Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release

The controversy regarding the radiographic parameter which best represents the various deformities of clubfoot continues. The aim of our study was to clear up this controversy. Fifty surgically treated (soft-tissue release) congenital clubfeet were studied clinically using Laaveg and Ponseti score a...

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Bibliographic Details
Published in:International orthopaedics Vol. 33; no. 1; pp. 225 - 229
Main Authors: Prasad, Prabhudev, Sen, Ramesh K., Gill, Shivender S., Wardak, Emal, Saini, Raghav
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer-Verlag 01-02-2009
Subjects:
Adolescent
Ankle Joint - diagnostic imaging
Ankle Joint - physiopathology
Case-Control Studies
Child
Child, Preschool
Clubfoot - diagnostic imaging
Clubfoot - physiopathology
Clubfoot - surgery
Female
Foot Joints - diagnostic imaging
Foot Joints - physiopathology
Humans
Male
Medicine
Medicine & Public Health
Original Paper
Orthopedic Procedures - methods
Orthopedics
Outcome Assessment (Health Care) - methods
Radiography
Range of Motion, Articular - physiology
Treatment Outcome
Weight-Bearing - physiology
Functional Grade
Radiographic Parameter
Lateral View
Functional Rating
Clubfoot
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Summary:The controversy regarding the radiographic parameter which best represents the various deformities of clubfoot continues. The aim of our study was to clear up this controversy. Fifty surgically treated (soft-tissue release) congenital clubfeet were studied clinically using Laaveg and Ponseti score and radiologically using twelve different radiographic parameters in weight-bearing AP and lateral views. The talo-calcaneal angle (TCA) in AP and lateral view showed statistically significant correlation with the functional rating, but significant variation in the dimension of the angles among the different functional groups was found with AP angle only. The talo-first metatarsal angle in AP and lateral view averaged 10° and 19° respectively, and showed significant correlation with the functional rating. The talo-navicular subluxation in AP, the calcaneo–fifth metatarsal angle and the first–fifth metatarsal angle in lateral view did not show any significant correlation with function. Talo-calcaneal index averaged 44° in the clubfeet and showed significant correlation. The wide range of parameters representing each of the deformities gives a better radiological assessment of the clubfoot than any single parameter.
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ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-007-0448-0