Real time evaluation of monolateral clubfoot with sonoelastography

Masala, Salvatore; Manenti, Guglielmo; Antonicoli, Marco; Morosetti, Daniele; Claroni, Giulia; Guglielmi, Giuseppe; Simonetti, Giovanni

doi:10.1007/s11547-013-0378-4

Cited by 12 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, no work on measuring the mechanical properties of the tendons and ligaments in a clubfoot by direct mechanical testing has been conducted. Masala et al [15] investigated the difference in mechanical properties of the Achilles tendon between a clubfoot and a normal foot by real-time sonoelastography (RTSE). The results show lower mean elasticity values from the Achilles tendons of the clubfeet compared to normal feet (unilateral clubfoot patients), demonstrating that the Achilles tendon is stiffer in a clubfoot.…”

Section: Main Textmentioning

confidence: 99%

“…However, the tissue samples used in this study were fixed in 4% paraformaldehyde before measurement, thus leading to excess crosslinking in the ligaments that would result in higher stiffness values. To note, in both of these studies [15, 16], the measurement of soft tissue elasticity was performed on patients undergoing or already treated with the Ponseti method. More information about the mechanical properties of the soft tissues in untreated clubfeet is needed for comparison.…”

Section: Main Textmentioning

confidence: 99%

See 1 more Smart Citation

An Analysis of the Mechanical Properties of the Ponseti Method in Clubfoot Treatment

Kadhum

Lee

Czernuszka

et al. 2019

Applied Bionics and Biomechanics

View full text Add to dashboard Cite

Congenital clubfoot is a complex pediatric foot deformity, occurring in approximately 1 in 1000 live births and resulting in significant disability, deformity, and pain if left untreated. The Ponseti method of manipulation is widely recognized as the gold standard treatment for congenital clubfoot; however, its mechanical aspects have not yet been fully explored. During the multiple manipulation-casting cycles, the tendons and ligaments on the medial and posterior aspect of the foot and ankle, which are identified as the rate-limiting tissues, usually undergo weekly sequential stretches, with a plaster of Paris cast applied after the stretch to maintain the length gained. This triggers extracellular matrix remodeling and tissue growth, but due to the viscoelastic properties of tendons and ligaments, the initial strain size, rate, and loading history will affect the relaxation behavior and mechanical strength of the tissue. To increase the efficiency of the Ponseti treatment, we discuss the theoretical possibilities of decreasing the size of the strain step and interval of casting and/or increasing the overall number of casts. This modification may provide more tensile stimuli, allow more time for remodeling, and preserve the mechanical integrity of the soft tissues.

show abstract

Section: Main Textmentioning

confidence: 99%

Section: Main Textmentioning

confidence: 99%

An Analysis of the Mechanical Properties of the Ponseti Method in Clubfoot Treatment

Kadhum

Lee

Czernuszka

et al. 2019

Applied Bionics and Biomechanics

View full text Add to dashboard Cite

show abstract

“…Quasi-static and dynamic elastographic methods can allow early diagnosis, quantification of lesion stages and biomechanical behavior analysis of the muscles and tendons [1][2][3][4] . Among the dynamic elastographic methods, Supersonic Shear Imaging (SSI) provides a quantitative estimate of the tissue properties in real time 4 .…”

Section: Introductionmentioning

confidence: 99%

Triceps surae elasticity modulus measured by shear wave elastography is not correlated to the plantar flexion torque

Lima

Martins

Pereira

et al. 2017

MLTJ

View full text Add to dashboard Cite

SummaryBackground: Supersonic Shear Imaging (SSI) is a technique which analyses quantitatively the tissue properties in real time. The relation between joint torque and Young's modulus (E) of the agonist muscles is important for obtaining stratification values and ranges of normality. The aim of this study was to evaluate the intra and intersessions reliability of the E values of the Achilles tendon and medial gastrocnemius muscle, bilaterally, during rest, and correlate them with the isometric plantarflexion peak torque.

show abstract

“…In patient with unilateral clubfoot, the affected tendons were stiffer than healthy controls 40 . On the opposite side, diabetic patients with foot ulcers had thicker but softer tendons than healthy controls and diabetic patients without foot ulcers 41. In patients affected by ankylosing spondylitis, tendon pain was higher in patients with areas of softening.…”

Section: Other Pathologic Conditions Of the Achilles Tendonmentioning

confidence: 83%

Real-time sonoelastography: principles and clinical applications in tendon disorders.

Fusini

Langella

Busilacchi

et al. 2017

MLTJ

View full text Add to dashboard Cite

SummaryBackground: Sonoelastography (SE) is a new ultrasound-based method adopted in an increased number of scientific reports to analyse normal and pathological tendons. The aim of this study is to provide a systematic overview of clinical applications of SE in normal and pathological tendons. Methods: A systematic research of PubMed, Ovid, and Cochrane Library electronic databases was performed according to PRISMA guideline. Two Authors searched and evaluated the articles independently; a third Author was involved to solve any disagreement. The Oxford Level of Evidence (LoE) was used to assess each article. Results. There is an increasing interest in the application of SE in the evaluation of healthy and diseased tendons. Many different tendons are amenable for SE evaluation, such as the Achilles and patellar tendons, rotator cuff, common extensor tendons, quadriceps tendon, and the plantar fascia.Conclusion. SE appears to be a very useful diagnostic tool, in particular in tendon pathology. This is a dynamic examination, provides an immediate evaluation of the tissue elasticity, and may be useful in recognizing tendon abnormalities and in implementing the information available with conventional US. Level of evidence: IV.

show abstract

Real time evaluation of monolateral clubfoot with sonoelastography

Abstract: RTE is a feasible, reliable and easily performed technique that allows an accurate study of the mechanical properties of Achilles tendon in children with clubfoot.

Cited by 12 publications

References 17 publications

An Analysis of the Mechanical Properties of the Ponseti Method in Clubfoot Treatment

An Analysis of the Mechanical Properties of the Ponseti Method in Clubfoot Treatment

Triceps surae elasticity modulus measured by shear wave elastography is not correlated to the plantar flexion torque

Real-time sonoelastography: principles and clinical applications in tendon disorders.

Contact Info

Product

Resources

About