862 results match your criteria Clubfoot Imaging


TARP syndrome associated with renal malformation and optic nerve atrophy.

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Department of Pediatrics at Fundación Santa Fé de Bogotá, Hospital Universitario de la Fundacion Santa Fe de Bogota, Bogota, Colombia.

Talipes equinovarus, atrial septal defect, Robin sequence and persistent left superior vena cava (TARP) syndrome is a congenital disease caused by mutations in the RBBM10 gene. It has a low prevalence and a high rate of mortality in the neonatal stage. In this case report, we present a case of a 32-week gestational age preterm newborn with a prenatal diagnosis of intrauterine growth restriction, with a persistent left superior vena cava, interatrial communication and a horseshoe kidney. Read More

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Magnetic resonance imaging of severe idiopathic club foot treated with one-week accelerated Ponseti (OWAP) technique.

Foot Ankle Surg 2021 May 12. Epub 2021 May 12.

Annajah Medical School, Palestine. Electronic address:

Purpose: This study aims to evaluate changes in tarsal bones relationship after the use of one week accelerated Ponseti method in the treatment of severe idiopathic clubfoot using MRI. We hypothesize that one-week accelerated Ponseti is at least as effective as standard techniques in achieving the desirable MRI parameters.

Methods: This is a prospective study of 8 children with severe idiopathic clubfeet (Pirani 6) (4 unilateral and 4 bilateral) treated before the age of three months with one-week accelerated Ponseti technique, as described in a former study with minimum 2-year follow-up. Read More

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A Patient with a Type I Split Cord Malformation and an Open Myelomeningocele without Advanced Lower Limb Paresis: A Case Report and a Review of the Literature.

NMC Case Rep J 2021 Apr 2;8(1):75-78. Epub 2021 Apr 2.

Department of Neurosurgery, Yamagata University, Faculty of Medicine, Yamagata, Yamagata, Japan.

We report a rare case of a split cord malformation (SCM) combined with an open myelomeningocele (MMC) on the right hemicord. The patient was a male neonate, who exhibited an MMC in the lumbosacral region at birth. Both of his lower limbs moved with slight spasticity, but no atrophic changes or clubfoot deformities were seen. Read More

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Limb body wall complex complicating a dichorionic diamniotic twin pregnancy: MRI for demonstration of fetal morphology.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Radiodiagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, Pondicherry, India.

Limb body wall complex (LBWC) is a rare, lethal malformation characterised by body wall defects, craniofacial and limb anomalies with or without various other organ anomalies. We report a case of dichorionic diamniotic twin pregnancy discordant for LBWC, diagnosed by ultrasound (US) and confirmed by MRI at 21 weeks' gestation, managed expectantly and delivered at 35 weeks by emergency caesarean section with a favourable outcome of the unaffected twin. The anomalous twin, who died soon after birth, had a sizeable thoracoabdominal wall defect, eviscerated liver and bowel loops attached to the placenta, short cord, ectopia cordis, lung hypoplasia, kyphoscoliosis, right upper limb amelia and left clubfoot with polydactyly. Read More

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Infrared Thermal Imaging for Evaluation of Clubfoot After the Ponseti Casting Method-An Exploratory Study.

Front Pediatr 2021 20;9:595506. Epub 2021 Apr 20.

School of Biomedical Engineering, University of Technology Sydney, Sydney, NSW, Australia.

Conservative treatment, Ponseti method, has been considered as a standard method to correct the clubfoot deformity among Orthopedic society. Although the result of conservative methods have been reported with higher success rates than surgical methods, many more problems have been reported due to improper casting, casting pressure or bracing discomfort. Nowadays, infrared thermography (IRT) is widely used as a diagnostic tool to assess musculoskeletal disorders or injuries by detecting temperature abnormalities. Read More

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Statistical shape modelling to analyse the talus in paediatric clubfoot.

Proc Inst Mech Eng H 2021 Apr 25:9544119211012115. Epub 2021 Apr 25.

Department of Mechanical Engineering, College of Engineering, University of Wisconsin Madison, Madison, WI, USA.

One fifth of idiopathic clubfoot deformities cannot be fully corrected by Serial Ponseti casting and deformity recurs in 20%-30% of cases. To avoid x-ray exposure, the joints with largely unossified bones are diagnosed with magnetic resonance images (MRI). Typically, geometric measurements are made in the MRI planes; however, this method is inaccurate compared to measurements on three-dimensional (3D) models of the joint. Read More

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Radiological tarsal bone morphology in adolescent age of congenital clubfeet treated with the Ponseti method.

BMC Musculoskelet Disord 2021 Apr 6;22(1):332. Epub 2021 Apr 6.

Klinikum rechts der Isar, Department of Orthopedics and Sports Orthopedics, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany.

Background: Major abnormalities of tarsal bone shape after surgical clubfoot treatment are well known from the literature. The Ponseti method has gained widespread acceptance in primary treatment of congenital clubfeet. Despite the longtime experience, data regarding the development of tarsal bones after this treatment are still rare. Read More

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The relationship between isolated pes equinovarus and aneuploidies and perinatal outcomes: Results of a tertiary center.

Turk J Obstet Gynecol 2020 Dec 10;17(4):270-277. Epub 2020 Dec 10.

Çukurova University Faculty of Medicine, Department of Obstetrics and Gynecology, Adana, Turkey.

Objective: Congenital pes equinovarus (PEV) is the most common congenital deformity of the foot, characterized by plantar flexion with a frequency of 0.2-0.3%. Read More

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December 2020

Ultrasonographic Volumetric Assessment of Achilles Tendons in Unilateral Congenital Clubfoot in Lagos, Nigeria.

West Afr J Med 2020 Nov;37(6):691-694

Department of Orthopaedic and Trauma,Lagos State University Teaching Hospital,Ikeja, Lagos State,Nigeria.

Purpose: To assess cases of unilateral congenital talipes equinovarus (CTEV) and compare both Achilles tendons using [MSK USS].

Methods: Twenty-two patients (44 feet) with unilateral CTEV presenting at the clubfoot clinic who met the inclusion criteria were recruited for the study. Biographic data was collected from the patients and both Achilles tendons scanned using high frequency ultrasound scan probe. Read More

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November 2020

Is foot deformity associated with developmental dysplasia of the hip?

Bone Joint J 2020 Nov;102-B(11):1582-1586

Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.

Aims: To assess if congenital foot deformity is a risk factor for developmental dysplasia of the hip (DDH).

Methods: Between 1996 and 2012, 60,844 children were born in Sør-Trøndelag county in Norway. In this cohort study, children with risk factors for DDH were examined using ultrasound. Read More

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November 2020

Minoxidil decreases collagen I deposition and tissue-like contraction in clubfoot-derived cells: a way to improve conservative treatment of relapsed clubfoot?

Connect Tissue Res 2020 Sep 20:1-16. Epub 2020 Sep 20.

Second Faculty of Medicine, Charles University, Prague, Czech Republic.

Aim: Clubfoot is a congenital deformity affecting the musculoskeletal system, resulting in contracted and stiff tissue in the medial part of the foot. Minoxidil (MXD) has an inhibitory effect on lysyl hydroxylase, which influences the quality of extracellular matrix crosslinking, and could therefore be used to reduce the stiffness and to improve the flexibility of the tissue. We assessed the antifibrotic effects of minoxidil on clubfoot-derived cells. Read More

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September 2020

Case Report: Multiorgan Involvement with Congenital Zika Syndrome.

Am J Trop Med Hyg 2020 10;103(4):1656-1659

Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.

We report the case of an infant born with congenital Zika syndrome (CZS). During the largest Zika virus (ZIKV) outbreak in Peru, the mother presented with fever and rash that were confirmed to be due to ZIKV by real-time PCR. The infant was born with severe microcephaly. Read More

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October 2020

Growth in individuals with Saul-Wilson syndrome.

Am J Med Genet A 2020 09 11;182(9):2110-2116. Epub 2020 Jul 11.

Division of Orthogenetics, Nemours/A.I. duPont Hospital for Children, Wilmington, Delaware, USA.

Saul-Wilson syndrome (SWS) is a rare autosomal recessive disorder characterized by microcephalic primordial dwarfism, spondyloepimetaphyseal dysplasia, characteristic facial findings, clubfoot, brachydactyly, bilateral cataracts, and hearing loss. Recently, recurrent mutations in COG4, encoding a component of the Conserved Oligomeric Golgi (COG) complex, were identified. We created detailed growth curves for stature, weight, and head circumference, as well as weight-for-length and weight velocity charts for younger children, derived from hundreds of data points obtained by retrospective chart review from 14 individuals with molecularly-confirmed SWS. Read More

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September 2020

Resistive index and peak systolic velocity for congenital talipes equinovarus: A color Doppler ultrasonography study.

Jt Dis Relat Surg 2020 26;31(2):169-174. Epub 2020 Mar 26.

Harran Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 63300 Şanlıurfa, Türkiye.

Objectives: This study aims to investigate whether resistive index (RI) and peak systolic velocity (PSV) are suitable parameters to determine if a clubfoot differs from feet of the normal population.

Patients And Methods: Fifty-four feet of 27 clubfoot patients (22 males, 5 females; mean age 30.4±16. Read More

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November 2020

Hyoid Bone Position and Head Posture in Patients With Richieri-Costa Pereira Syndrome (EIF4A3 Mutations).

J Craniofac Surg 2020 Jun;31(4):e356-e359

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

Robin sequence with cleft mandible and limb anomalies, known as Richieri-Costa-Pereira syndrome (RCPS), is an autosomal recessive acrofacial dysostosis characterized by mandibular cleft and other craniofacial anomalies and respiratory complications. The aim of this cross-sectional study was to describe the hyoid and head posture of 9 individuals with RCPS using cephalometric measurements and provide a discussion about its implications in obstructive sleep apnea syndrome (OSAS). The study was conducted on lateral cephalograms of patients with RCPS and 9 selected age-matched controls in tertiary cleft center in Brazil. Read More

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Anterior Distal Hemiepiphysiodesis of Tibia for Treatment of Recurrent Equinus Deformity Due to Flat-Top Talus in Surgically Treated Clubfoot.

J Foot Ankle Surg 2020 Mar - Apr;59(2):418-422

Associate Professor, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran; Associate Professor, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.

Treatment of persistent or recurrent equinus after repeated surgical releases can be challenging in patients with clubfoot. Anterior distal tibial epiphysiodesis has recently been used in patients with recurrent progressive equinus deformity, with inconsistent outcomes. Herein, we used this technique in a carefully selected subgroup (8 children, 9 feet) of patients with a severe equinus deformity and a flat-top talus. Read More

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January 2021

Combined 3D analysis of lower-limb morphology and function in children with idiopathic equinovarus clubfoot: A preliminary study.

Orthop Traumatol Surg Res 2020 11 26;106(7):1333-1337. Epub 2020 Feb 26.

Institut de biomécanique humaine Georges-Charpak, Arts et Métiers ParisTech, 75013 Paris, France.

Introduction: In children treated for idiopathic equinovarus clubfoot (EVCF), the relation between morphologic defects on clinical examination and standard X-ray on the one hand and functional abnormalities on the other is difficult to objectify. The aim of the present study was to demonstrate the feasibility of combined 3D analysis of the foot and lower limb based on biplanar EOS radiographs and gait analysis. The study hypothesis was that this provides better understanding of abnormalities in form and function. Read More

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November 2020

Early Radiographic Changes in the Lateral Talocalcaneal Angle Following Achilles Tenotomy in Children With Idiopathic Clubfoot.

Foot Ankle Int 2020 03 19;41(3):350-355. Epub 2019 Dec 19.

Pediatric Surgery Department, University Hospital Estaing, Clermont Ferrand, France.

Background: Percutaneous Achilles tenotomy (PAT) is an important component of the Ponseti method and is performed in 85% to 90% of patients. However, there is a lack of objective data assessing early radiographic changes in children undergoing PAT.

Methods: Forty-nine patients with idiopathic clubfoot treated by Ponseti casting were prospectively enrolled between October 2017 and October 2018. Read More

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A comparative study of pedobarography and ankle kinematics between children with idiopathic clubfoot after a soft tissue release procedure and controls.

Int Orthop 2020 02 3;44(2):319-327. Epub 2019 Dec 3.

Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.

Purpose: Surgery for idiopathic clubfoot, though limited in indications, should be performed by a selective soft tissue release. Aims of the study were to evaluate the pedobarography and ankle kinematics of the clubfoot post-surgery and compare with controls.

Methods: Twenty-two patients (33 clubfeet) and 22 normal children (44 feet) were enrolled into the cross-sectional study. Read More

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February 2020

Difficulties During Ponseti Casting for the Treatment of Idiopathic Clubfoot.

J Foot Ankle Surg 2020 Jan - Feb;59(1):100-104. Epub 2019 Nov 20.

Orthopedic Resident, Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

The Ponseti method has resulted in excellent outcomes in the treatment of idiopathic clubfoot. To evaluate the process of serial casting, most studies previously used the number of casts required to achieve correction. In contrast, difficulties that occurred during serial casting were rarely studied. Read More

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A new anchoring technique for tibialis anterior tendon transfer.

J Pediatr Orthop B 2020 Jul;29(4):379-381

Cairo University, Cairo, Egypt.

Tibialis anterior tendon transfer was described as an effective method in the management of dynamic supination as well as prevention of clubfoot relapse in children. Different successful methods were described for anchoring the transferred tibialis anterior tendon; however, each of which has its own complications that were avoided by using this novel technique. This study included 26 feet in 18 patients, who underwent tibialis anterior tendon transfer as a part of management of their congenital clubfoot. Read More

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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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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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November 2019

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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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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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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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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November 2019