5,251 results match your criteria: "Clubfoot"

Background: The Ponseti method for clubfoot treatment is a non-surgical treatment with a successful outcome. However, many children are not able to complete Ponseti treatment due to various barriers and are termed dropout children. This study aimed to find out the factors responsible for dropout from clubfoot treatment in Peshawar, Pakistan.

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While mostly de novo truncating variants in SCAF4 were recently identified in 18 individuals with variable neurodevelopmental phenotypes, knowledge on the molecular and clinical spectrum is still limited. We assembled data on 50 novel individuals with SCAF4 variants ascertained via GeneMatcher and personal communication. With detailed evaluation of clinical data, in silico predictions and structural modeling, we further characterized the molecular and clinical spectrum of the autosomal dominant SCAF4-associated neurodevelopmental disorder.

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Introduction: Non-orthopaedic-trained healthcare professionals face challenges in identifying postnatal clubfoot deformities due to the lack of suitable assessment tools, resulting in misdiagnosis. Therefore, this study aimed to develop and validate the Neonatal Clubfoot Screening Checklist (NCSC) to assist non-orthopaedic-trained healthcare professionals in postnatal clubfoot assessment.

Methods: The NCSC development involved five phases: conceptual understanding of deformity components, creation of pictorial representations, tool structure design, content and face validation, pilot study and field study.

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Background: The study aimed to quantify and correlate kinematic coupling linkage of foot abduction (correction of adduction) and inversion, heel varus and ankle equinus for clubfeet corrected by Ponseti technique.

Methods: Measurements of foot abduction (derotation of carpopedal block), heel varus and ankle equinus were available from Dimeglio scores in 25 feet. Radiological angles were considered for foot inversion-eversion.

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Idiopathic clubfoot (IC) can be corrected initially using the Ponseti method, but still there is a high recurrence rate. The etiology of IC may include many undetermined genetic and environmental factors. Single nucleotide polymorphism of rs274503 in has been found to be associated with IC in Caucasian children.

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Background: In today's world, individuals receive much of their medical information from the Internet, including social media platforms such as the increasingly popular TikTok, a video-sharing site. This study's purpose was to better understand the content popular online regarding clubfoot deformity.

Methods: The 50 most viewed, English language videos on TikTok with the tags #clubfootjourney, #talipes, #clubfootcast, #clubfoottreatment, and #clubfoot were identified and independently evaluated by 2 separate reviewers for creator demographics, video type, and prominent themes.

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Risk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.

J Clin Med

November 2024

BIOMORF Department of Biomedical, Dental, Morphological and Functional Images, University of Messina, A.O.U Policlinico "G. Martino", Via Consolare Valeria 1, 98124 Messina, Italy.

Article Synopsis
  • The study aimed to investigate how various prenatal risk factors influence developmental dysplasia of the hip (DDH) in newborns, specifically looking at the Graf grading system.
  • Data was analyzed from 112 newborns diagnosed with DDH, focusing on specific risk factors like breech presentation, firstborn status, and other orthopedic conditions, using logistic regression to evaluate their impact.
  • Results indicated that some factors, such as lower limb malformations, may protect against unstable DDH, while others, particularly for females, increased the risk of developing unstable forms of the condition.
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Article Synopsis
  • Congenital foot drop linked to congenital talipes equinovarus (clubfoot) is uncommon, and its symptoms can often be mistaken for those of clubfoot itself.
  • A case study is presented involving a child with peroneal nerve injury who experienced clubfoot symptoms later in life.
  • The child received tibialis posterior transfer surgery to enhance movement and overall function.
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Background: Clubfoot occurs in up to 50% of patients with spina bifida (SB) and 90% with arthrogryposis (AR). Many of these patients with neuromuscular clubfoot deformity fail conservative casting and require surgery with posteromedial lateral release (PMLR). Limited data exist for the outcomes of PMLR in patients with SB and AR.

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Holoprosencephaly (HPE) is a developmental defect that affects the brain structure due to failure or incomplete division of the prosencephalon at the third week to the fourth week of gestation into cerebral hemispheres. Although the exact cause of HPE remains unclear, it is suspected to result from a combination of genetic and environmental factors. We report a case of alobar HPE.

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Identification of two novel genetic variants for Ellis-van Creveld syndrome from a Chinese family through whole exome sequencing.

Eur J Obstet Gynecol Reprod Biol

December 2024

Reproductive Medicine Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China; Hubei Clinical Research Center for Reproductive Medicine, Shiyan, Hubei, China; Shiyan Key Laboratory of Reproduction and Genetics (Renmin Hospital, Hubei University of Medicine), Shiyan, Hubei, China; Biomedical Engineering College, Hubei University of Medicine, Shiyan, Hubei, China; Hubei Key Laboratory of Embryonic Stem Cell Research, Shiyan, Hubei, China. Electronic address:

Objective: This study conducted genetic testing and analysis on the fetal tissue of a terminated pregnancy to clarify the cause of the fetal abnormalities.

Methods: A fetus with multiple malformations detected during mid-pregnancy was terminated. Trio whole exome sequencing (Trio-WES) was performed on the fetal tissue.

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Article Synopsis
  • - A 30-year-old woman underwent prenatal ultrasound at 14 weeks and was found to be carrying a fetus with multiple congenital anomalies, prompting chromosome microarray analysis (CMA) after the pregnancy was terminated.
  • - The analysis revealed a significant deletion on chromosome 5 (5q14.3-q31.1), affecting numerous genes, including NR2F1 and MEF2C, indicating a genetic basis for the fetal conditions observed.
  • - CMA proves to be an effective tool in identifying genetic abnormalities in fetuses with unexplained congenital anomalies, highlighting its value in prenatal genetic testing.
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Background: Tibialis anterior tendon transfer in relapsing clubfoot deformity is a well-known treatment option for dynamic forefoot supination and adduction deformities. The tibialis anterior tendon can be anchored to the lateral cuneiform or the cuboid. A complication of this surgery is overcorrection to a flatfoot deformity or undercorrection that maintains the clubfoot deformity.

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Introduction: Congenital anomalies are one of the major causes of the global burden of diseases, and low- and middle-income countries (LMICs) are disproportionately affected. This review assesses the prenatal and postnatal screening methods and compares the prevalence of major congenital anomalies in LMICs.

Methodology: We conducted a systematic search in MEDLINE/PubMed, CINAHL, Cochrane databases of systematic reviews, clinical trials.

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The frequency of multiple clubfoot recurrences following Ponseti casting and the effect on final outcomes have not been well studied. This study aims to evaluate the effect of early recurrence (during the first 2 years) on the timing and rate of subsequent recurrences. A retrospective review was conducted of children treated with Ponseti casting at a single institution from 2002 to 2023 with minimum follow-up until age 5.

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Article Synopsis
  • The study investigates how missing appointments for clubfoot treatment relates to transportation issues and socioeconomic factors, particularly using the child opportunity index (COI).
  • Researchers surveyed 99 caregivers and found that longer travel times and reliance on public transportation were linked to higher rates of missed visits, especially among those with lower incomes and COI scores.
  • The findings suggest that transportation challenges contribute to missed healthcare appointments, highlighting the need for solutions to address these social disadvantages.
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Introduction: This study evaluates the gait analysis obtained by Inetial Measurement Units (IMU) before and after surgical management of Spastic Equino Varus Foot (SEVF) in hemiplegic post-stroke patients and to compare it with the functional results obtained in a monocentric prospective cohort.

Methods: Patients with post-stroke SEVF, who underwent surgery in a single hospital between November 2019 and December 2021 were included. The follow-up duration was 6 months and included a functional analysis using Goal Attainment Scaling (GAS) and a Gait analysis using an innovative Multidimensional Gait Evaluation using IMU: the semiogram.

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Management of scoliosis in a pediatric patient with lysyl hydroxylase-3 deficiency: a case report.

J Med Case Rep

October 2024

Anesthesiology Department, University of Shahid Beheshti Medical Sciences, Imam Hossein Medical Center, Shahid Madani Street, Tehran, Iran.

Article Synopsis
  • An 8-year-old Persian boy with lysyl hydroxylases deficiency experienced scoliosis and presented with multiple physical issues, including contractures and previous surgeries.
  • He underwent scoliosis surgery using growing rod instrumentation, addressing his spine curvature.
  • The case highlights the need for careful management during surgery due to potential complications associated with the patient's rare condition.
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Article Synopsis
  • - Clubfoot is a common birth defect affecting 1 in 1000 babies, and the Ponseti method is a widely used treatment involving manipulation, casting, and orthotic use, but many patients face issues with recurrence of the deformity.
  • - A study tracked 127 clubfoot patients from 2010 to 2014, assessing caregivers' experiences with the Ponseti method through questionnaires, focusing on their beliefs about the necessity and use of braces.
  • - Results indicated that caregivers who doubted the need for braces or felt uncomfortable using them were significantly more likely to experience treatment failure, highlighting the importance of addressing caregiver concerns to improve treatment outcomes.
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Effectiveness of congenital myelodysplastic clubfoot treatment by the Ponseti method-Systematic review.

PLoS One

October 2024

Pediatric Orthopaedics and Reconstruction Group, Department of Orthopaedics and Traumatology, Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE) São Paulo, São Paulo, Brazil.

Article Synopsis
  • The incidence of equinocavovarus feet in children with myelomeningocele ranges from 25-36%, with treatment often requiring extensive surgeries that result in rigid feet but better alignment.* -
  • A systematic review across multiple databases assessed the effectiveness of the Ponseti method for treating myelodysplastic feet, finding an initial success rate of 93%, but reported high recurrence (62%) and complication rates (29%).* -
  • The study suggests that while the Ponseti method is effective initially, longer follow-up is necessary to monitor recurrences, and using a foot abduction brace can help prevent these recurrences.*
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Background: The treatment results of the Ponseti method for arthrogrypotic clubfoot have been described in only a few case series. Further evaluations are necessary.

Methods: Children from two German paediatric orthopaedic hospitals with arthrogryposis-associated clubfoot treated with the Ponseti method between 2004 and 2011 and who were at least five years of age at their last follow-up were retrospectively evaluated.

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Psychosocial Impacts of Idiopathic Clubfoot on Parents and Children: A Scoping Review Protocol.

Healthcare (Basel)

September 2024

Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

Background/objectives: Idiopathic clubfoot is a complex pediatric foot deformity. The Ponseti technique is widely regarded as the standard for correcting deformities, and treatment compliance is essential for preventing relapse. Examining psychosocial effects on parents and/or children during clubfoot treatment provides valuable insights for improving compliance.

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Investigating clubfoot in Saudi Arabia: Prevalence, factors, and future directions.

World J Orthop

September 2024

Department of Biochemistry, School of Medicine, College of Medicine, China Medical University, Taichung 404328, Taiwan.

Article Synopsis
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Policies to better support childbearing surgeons.

CMAJ

September 2024

Division of Orthopaedics (Cristofaro, Bouchard), University of Toronto; Division of Orthopaedics (Bouchard), The Hospital for Sick Children, Toronto, Ont.

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