Clubfoot Versus Positional Foot Deformities on Prenatal Ultrasound Imaging

Brasseur‐Daudruy, M.; Amara, S. Abu; Ickowicz-Onnient, Valentine; Touleimat, Salma; Verspyck, É.

doi:10.1002/jum.15136

Cited by 8 publications

(11 citation statements)

References 10 publications

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“…However, the present study updates a previous systematic review [ 6 ] which included studies from 1966 to 2015. Secondly, the US diagnosis of clubfoot has vastly improved in the last two decades thanks to the development of US technology and other diagnostic techniques [ 5 ]. A clear demonstration of this improvement is presented in a study published in 2007 that reported an improvement in US accuracy in prenatal diagnosis detection from 43% to 77% [ 34 ] in the last 18 years.…”

Section: Discussionmentioning

confidence: 99%

“…The primary methods for the prenatal diagnosis of clubfoot are ultrasound (US) screening, and magnetic resonance imaging (MRI). US detection of Clubfoot has drastically improved over the past two decades; however, there is little literature on specific diagnostic techniques and classification, and false-positive diagnoses remain high with values ranging from 10–40% [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Prenatal Diagnosis of Clubfoot: Where Are We Now? Systematic Review and Meta-Analysis

et al. 2021

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The primary methods for prenatal diagnosis of Clubfoot are ultrasound (US) and magnetic resonance imaging (MRI). An ultrasound is performed between the 1st trimester and the 28th week of pregnancy and it is reported to be used as a diagnostic method alone or in combination with MRI. So far, an international consensus on the most effective screening method has not been reached. This systematic review and meta-analysis were performed to establish the most effective and reliable exam for prenatal diagnosis of Clubfoot. The literature search was conducted using a PIOS-approach from May 2021 to June 2021. Studies reporting cases of prenatal diagnosis of Clubfoot made through US and MRI conducted from January 2010 to June 2021 were included in the study and reviewed by 2 authors. The 23 selected studies included 2318 patients. A total of 11 of the studies included details on the accuracy, while the rest were used to obtain information about the primary methodology utilized. In all the selected studies, US was used as the primary diagnostic instrument. Thirteen of the studies used the US exclusively, while three used MRI in addition to US and seven performed karyotyping after US diagnosis. The US has been shown to be the instrument of choice for the prenatal diagnosis of Clubfoot. International guidelines for an ultrasonography classification of congenital clubfoot are required to reduce the inter-variability accuracy of this procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prenatal Diagnosis of Clubfoot: Where Are We Now? Systematic Review and Meta-Analysis

et al. 2021

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“…19 After the prenatal diagnosis of clubfeet, the parents are counseled by the orthopedic surgeon of our clubfoot center about the treatment procedure starting within 1 week after at term birth according to the Ponseti method. 25 The children with TEV were invited to the regular follow-up by the pediatric orthopedic surgeon (from the first week after birth to 16 years of age). For this research, the followup was assessed directly after and 6 weeks after birth.…”

Section: Follow-upmentioning

confidence: 99%

Calf circumferences in fetuses and neonates with and without talipes equinovares. A prospective cohort study

Tjon

Witbreuk²,

Struijs³

et al. 2023

Prenatal Diagnosis

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Objective Children and adults with talipes equinovarus (TEV) have smaller calves and shorter feet compared to non‐affected controls. Do these changes have a prenatal onset? Methods A prospective cohort study (January 2020–July 2021) was conducted with serial ultrasonographic measurements at 20 and 28 weeks gestation and measurements directly and 6 weeks after birth. Calf circumference and width, foot length and length of humerus, ulna, radius, femur, tibia and fibula were measured in TEV and were compared to a control population. Calculated sample size necessitated a minimal population of 10 cases with TEV and 50 controls. Results Twenty cases with TEV and 62 controls were included. Fetal calf circumference (p < 0.001) and width (p < 0.001) were smaller in the TEV group in comparison to the control group, which persisted after birth. Growth in foot length (p < 0.001) and calf width (p 0.003) declined prenatally over time. The bone lengths and upper leg circumference were not smaller or shorter in TEV compared to controls. Conclusion This prospective cohort study demonstrated the prenatal onset of reduced calf and foot size in fetuses with TEV from 20 weeks and onwards, which persists directly after birth. To investigate whether reduction in circumference initiates TEV or is caused by TEV, further examination is needed.

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“…This pediatric defect is clinically classified as secondary or isolated; it is secondary or syndromic when associated with another congenital disease (20% of cases), and isolated if no other malformations are present (80% of cases), which introduces the concept of idiopathic CTEV [1,2]. The congenital defect differs from postural clubfoot because it is flexible to clinical maneuvers due to its prenatal positional nature and it is easily treatable [3,4]. Postural clubfoot is a structurally normal foot and, despite an abnormal resting position, the doctor can correct it with specific physical manipulations [3].…”

Section: Introductionmentioning

confidence: 99%

“…Prenatal ultrasound has an accuracy of 86% for isolated clubfoot and usually correlates with postnatal severity with a higher Pirani score [10]. The prenatal diagnosis can help and psychologically prepare the parents for the pathology and the treatment [4,11]. Over the years, various treatments with different degrees of surgical invasiveness have been proposed [12].…”

Section: Introductionmentioning

confidence: 99%

Incidence of Congenital Clubfoot: Preliminary Data from Italian CeDAP Registry

Dibello

Torelli

Carlo

et al. 2022

IJERPH

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(1) Background: We find the incidence of clubfoot in Italy from “Certificate of Delivery Care Registry (CeDAP)”, a database of the Italian Ministry of Health, the most comprehensive public data available for this purpose. (2) Methods: The CeDAP registry is a web system that provides epidemiological and sociodemographic information about newborns. It started on 1 January 2002, following the ministerial Decree no. 349 of 16 July 2001. The certificate is structured into six sections; each collects specific information referring to the birthplace, parents, pregnancy, childbirth, newborn, and the possible presence of congenital malformations or the causes of neonatal mortality. The midwife or the doctor draws up the certificate no later than ten days after birth. Each region transmits the data every six months to the Ministry of Health. The period between 2013 and 2017 has been selected for the study, with every Italian region’s data. We conducted a retrospective descriptive study. (3) Results: The overall rate in northern Italy is 1.09 (with some exceptions described), but we think it is essential to reevaluate this number again, given more accurate data collections by every Italian hospital. (4) Conclusions: This study intends to build a framework for future epidemiologic studies about clubfoot in Italy.

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Clubfoot Versus Positional Foot Deformities on Prenatal Ultrasound Imaging

Cited by 8 publications

References 10 publications

Prenatal Diagnosis of Clubfoot: Where Are We Now? Systematic Review and Meta-Analysis

Prenatal Diagnosis of Clubfoot: Where Are We Now? Systematic Review and Meta-Analysis

Calf circumferences in fetuses and neonates with and without talipes equinovares. A prospective cohort study

Incidence of Congenital Clubfoot: Preliminary Data from Italian CeDAP Registry

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