Assessing Children with Clubfoot: Difference between revisions

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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== Introduction ==
== Introduction ==
== Classification<ref>clubfoot,http://emedicine.medscape.com/article/1237077-overview#a4 (accessed 28 June 2017)</ref> ==
== Classification<ref>clubfoot,http://emedicine.medscape.com/article/1237077-overview#a4 (accessed 28 June 2017)</ref> ==
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Thus each foot can receive a hindfoot score between 0 to 3, a midfoot score between 0 to 3 and total score between 0 to 6.  
Thus each foot can receive a hindfoot score between 0 to 3, a midfoot score between 0 to 3 and total score between 0 to 6.  
== references ==
== references ==
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== References  ==
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[[Category:Clubfoot]]
[[Category:Clubfoot]]

Revision as of 21:11, 19 July 2017

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

Top Contributors - Naomi O'Reilly, Kim Jackson, Rachael Lowe, Asma Alshehri, Evan Thomas, Rucha Gadgil, Simisola Ajeyalemi, Samuel Adedigba and Olajumoke Ogunleye  

Introduction[edit | edit source]

Classification[1][edit | edit source]

Although there is no classification system for clubfoot is universally used, clubfoot can be classified according to the nature of the deformity:

1. Postural (technically these are not true clubfoot)

2. Fixed or rigid and this can be flexible so it can be corrected without surgery or resistance which require a surgical release or using of Ponsti method.

Types[2][edit | edit source]

Individuals with clubfoot experience bone and soft tissues deformation and this abnormality can be presented in different shapes (abnormal alignments) and we should define the exact occurred abnormality in the assessing child.

There are four variations of clubfoot:

  • Talipes Calcaneovalgus: characterized by marked ankle joint dorsiflexion, subtalar joint eversion, forefoot abduction and loss of concavity of medial longitudinal arch.
  • Talipes Calcaneovarus: Characterized by marked ankle joint dorsiflexion, heel inversion and forefoot adduction.
  • Talipes Equinovalgus: characterized by marked ankle joint plantarflexion, heel eversion and forefoot abduction
  • Talipes Equineovarus: This is the most common type and clubfoot which characterized by marked ankle joint plantar flexion and forefoot inversion, heel inversion, forefoot adduction and exaggerated concavity of the medial longitudinal arch.

Severity[3][edit | edit source]

There is no agreed method of grading the severity of deformity Pirani et al devised a simple scoring system based on six clinical signs of contracture. Each is scored according to the following principle:

0, no abnormality

0.5, moderate abnormality

1, sever abnormality

The six sings are separated into three related to the hindfoot (severity of the posterior crease, emptiness of the heel and rigidity of then equinus) and three related to the mid foot (curvature of the lateral border of the foot, severity of the medial crease and position of the lateral part of the head of the talus).

Thus each foot can receive a hindfoot score between 0 to 3, a midfoot score between 0 to 3 and total score between 0 to 6.

references[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. clubfoot,http://emedicine.medscape.com/article/1237077-overview#a4 (accessed 28 June 2017)
  2. Talipes, http://medical-dictionary.thefreedictionary.com/talipes (accessed 28 June 2017)
  3. P.J.Dyer, N.Davis, The role of the Perani scoring system in the management of club foot by the Ponseti method, J Bone Joint surg [Br] 2006;88-B:1082-4.