volumes of the lower legs were investigated with MRI and compared with those of a healthy control group. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000288DOI Listing
March 2017
16 Reads

Botulinum Toxin Type A Injection for Spastic Equinovarus Foot in Children with Spastic Cerebral Palsy: Effects on Gait and Foot Pressure Distribution.

Yonsei Med J 2016 Mar;57(2):496-504

Department of Rehabilitation Medicine, Severance Hospital, Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.

Purpose: To investigate the effect of intramuscular Botulinum toxin type A (BoNT-A) injection on gait and dynamic foot pressure distribution in children with spastic cerebral palsy (CP) with dynamic equinovarus foot.

Materials And Methods: Twenty-five legs of 25 children with CP were investigated in this study. BoNT-A was injected into the gastrocnemius (GCM) and tibialis posterior (TP) muscles under the guidance of ultrasonography. Read More

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http://dx.doi.org/10.3349/ymj.2016.57.2.496DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740546PMC
March 2016
22 Reads

Mid-term results of Ponseti management for an idiopathic congenital clubfoot at a single center in Vietnam.

J Pediatr Orthop B 2016 May;25(3):253-7

Department of Pediatric Orthopaedics, Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Vietnam.

Despite the increasing popularity of the Ponseti method for the treatment of idiopathic congenital clubfeet, the relapse rate and sequela after the initial correction of manipulating and casting remain high. This study presents a scale to evaluate the relapse and identify the factors correlated with the relapse and latest follow-up mid-term results. A total of 101 children (newborn to 12 months), 142 idiopathic congenital clubfeet, were recruited for this study following treatment with the Ponseti method at the Hospital for Traumatology and Orthopaedics (Ho Chi Minh City, Vietnam) with a follow-up period of a minimum of 2 years. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000267DOI Listing
May 2016
2 Reads
2 Citations
0.660 Impact Factor

Radiographic Indicators of Surgery and Functional Outcome in Ponseti-Treated Clubfeet.

Foot Ankle Int 2016 May 23;37(5):542-7. Epub 2015 Dec 23.

Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel Aviv Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Background: Evaluation of the results of treatment for clubfoot by the Ponseti technique is based on clinical and functional parameters. There is a need to establish universally recognized quantitative measurements to compare, better understand, and more precisely evaluate therapeutic outcome.

Methods: Nine angles were measured on standard radiographs of 145 children with idiopathic clubfeet treated between 2000 and 2010 with the Ponseti method. Read More

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http://dx.doi.org/10.1177/1071100715623036DOI Listing
May 2016
15 Reads

Routine screening for fetal limb abnormalities in the first trimester.

Prenat Diagn 2016 Feb 8;36(2):117-26. Epub 2015 Dec 8.

Department of Ultrasound, Maternity & Child Healthcare Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.

Objective: We aim to determine the accuracy of first-trimester ultrasonography in detecting fetal limb abnormalities.

Methods: This is a retrospective study of all women undergoing fetal nuchal translucency (NT) assessment and detailed fetal anatomic survey in the first trimester at a single tertiary-care referral center in China. Fetal anatomy scans were repeated in the second trimester. Read More

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http://dx.doi.org/10.1002/pd.4724DOI Listing
February 2016
16 Reads

A novel CHST3 allele associated with spondyloepiphyseal dysplasia and hearing loss in Pakistani kindred.

Clin Genet 2016 07 21;90(1):90-5. Epub 2015 Dec 21.

Department of Otorhinolaryngology Head and Neck Surgery, School of Medicine, University of Maryland, Baltimore, MD, USA.

Skeletal dysplasias (SDs) are highly heterogeneous disorders composed of 40 clinical sub-types that are part of 456 well-delineated syndromes in humans. Here, we enrolled consanguineous kindred from a remote area of Sindh province of Pakistan, with 14 affected individuals suffering with short stature, kyphoscoliosis, joint dislocations, clubfoot, heart valve anomalies and progressive bilateral mixed hearing loss. To identify pathogenic variants in this family, whole exome sequencing (WES) was performed in one affected and one normal individual, which revealed a novel transversion mutation (c. Read More

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http://doi.wiley.com/10.1111/cge.12694
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http://dx.doi.org/10.1111/cge.12694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870159PMC
July 2016
3 Reads

Stepwise surgical approach to equinocavovarus in patients with cerebral palsy.

J Pediatr Orthop B 2016 03;25(2):112-8

aDepartment of Orthopaedic Surgery, Armed Force Medical Command, Sungnam bDepartment of Mathematics, College of Natural Science, Ajou University, Suwon cDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Sungnam, Kyungki dDepartment of Orthopaedic Surgery, Sungkyunkwan University Samsung Changwon Hospital, Changwon, Kyungnam eDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Chungnam, Korea.

This study investigated the radiologic results of a stepwise surgical approach to equinocavovarus in 24 patients with cerebral palsy and determined the extent to which each procedure affected radiographic parameters using a linear mixed model. The anteroposterior talus-first metatarsal and anteroposterior talonavicular coverage angles were improved. The calcaneal pitch angle, tibiocalcaneal angle, lateral talus-first metatarsal angle, and naviculocuboid overlap were also improved. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000244DOI Listing
March 2016
10 Reads

Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach.

J Perinat Med 2016 Mar;44(2):131-7

Mid trimester fetal anatomy scan is a fundamental part of routine antenatal care. Some U/S soft markers or controversial U/S signs are seen during the scan and create some confusion regarding their relation to fetal chromosomal abnormalities. Example of these signs: echogenic focus in the heart, echogenic bowel, renal pyelectasis, ventriculomegaly, polydactely, club foot, choroid plexus cyst, single umbilical artery. Read More

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http://www.degruyter.com/dg/journalprintahead.articlelist.re
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http://www.degruyter.com/view/j/jpme.ahead-of-print/jpm-2015
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http://dx.doi.org/10.1515/jpm-2015-0223DOI Listing
March 2016
10 Reads
1.430 Impact Factor

Ultrasound evaluation of foot deformities in infants.

Pediatr Radiol 2016 Feb 12;46(2):193-209; quiz 190-2. Epub 2015 Oct 12.

Department of Surgery, Orthopedic Division, Sainte-Justine - Mother and Child University Hospital Medical Center, 3175 Cote-Sainte-Catherine, Montreal, Quebec, H3T 1C5, Canada.

Foot deformity in infants is the most common congenital musculoskeletal condition. A precise diagnosis can sometimes be impossible to establish clinically. Radiologic imaging plays a major role in the evaluation of musculoskeletal abnormalities. Read More

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http://dx.doi.org/10.1007/s00247-015-3460-3DOI Listing
February 2016
11 Reads

Prenatal Ultrasound Diagnosis of Congenital Talipes Equinovarus in Bogota (Colombia) Between 2003 and 2012.

Iowa Orthop J 2015 ;35:156-9

Pediatric Orthopaedic surgeon Fundación Cardioinfantil.

Introduction: Congenital Talipes Equinovarus (CTEV) or clubfoot is one of the most common congenital abnormalities(1,2). Early diagnosis by means of ultrasonography allows an opportune intervention and improves the deformity's correction prognosis.

Goal: To describe patients diagnosed with CTEV by means of prenatal sonographies between 2003 and 2012 in Bogotá (Colombia) at both the Institute de Ortopedia Infantil Roosevelt (IOIR) and one of the authors' private office. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492138PMC
June 2016
2 Reads

Prenatal Brain Imaging in Isolated vs. Complicated Club Foot: A Cohort Study.

Ultraschall Med 2016 Dec 11;37(6):591-597. Epub 2015 Sep 11.

Antenatal Diagnostic Unit, Department of Obstetrics and Gynecology, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Talipes equinovarus (TEV) is a common birth defect. Differentiation between isolated and complex TEV is fundamental due to its effect on prognosis. Association between TEV and poor neurological outcome is more prominent in complex cases and highlights the significance of brain evaluation. Read More

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http://dx.doi.org/10.1055/s-0035-1553359DOI Listing
December 2016
3 Reads

Lateral Tibiocalcaneal Angle As a Determinant for Percutaneous Achilles Tenotomy for Idiopathic Clubfeet.

J Bone Joint Surg Am 2015 Aug;97(15):1246-54

Department of Orthopedic Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, 88, Olympic-ro, 43-gil, Songpa-gu, Seoul 138-736, South Korea. E-mail address for S. Kang: E-mail address for S.-S. Park:

Background: The aim of the present study was to evaluate the clinical value of using the lateral tibiocalcaneal (LTiC) angle, measured on a lateral radiograph made with the foot and ankle in maximal dorsiflexion, instead of the ankle dorsiflexion (ADF) angle, measured on physical examination, as a determining indicator of the need for percutaneous Achilles tenotomy after Ponseti serial cast treatment of idiopathic clubfoot.

Methods: We identified patients with idiopathic clubfoot who had been treated at our institution between March 2006 and June 2012. After exclusion of patients with Diméglio grade-I clubfoot and those followed for less than two years, 125 idiopathic clubfeet were evaluated. Read More

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http://dx.doi.org/10.2106/JBJS.O.00076DOI Listing
August 2015
3 Reads

Arteriovenous synovial hemangioma of the popliteal fossa diagnosed in an adolescent with history of unilateral congenital clubfoot: case report and a single-institution retrospective review.

Rom J Morphol Embryol 2015 ;56(2):549-52

Department of Pathology, University of Medicine and Pharmacy of Tirgu Mures, Romania;

Synovial hemangioma (SH) is a very rare soft tissue tumor; in our department, SH represented 0.07% from all soft tissue tumors (one case from 1311 soft tissue tumors), and 0.78% from all excised hemangiomas (one case from 128 hemangiomas) diagnosed over a five-year period. Read More

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http://www.rjme.ro/RJME/resources/files/560215549552.pdf
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February 2016
9 Reads

Prenatal diagnosis of clubfoot: Chromosomal abnormalities associated with fetal defects and outcome in a tertiary center.

J Clin Ultrasound 2016 Feb 14;44(2):100-5. Epub 2015 Jul 14.

CHU de Caen, Département d'Obstétrique, Gynécologie et Médecine de la Reproduction, Caen, 14000, France.

Purpose: Our aim was to evaluate the rate of occurrence of chromosomal abnormalities, associated findings, and outcome in a series of cases of prenatally diagnosed clubfoot.

Methods: We conducted a retrospective study of all cases of clubfoot diagnosed prenatally in the ultrasound unit of a French tertiary center from January 2004 through December 2011. Clubfoot was scored as complex or isolated depending on the presence or absence of another structural abnormality observed on sonographic examination. Read More

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http://dx.doi.org/10.1002/jcu.22275DOI Listing
February 2016
26 Reads

Tarsal Bone Dysplasia in Clubfoot as Measured by Ultrasonography: Can It be Used as a Prognostic Indicator in Congenital Idiopathic Clubfoot? A Prospective Observational Study.

J Pediatr Orthop 2016 Oct-Nov;36(7):725-9

*Department of Orthopaedics †Department of Radiology, PGIMER, Chandigarh, India.

Background: Congenital talipes equinovarus (CTEV )/clubfoot is the most common congenital orthopedic condition. The success rate of Ponseti casting in the hands of the legend himself is not 100%. The prediction of difficult to correct foot and recurrences still remains a mystery to be solved. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000558DOI Listing
March 2017
2 Reads

Combined Medial Cuneiform Osteotomy and Multiple Metatarsal Osteotomies For Correction of Persistent Metatarsus Adductus in Children.

J Pediatr Orthop 2016 Oct-Nov;36(7):730-5

*Xiamen Women and Children's Hospital, Xiamen, Fujian Province, P.R. China †Shriners Hospitals for Children, Portland, OR.

Background: Metatarsus adductus may occur in children after otherwise successful clubfoot treatment or may be an isolated deformity. There are various bony procedures currently in use for treatment of this problem. The purpose of this study was to review our experience with medial cuneiform opening-wedge osteotomy along with transmetatarsal osteotomy through the base of the second to fifth for treatment of the forefoot adductus in children. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BPO.0000000000000559DOI Listing
March 2017
16 Reads