eMedicine Specialties > Radiology > Pediatrics

Clubfoot: Follow-up

Author: Ellen M Chung, MD, Chief, Pediatric Radiology Section, Department of Radiologic Pathology, Armed Forces Institute of Pathology
Coauthor(s): Veronica Rooks, MD, Military Chief of Pediatric Radiology, Pediatric Radiologist, Tripler Army Medical Center; Assistant Professor of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
Contributor Information and Disclosures

Updated: Mar 11, 2008

Intervention

Persistent hindfoot misalignment, pes cavus, overcorrection of forefoot varus, persistent forefoot varus, and stress fractures of the lateral metatarsals may occur in a previously treated clubfoot.14 Hindfoot misalignment is almost always corrected if the patient undergoes surgical repair. Stress fractures are an uncommon complication of inadequately treated feet with persistent forefoot varus, which is the most common indication for repeat surgery.15

 


More on Clubfoot

Overview: Clubfoot
Imaging: Clubfoot
Follow-up: Clubfoot
Multimedia: Clubfoot
References
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References

  1. Manaster BJ. Congenital foot anomalies. In: Handbook of Skeletal Radiology. 1996: 338-49.

  2. Ozonoff MB. The foot. In: Pediatric Orthopaedic Radiology. 1992: 416-23.

  3. Offerdal K, Jebens N, Blaas HG, Eik-Nes SH. Prenatal ultrasound detection of talipes equinovarus in a non-selected population of 49 314 deliveries in Norway. Ultrasound Obstet Gynecol. Nov 2007;30(6):838-44. [Medline].

  4. Prasad P, Sen RK, Gill SS, Wardak E, Saini R. Clinico-radiological assessment and their correlation in clubfeet treated with postero-medial soft-tissue release. Int Orthop. Sep 4 2007;[Medline].

  5. Tarraf YN, Carroll NC. Analysis of the components of residual deformity in clubfeet presenting for reoperation. J Pediatr Orthop. Mar-Apr 1992;12(2):207-16. [Medline].

  6. Johnston CE, Hobatho MC, Baker KJ. Three-dimensional analysis of clubfoot deformity by computed tomography. J Pediatr Orthop B. 1995;4(1):39-48. [Medline].

  7. Downey DJ, Drennan JC, Garcia JF. Magnetic resonance image findings in congenital talipes equinovarus. J Pediatr Orthop. Mar-Apr 1992;12(2):224-8. [Medline].

  8. Cahuzac JP, Baunin C, Luu S. Assessment of hindfoot deformity by three-dimensional MRI in infant club foot. J Bone Joint Surg Br. Jan 1999;81(1):97-101. [Medline].

  9. Wang C, Petursdottir S, Leifsdottir I. MRI multiplanar reconstruction in the assessment of congenital talipes equinovarus. Pediatr Radiol. Apr 1999;29(4):262-7. [Medline].

  10. Chami M, Daoud A, Maestro M. Ultrasound contribution in the analysis of the newborn and infant normal and clubfoot: a preliminary study. Pediatr Radiol. 1996;26(4):298-302. [Medline].

  11. Coley BD, Shiels WE 2nd, Kean J, Adler BH. Age-dependent dynamic sonographic measurement of pediatric clubfoot. Pediatr Radiol. Nov 2007;37(11):1125-9. [Medline].

  12. Hamel J, Becker W. Sonographic assessment of clubfoot deformity in young children. J Pediatr Orthop B. Fall 1996;5(4):279-86. [Medline].

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

  14. Ramseier LE, Schoeniger R, Vienne P, Espinosa N. Treatment of late recurring idiopathic clubfoot deformity in adults. Acta Orthop Belg. Oct 2007;73(5):641-7. [Medline].

  15. Ikeda K. Conservative treatment of idiopathic clubfoot. J Pediatr Orthop. Mar-Apr 1992;12(2):217-23. [Medline].

  16. McKay DW. New concept of and approach to clubfoot treatment: section I-principles and morbid anatomy. J Pediatr Orthop. Oct 1982;2(4):347-56. [Medline].

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Further Reading

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Keywords

talipes equinovarus, hindfoot equinus, hindfoot varus, forefoot varus, myelomeningocele, arthrogryposis multiplex congenita, tibial hemimelia

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Contributor Information and Disclosures

Author

Ellen M Chung, MD, Chief, Pediatric Radiology Section, Department of Radiologic Pathology, Armed Forces Institute of Pathology
Ellen M Chung, MD is a member of the following medical societies: American Association for Women Radiologists, American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

Veronica Rooks, MD, Military Chief of Pediatric Radiology, Pediatric Radiologist, Tripler Army Medical Center; Assistant Professor of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
Veronica Rooks, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of Program Directors in Radiology, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Henrique M Lederman, MD, PhD, Consulting Staff, Department of Radiology, The Children's Hospital of Philadelphia; Professor of Radiology and Pediatric Radiology, Chief, Division of Diagnostic Imaging in Pediatrics, Federal University of Sao Paulo, Brazil
Henrique M Lederman, MD, PhD is a member of the following medical societies: Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Kieran McHugh, MBBCh, Honorary Lecturer, The Institute of Child Health; Consultant Pediatric Radiologist, Department of Radiology, Great Ormond Street Hospital for Children, London, UK
Kieran McHugh, MBBCh is a member of the following medical societies: American Roentgen Ray Society and Royal College of Radiologists
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Consulting Staff, Department of Radiology, King's College Hospital, London
Disclosure: Nothing to disclose.

 
 
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