PubMed · 7604334
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G Hull, J Fairbank. 1995-03-01. Robert Chessher.. https://doi.org/10.1097/00007632-199503010-00022
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Clubfoot is a birth defect that is marked primarily by a deformed talus (ie, ankle) and calcaneous (ie, heel) that give the foot a characteristic "club-like" appearance. In congenital idiopathic clubfoot (ie, talipes equinovarus), the infant's foot points downward (ie, equinus) and turns inward (ie, varus), while the forefoot curls toward the heel (ie, adduction). This congenital disorder has an incidence of 1 in 400 live births, with boys affected twice as often as girls. Unilateral clubfoot is somewhat more common than bilateral clubfoot and may occur as an isolated defect or in association with other disorders (eg, chromosomal aberrations, cerebral palsy, spina bifida, arthrogryposis). Infantile clubfoot deformity is painless and is correctable with early diagnosis and prompt treatment.
A technique of intraoperative ultrasound for evaluation of reduction in congenital talipes equinovarus (CTEV) is reported. Ultrasound (US) scanning enables the surgeon to perform controlled reduction of both calcaneocuboid and talonavicular joint during the operation because visualization of the relation in the medial and lateral column of the foot is as precise as that obtained with radiographs. The relation between talus and calcaneus in the horizontal plane cannot be visualized. Examination is quick and simple but is more easily performed if the shape of the foot is near-normal; i.e., the foot has been well prepared for operation by nonoperative treatment.
We report our preliminary experience with use of ultrasound in clubfoot and describe our protocol and initial results in the use of this technique.