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Clinico-sonographical evaluation of idiopathic clubfoot and its correction by Ponseti method :a prospective study / Mallika Gupta in The Foot, 33 (Décembre 2017-février 2018)
[article]
in The Foot > 33 (Décembre 2017-février 2018) . - p. 7-13
Titre : Clinico-sonographical evaluation of idiopathic clubfoot and its correction by Ponseti method :a prospective study Type de document : article de périodique Auteurs : Mallika Gupta, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 7-13 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:P:Pied bot varus équin congénital:Pied bot varus équin congénital / thérapie
[Thésaurus Mesh]Endosonographie
[Thésaurus Mesh]Pied bot varus équin congénital
[Thésaurus HELB]:Paramédical:Methode Ponseti
[Thésaurus HELB]:Paramédical:Pirani scoreMots-clés : Clubfoot sonography Ponseti method Résumé : Background: Objective evaluation of infant with clubfoot is required as conventional imaging modality is of
limited usefulness. Ultrasound shows to be a promising technique for assessing deformity and monitoring of
clubfoot correction.
Aim: Study was done to evaluate the deformity sonographically; to assess the changes in these parameters after
treatment by Ponseti method and to correlate these ultrasonographic variables with clinical Pirani score.
Materials and methods: 82 feet in 54 children were observed. Clinical assessment was done using Pirani six point
system and ultrasound machine with 7.5–12 MHz linear transducer was used to measure several parameters and
data obtained was assessed to derive correlation between sonographic parameters and clinical system.
Results: Medial malleolus navicular distance (MMN) measured on medial view, calcaneo-cuboid distance (CCD)
and calcaneo-cuboid angle (CCA) measured on lateral view, talar length (TAL) measured on dorsal view and
tibio-calcaneal distance (TCL) measured on posterior view showed statistical significance. Sonographic parameters
correlated statistically with Pirani scoring system on measuring Pearson correlation coefficient.
Conclusion: Ultrasound is a relatively simple, non invasive and widely available procedure that can improve
pathomorphological documentation of nonossified clubfoot and its correction.
Level of evidence: Level II prospective study, as per guidelines for authors.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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