Affiliation:
1. PG Resident Orthopaedics, PIMS Hospital, Udaipur, Rajasthan, India
2. PG Resident Orthopaedics, PIMS Hospital, Udaipur, Rajasthan, India.
3. PG Resident Radiology, PIMS Hospital, Udaipur, Rajasthan, India
4. Associate Professor, PIMS Hospital, Udaipur, Rajasthan, India.
Abstract
Congenital talipes equinovarus (clubfoot) is a joint deformity of the foot in children, which affects one in every 1000 live births. Our study aims to
correlate Pirani score and ultrasound in assessing the correction of clubfoot in neonates treated by the Ponseti method. A total of 44 infants with
idiopathic congenital talipes equinovarus deformity were prospectively treated by the Ponseti method. Pirani score and ultrasound parameters were
measured during every visit, i.e., every week till the completion of treatment. The sonographic evaluation was done in the affected foot's posterior,
medial and lateral aspects. Following sonographic parameters were calculated: Tibio-calcaneal distance (TC), Medial Malleolar Navicular
distance (MMN) & Calcaneo-cuboid angle (CC angle). The correlation between ultrasound parameters and Pirani score was evaluated using paired
t-test. Ultrasound effectively depicts the pathoanatomy in clubfoot. Ultrasound being non-invasive, easily available, and radiation-free, can be
safely used for infants to assess the effectiveness of clubfoot treatment. Pirani score and ultrasound correlation were done, and p values for
respective parameters were calculated during the treatment.
Subject
Insect Science,Ecology, Evolution, Behavior and Systematics,Physical and Theoretical Chemistry,General Physics and Astronomy,General Chemical Engineering,General Physics and Astronomy,General Mathematics,Fluid Flow and Transfer Processes,General Physics and Astronomy,Mechanical Engineering,General Materials Science,Fluid Flow and Transfer Processes,General Physics and Astronomy,Mechanical Engineering,Physical and Theoretical Chemistry,General Physics and Astronomy,General Chemical Engineering,Fluid Flow and Transfer Processes,Mechanical Engineering,Condensed Matter Physics,Cellular and Molecular Neuroscience,Developmental Neuroscience,Neurology,General Medicine,Literature and Literary Theory,Linguistics and Language,Language and Linguistics