Pirani Score Example: Difference between revisions

No edit summary
No edit summary
Line 5: Line 5:
</div>  
</div>  
== Introduction ==
== Introduction ==
Scoring the foot at each visit during treatment enables the health care worker treating the child to document how the foot is responding to manipulation and casting.


== Pirani Score Assessment ==
== Pirani Score Assessment ==


=== Example 1 ===
=== Example 1 ===


==== Medial Crease ====
==== Medial Crease ====
What is the Medial Crease Score?
What is the Medial Crease Score? <ref name=":0">Africa Clubfoot Training Project. Chapter 4 How To Assess the Severity of a Clubfoot using the Pirani Score. Africa Clubfoot Training Basic & Advanced Clubfoot Treatment Provider Courses - Participant Manual. University of Oxford: Africa Clubfoot Training Project, 2017.</ref>
[[File:Medial Crease.png|none|thumb]]


==== Lateral Border ====
==== Lateral Border ====
What is the Lateral Border Score?
What is the Lateral Border Score? <ref name=":0" />
[[File:Lateral Border.png|none|thumb]]


==== Posterior Crease ====
==== Posterior Crease ====
What is the Posterior Crease Score?
What is the Posterior Crease Score? <ref name=":0" />
[[File:Posterior Crease.png|none|thumb]]


==== Rigid Equinus Score ====
==== Rigid Equinus Score ====
If this is the maximum dorsiflexion, what is the Rigid Equinus Score?
If this is the maximum dorsiflexion, what is the Rigid Equinus Score? <ref name=":0" />
[[File:Rigid Equinus Score.png|none|thumb]]


=== Example 2 ===
=== Example 2 ===
After assessment with the Pirani Score, you find:
After assessment with the Pirani Score, you find: <ref name=":0" />


Medial Crease (MC) = 0
Medial Crease (MC) = 0
Line 37: Line 42:
Rigid Equinus = 0.5
Rigid Equinus = 0.5


# What is the Total Midfoot Score?
What is the Total Midfoot Score?
# What is the Total Hindfoot Score?
# What is the Total Pirani Score?


== Pirani Score Record Sheet ==
What is the Total Hindfoot Score?


== Pirani Score Graph  ==
What is the Total Pirani Score?
 
Is this patient ready to undergo Tenotomy?
 
=== Example 3 ===
Based on the following Pirani Scores, which of these patients is ready for Tenotomy? <ref name=":0" />
 
'''Patient 1:''' CLB 0, LHT 0.5, MC 0, PC 0.5, RE 1.0, EH 1.0 Total Score = 3
 
'''Patient 2:''' CLB 0, LHT 0, MC 0, PC 1.0, RE 1.0, EH 1.0 Total Score = 3
 
'''Patient 3:''' CLB 0, LHT 0, MC 0.5, PC 1.0, RE 1.0, EH 0.5 Total Score = 3


== References  ==
== References  ==


<references />
<references />
[[Category:Clubfoot]]
[[Category:Clubfoot]]

Revision as of 01:17, 5 November 2017

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Naomi O'Reilly and Kim Jackson  

Introduction[edit | edit source]

Scoring the foot at each visit during treatment enables the health care worker treating the child to document how the foot is responding to manipulation and casting.

Pirani Score Assessment[edit | edit source]

Example 1[edit | edit source]

Medial Crease[edit | edit source]

What is the Medial Crease Score? [1]

Medial Crease.png

Lateral Border[edit | edit source]

What is the Lateral Border Score? [1]

Lateral Border.png

Posterior Crease[edit | edit source]

What is the Posterior Crease Score? [1]

Posterior Crease.png

Rigid Equinus Score[edit | edit source]

If this is the maximum dorsiflexion, what is the Rigid Equinus Score? [1]

Rigid Equinus Score.png

Example 2[edit | edit source]

After assessment with the Pirani Score, you find: [1]

Medial Crease (MC) = 0

Curved Lateral Border (CLB) = 0.5

Lateral Head of Talus (LHT) = 0

Posterior Crease (PC) = 1

Empty Heel = 0.5

Rigid Equinus = 0.5

What is the Total Midfoot Score?

What is the Total Hindfoot Score?

What is the Total Pirani Score?

Is this patient ready to undergo Tenotomy?

Example 3[edit | edit source]

Based on the following Pirani Scores, which of these patients is ready for Tenotomy? [1]

Patient 1: CLB 0, LHT 0.5, MC 0, PC 0.5, RE 1.0, EH 1.0 Total Score = 3

Patient 2: CLB 0, LHT 0, MC 0, PC 1.0, RE 1.0, EH 1.0 Total Score = 3

Patient 3: CLB 0, LHT 0, MC 0.5, PC 1.0, RE 1.0, EH 0.5 Total Score = 3

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Africa Clubfoot Training Project. Chapter 4 How To Assess the Severity of a Clubfoot using the Pirani Score. Africa Clubfoot Training Basic & Advanced Clubfoot Treatment Provider Courses - Participant Manual. University of Oxford: Africa Clubfoot Training Project, 2017.