Pirani Score Example
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Introduction[edit | edit source]
Scoring the foot at each visit during treatment enables the physiotherapist or health care worker treating the child to document how the foot is responding to the manipulation and casting. It also assists in determining when to perform the Achilles Tenotomy.
Pirani Score Assessment[edit | edit source]
Consider the following examples which highlight different elements of the Pirani Score Process.
Example 1 Scoring the Foot[edit | edit source]
Medial Crease[edit | edit source]
What is the Medial Crease Score? [1]
Lateral Border[edit | edit source]
What is the Lateral Border Score? [1]
Posterior Crease[edit | edit source]
What is the Posterior Crease Score? [1]
Rigid Equinus Score[edit | edit source]
If this is the maximum dorsiflexion, what is the Rigid Equinus Score? [1]
Example 2 Calculating the Pirani Score[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 Determining Readiness for Tenotomy[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
