Ultrasonographic evaluation of clubfoot and it’s correction by Ponseti method: a review

Authors

  • Sumit Chawla Department of Orthopaedics, M.L.B. Medical College, Jhansi, Uttar Pradesh, India
  • Mallika Gupta Department of Radiodiagnosis, Sir Ganga Ram Hospital, New Delhi-110060, India

Keywords:

Ultrasound, Clubfoot, Ponseti maneuver, Pirani score

Abstract

Ultrasound is a relatively simple, non-invasive and easily available, inexpensive procedure for objective documentation of clubfoot correction without exposing the baby to radiation risk. Also with clinical classifications it is difficult to quantify precisely and objectively the degrees of medial displacement of the navicular in relation to the talar head or of the calcaneocuboid joint deformity which can be assessed by dynamic sonography. Ultrasound shows to be a promising technique for assessing deformity & monitoring of clubfoot treatment. Clinical scoring method by Pirani scoring is commonly practiced and quite popular. The validity of this clinical Pirani score could be reinforced if supplemented by sonographic assessment, before and after treatment, to confirm return of normal anatomic relationships between the different bones.

References

Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting of idiopathic clubfoot. J Pediatr Orthop. 2002;22:517Y-21Y.

Bensahel H, Dimeglio A, Souchet PH. Final evaluation of clubfoot. J Pediatr Orthop B. 1995;4:137-41.

Celebi L, Muratli HH, Aksahin E, Yagmurlu MF, Bicimoglu A. Bensahel; International Clubfoot Study Group. Evaluation of treated clubfoot: assessment of interobserver and intraobserver reliability. J Pediatr Orthop B. 2006;15:34-6.

Staheli L. Clubfoot. In: Staheli L, eds. Ponseti Management. 3rd ed. Seattle, WA: Global Help Organization; 2009.

Dimeglio A, Bensahel H, Souchet PH, Mazeau PH, Bonnet F. Classification of clubfoot. J Pediatr Orthop B. 1995;4:129-36.

Aurell Y, Aldercreutz C, Andriesse H, Jonsson K. Repeatability of sonographic measurements in clubfeet. Acta Radiol. 2004;45:622-7.

Aurell Y, Andriesse H, Johansson A, Jonsson K. Ultrasound assessment of early clubfoot treatment: a comparison of the Ponseti method and a modified Copenhagen method. J Pediatr Orthop B. 2005;14:347-57.

Aurell Y, Johansson A, Hansson G, Jonsson K. Ultrasound anatomy in the neonatal clubfoot. Eur Radiol. 2002;12:2509-17.

Aurell Y, Johansson A, Hansson G, Wallender H, Jonsson K. Ultrasound anatomy in the normal neonatal and infant foot: an anatomic introduction to ultrasound assessment of foot deformities. Eur Radiol. 2002;12:2306-12.

Chami M, Daoud A, Maestro M, Lagrange AS, Geoffray A. Ultrasound contribution in the analysis of the new-born and infant normal and clubfoot: a preliminary study. Pediatr Radiol. 1996;26:298-302.

Desai S, Aroojis A, Mehta R. Ultrasound evaluation of clubfoot correction during Ponseti treatment: a preliminary report. J Pediatr Orthop. 2008;28:53-9.

Gigante C, Talenti E, Turra S. Sonographic assessment of clubfoot. J Clin Ultrasound. 2004;32:235-42.

Hamel J, Becker W. Sonographic assessment of clubfoot deformity in young children. J Pediatr Orthop B. 1996;5:279-86.

Maiza D, Themar-Neol C, Legrand I, Bensahel H, Hassan M. Ultrasonographic approach to the neonatal foot: preliminary study. J Pediatr Orthop B. 1995;4:123-8.

Napiontek M. Intraoperative ultrasound for evaluation of reduction in congenital talipes equinovarus. J Pediatr Orthop B. 1995;4:55-7.

Suda R, Suda AJ, Grill F. Sonographic classification of idiopathic clubfoot according to severity. J Pediatr Orthop B. 2006;15:134-40.

Tolat V, Boothroyd A, Carty H, Klenerman L. Ultrasound: a helpful guide in the treatment of congenital talipes equinovarus. J Pediatr Orthop B. 1995;4:65-70.

Bhargava SK, Tandon A, Prakash M, Arora SS, Bhatt S, Bhargava S. Radiography and sonography of clubfoot: a comparative study. Indian J Orthop. 2012;46:229-35.

Shiels WE 2nd, Coley BD, Kean J, Adler BH. Focused dynamic sonographic examination of the congenital clubfoot. Pediatr Radiol. 2007 Nov;37(11):1118-24.

Maranho D, Barbosa M, Simão M, Volpon J. Ultrasonographic evaluation of Achilles tendon repair after percutaneous sectioning for the correction of congenital clubfoot residual equinus. J Pediatr Orthop. 2009;29:804-10.

El-Adwar KL, Kotb HT. The role of ultrasound in clubfoot treatment: correlation with the Pirani score and assessment of the Ponseti method. Clin Orthop Relat Res. 2010;468(9):2495-506.

Ponseti IV. Congenital clubfoot. Ponseti IV, eds. Fundamentals of Treatment. 1st ed. Oxford: Oxford University Press; 1996: 140.

Wainwright AM, Auld T, Benson MK, Theologis TN. The classification of congenital talipes equinovarus. J Bone Joint Surg Br. 2002;84:1020-4.

Coley BD, Shiels WE, Wu JK, Kean J. Age-dependent dynamic sonographic measurements of pediatric clubfoot. J Ultrasound Med. 2000;19:17.

Kuhns LR, Koujok K, Hall JM, Craig C. Ultrasound of the navicular during the simulated Ponseti maneuver. J Pediatr Orthop. 2003;23:243-5.

McCauley RGK, Craig CL, Wallace EC, Kamins P. Sonography in the evaluation of clubfoot in infants. Pediatr Radiol. 1994;24:351-82.

Herzenberg JE, Carroll NC, Christofersen MR, Lee EH, White S, Munroe R. Clubfoot analysis with three-dimensional computer modeling. J Pediatr Orthop. 1988;8:257-62.

Johnston CE 2nd, Hobatho MC, Baker KJ, Baunin C. Three-dimensional analysis of clubfoot deformity by computed tomography. J Pediatr Orthop B. 1995;4:39-48.

Cahuzac JP, Baunin C, Luu S, Estivalezes E, Sales de Gauzy J, Hobatho MC. Assessment of hindfoot deformity by three-dimensional MRI in infant club foot. J Bone Joint Surg Br. 1999;81:97-101.

Song HR, Carroll NC, Neyt J, Carter JM, Han J, D’Amato CR. Clubfoot analysis with three-dimensional foot models. J Pediatr Orthop B. 1999;8:5-11.

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Published

2017-01-31

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Review Articles