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https://www.readbyqxmd.com/read/28632733/ponseti-method-in-the-management-of-clubfoot-under-2-years-of-age-a-systematic-review
#1
Balasankar Ganesan, Ameersing Luximon, Adel Al-Jumaily, Suchita Kothe Balasankar, Ganesh R Naik
BACKGROUND: Congenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, hindfoot varus, midfoot cavus, and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are not uncommon. Several previous literatures discussed about the technical details of Ponseti method, adherence of Ponseti protocol among walking age or older children...
2017: PloS One
https://www.readbyqxmd.com/read/28625097/use-of-the-pirani-score-in-monitoring-progression-of-correction-and-in-guiding-indications-for-tenotomy-in-the-ponseti-method-are-we-coming-to-the-same-decisions
#2
Manuele Lampasi, C N Abati, S Stilli, G Trisolino
PURPOSE: The Pirani score is widely used in the treatment of idiopathic clubfoot. Some authors recommended to base decision for Achilles tenotomy in Ponseti method on this score (hindfoot score [HFS] > 1, once reducibility of lateral head of talus (LHT) is zero) instead of originally described indications (dorsiflexion < -10-15° once complete abduction is achieved). Yet correspondence of these indications has not been evaluated. Aim of this study was to verify whether in a cohort, where decision is based on dorsiflexion, the Pirani score corresponds to the limits suggested...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28617179/predictive-value-of-pirani-scoring-system-for-tenotomy-in-the-management-of-idiopathic-clubfoot
#3
Badmus Hakeem David, Adegbehingbe Olayinka O, Esan Oluwadare, Orimolade E Ayodele, Mejabi Joseph O, Arije Olujide
PURPOSE: To determine the predictive value of the Pirani scoring system in the need for tenotomy using the Ponseti method for management of idiopathic clubfoot. METHOD: This is a prospective observational study involving patients less than 2 years of age with idiopathic clubfoot. The consenting parents and institution ethical board approved the study. The relationship between Pirani scores and the need for tenotomy was evaluated using the independent t-test and the binary logistic regression to predict the need for tenotomy...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28574943/the-timing-and-relevance-of-relapsed-deformity-in-patients-with-idiopathic-clubfoot
#4
Sophia Nicole Sangiorgio, Edward Ebramzadeh, Rebecca D Morgan, Lewis E Zionts
BACKGROUND: The timing and relevance of relapsed deformity after correction of idiopathic clubfoot have not been well documented. METHODS: All patients with idiopathic clubfoot seen at the authors' institution during the study period who were followed for ≥2 years (range, 2.0 to 9.8 years) were included (N = 191). Survival analysis and multivariate regression analysis were used to analyze the data. RESULTS: The median age at first relapse was 20 months...
June 1, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28568170/diagnostic-accuracy-work-up-and-outcomes-of-pregnancies-with-clubfoot-detected-by-prenatal-sonography
#5
Maya Sharon-Weiner, Rivka Sukenik-Halevy, Ronnie Tepper, Ami Fishman, Tal Biron-Shental, Ofer Markovitch
OBJECTIVE: To assess diagnostic accuracy, related findings and outcomes of fetuses with clubfoot. METHODS: Sonographic characteristics, pregnancy work-up and postnatal outcomes were evaluated in 109 fetuses with clubfoot. RESULTS: Among 40,320 prenatal ultrasound anomaly scans, clubfoot was diagnosed in 150 (0.37%). Analysis included 108 pregnancies (72%) with 109 fetuses. Bilateral clubfoot was diagnosed in 51/109(46.7%) fetuses and unilateral in 58/109(53...
May 31, 2017: Prenatal Diagnosis
https://www.readbyqxmd.com/read/28562278/maternal-use-of-opioids-during-pregnancy-and-congenital-malformations-a-systematic-review
#6
REVIEW
Jennifer N Lind, Julia D Interrante, Elizabeth C Ailes, Suzanne M Gilboa, Sara Khan, Meghan T Frey, April L Dawson, Margaret A Honein, Nicole F Dowling, Hilda Razzaghi, Andreea A Creanga, Cheryl S Broussard
CONTEXT: Opioid use and abuse have increased dramatically in recent years, particularly among women. OBJECTIVES: We conducted a systematic review to evaluate the association between prenatal opioid use and congenital malformations. DATA SOURCES: We searched Medline and Embase for studies published from 1946 to 2016 and reviewed reference lists to identify additional relevant studies. STUDY SELECTION: We included studies that were full-text journal articles and reported the results of original epidemiologic research on prenatal opioid exposure and congenital malformations...
May 19, 2017: Pediatrics
https://www.readbyqxmd.com/read/28559980/all-trans-retinoic-acid-activates-sdf-1-cxcr4-rock2-signaling-pathway-to-inhibit-chondrogenesis
#7
Qin-Xiao Hu, Xue-Dong Li, Peng Xie, Chu-Cheng Wu, Gui-Zhou Zheng, Fei-Xiang Lin, Da Xie, Qi-Hao Zhang, De-Zhong Liu, Yun-Guo Wang, Bo Chang, Shi-Xin Du
Recent studies have indicated that ATRA inhibits chondrogenesis and can lead to congenital clubfoot (CCF). The molecular mechanism of ATRA-induced chondrogenesis is not clear. As RhoA/ROCK and SDF-1/CXCR4 signaling play important molecular roles for a variety of cellular processes, we hypothesized that RhoA/ROCK2 and SDF-1/CXCR4 signaling are involved in ATRA-induced chondrogenesis in rat embryo hind limb bud mesenchymal cells (rEHBMCs). We found that ATRA dose-dependently inhibits proliferation and expression of chondrogenic transcription factors (SOX9 and COL2A1) in rEHBMCs...
2017: American Journal of Translational Research
https://www.readbyqxmd.com/read/28553760/comparison-of-different-conservative-treatments-for-idiopathic-clubfoot-ponseti-s-versus-non-ponseti-s-methods
#8
Jin-Peng He, Jing Fan Shao, Yun Hao
Objective Various methods are applied in the clinical treatment of idiopathic clubfoot. The purpose of this meta-analysis was to evaluate the efficacy of different conservative treatments. Methods Studies were pooled and odds ratio (ORs) with corresponding confidence intervals were calculated for evaluation of the results, relapses, and requirement for major surgery. Results A final analysis of 1435 patients from 9 eligible studies was performed. The combined OR indicated that significantly more fair and poor results were achieved and that major surgery was required significantly more often when using non-Ponseti's methods (OR = 3...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28553455/tincture-of-benzoin-to-prevent-cast-slippage-in-clubfoot
#9
S Ibrahim
No abstract text is available yet for this article.
November 2016: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28553443/pattern-of-presentation-and-outcome-of-short-term-treatment-for-idiopathic-clubfoot-ctev-with-ponseti-method
#10
R Gunalan, A Mazelan, Ypb Lee, A Saw
Introduction: Congenital Talipes Equinovarus (CTEV) is a common congenital foot deformity that is associated with long term disability. Treatment with Ponseti method has been successful especially for children who present early. We conducted this study to investigate the age of presentation of children and report the early outcome. Materials: This is a retrospective study from a single institution. We included 31 patients with 45 idiopathic clubfeet and investigated problems and success rate at the end of serial casting...
November 2016: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28538051/mobius-syndrome-a-35-year-single-institution-experience
#11
Philip K McClure, Eray Kilinc, Scott Oishi, Anthony I Riccio, Lori A Karol
BACKGROUND: Mobius syndrome is a rare syndrome that is known to be associated with a variety of orthopaedic conditions including scoliosis, clubfoot, transverse limb deficiencies, Poland syndrome, and a myriad of hand conditions. To date, no large series exist to characterize the orthopaedic manifestations of Mobius syndrome. METHODS: Medical records at a single tertiary pediatric institution were reviewed for all patients diagnosed with Mobius syndrome from January 1, 1980 to December 31, 2015...
May 19, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28528482/evertor-muscle-activity-as-a-predictor-for-recurrence-in-idiopathic-clubfoot
#12
Perajit Eamsobhana, Pipat Kongwachirapaitoon, Kamolporn Kaewpornsawan
BACKGROUND: Clubfoot is a complex three-dimensional deformity. Although brace compliance after initial correction was previously found to be significantly associated with recurrence in clubfoot, few previous studies have specifically examined evertor muscle function as a factor that contributes to recurrence in children with idiopathic and non-idiopathic clubfoot. The aim of this study was to investigate the relationship among brace compliance, evertor muscle grading, and recurrence rate in pediatric clubfoot patients...
May 20, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28447124/history-of-clubfoot-treatment-part-i-from-manipulation-in-antiquity-to-splint-and-plaster-in-renaissance-before-tenotomy
#13
Philippe Hernigou, Maxime Huys, Jacques Pariat, Sibylle Jammal
Idiopathic clubfoot is one of the most common problems in paediatric orthopaedics. The treatment is controversial and continues to be one of the challenges in paediatric orthopaedics. The aim of this review is to assess the different methods of clubfoot treatment used over the years in light of the documentation present in the literature and art paintings from the antiquity to the end of the 19th century. The aim of this paper is to review all treatment methods of the clubfoot over the years that were proposed to provide patients a functional, pain-free, normal-looking foot, with good mobility, without calluses, and requiring no special shoes...
April 26, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28399051/clubfoot-infants-initially-thought-to-be-idiopathic-but-later-found-not-to-be-how-do-they-do-with-nonoperative-treatment
#14
B Stephens Richards, Shawne Faulks
BACKGROUND: Infants thought to be normal with idiopathic clubfeet when nonoperative treatment begins may later be found to have other complicating diagnoses. The purpose of this study was to determine the incidence of this occurrence, and to compare the clinical outcomes of these "nonidiopathic" patients with idiopathic clubfoot patients. METHODS: Infants below 3 months old with clubfeet who were thought to be normal (idiopathic) at presentation and had ≥2-year follow-up were studied...
April 10, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28384947/comparative-analysis-between-podography-and-radiography-in-the-management-of-idiopathic-clubfeet-by-ponseti-technique
#15
Vikas Trivedi, Sumit Badhwar, Abhay S Dube
INTRODUCTION: Idiopathic clubfoot is one of the most common and oldest congenital foot anomalies. There are controversies regarding its optimum management protocol and methodologies to be employed for its functional outcome evaluation. This paper attempts to propose a simple, reasonable and easily reproducible technique of podography for clinical and functional evaluation of clubfoot treated by the popular Ponseti technique. AIM: To compare the Foot Bimalleolar (FBM) angle method (podography) and radiography with respect to management of idiopathic clubfoot by Ponseti's Technique and its functional evaluation...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28362184/surveillance-survey-of-family-history-in-children-with-neural-tube-defects
#16
Esther B Dupépé, Daxa M Patel, Brandon G Rocque, Betsy Hopson, Anastasia A Arynchyna, E Ralee' Bishop, Jeffrey P Blount
OBJECTIVE Although there are known risk factors for the development of neural tube defects (NTDs), little is known regarding the role of family history. The authors' goal in this study is to describe the family history in their population of patients with NTDs. METHODS Surveys were completed for 254 patients who were accompanied by their biological mother during their annual visit to the multidisciplinary Spina Bifida Clinic at Children's of Alabama. An NTD has been diagnosed in all patients who are seen in this clinic (myelomeningocele, lipomeningocele, split cord malformation, and congenital dermal sinus tract)...
March 31, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28361284/corr-insights-%C3%A2-the-2017-abjs-nicolas-andry-award-advancing-personalized-medicine-for-clubfoot-through-translational-research
#17
Lewis E Zionts
No abstract text is available yet for this article.
June 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28351651/a-population-based-study-of-prevalence-trends-and-geospatial-analysis-of-hypospadias-and-cryptorchidism-compared-with-non-endocrine-mediated-congenital-anomalies
#18
Ciaran Lane, James Boxall, Dawn MacLellan, Peter A Anderson, Linda Dodds, Rodrigo L P Romao
INTRODUCTION: Several reports have suggested an increase in the prevalence of hypospadias and cryptorchidism over the last few decades. Endocrine disruption caused by exposure to environmental chemicals has been postulated as a possible cause. OBJECTIVES: The objectives of our study were: 1) to determine whether the prevalence of hypospadias and cryptorchidism is increasing compared with other congenital anomalies not known to be mediated by endocrine factors; and 2) to perform a geospatial analysis of these congenital malformations looking for clustering that could offer insight into environmental risk factors...
March 14, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28328564/variation-in-national-acgme-case-log-data-for-pediatric-orthopaedic-fellowships-are-fellow-coding-practices-responsible
#19
Philip K McClure, Marcella Woiczik, Lori Karol, Wudbhav N Sankar
BACKGROUND: The introduction of the 80-hour work week for Accreditation Council for Graduate Medical Education (ACGME) accredited fellowship programs initiated many efforts to optimize surgical training. One particular area of interest is on recording and tracking surgical experiences. The current standard is logging cases based on Current Procedural Terminology codes, which are primarily designed for billing. Proposed guidelines from the ACGME regarding logging exist, but their implementation is unknown, as is the variation in case volume across fellowship programs...
July 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28296659/modified-ponseti-technique-for-management-of-neglected-clubfeet
#20
Anil Mehtani, Jatin Prakash, Vipul Vijay, Nishikant Kumar, Abhinav Sinha
Achieving adequate dorsiflexion in neglected clubfoot cases remains challenging. On a close observation of the Ponseti method, we have now made certain modifications from the standard Ponseti protocol. This has helped us improve functional results, as well as reduce the number of casts in this walking-age group. From March 2011 onward, we managed 62 neglected clubfeet in 41 patients with the modified protocol. All these patients were treated with serial weekly above-knee casts. The feet were assessed by Dimeglio and Pirani scorings, which were done every week...
March 14, 2017: Journal of Pediatric Orthopedics. Part B
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