Chawla Sumit, Gupta Mallika, Pandey Varun, Jain Abhishek, Kumar Manoj
Department of Orthopaedics, M.L.B. Medical College, Jhansi, 284128, Uttar Pradesh, India.
Department of Radiology, Sir Ganga Ram Hospital, New Delhi, 110060, India.
Foot (Edinb). 2017 Dec;33:7-13. doi: 10.1016/j.foot.2017.09.005. Epub 2017 Sep 29.
Objective evaluation of infant with clubfoot is required as conventional imaging modality is of limited usefulness. Ultrasound shows to be a promising technique for assessing deformity and monitoring of clubfoot correction.
Study was done to evaluate the deformity sonographically; to assess the changes in these parameters after treatment by Ponseti method and to correlate these ultrasonographic variables with clinical Pirani score.
82 feet in 54 children were observed. Clinical assessment was done using Pirani six point system and ultrasound machine with 7.5-12MHz linear transducer was used to measure several parameters and data obtained was assessed to derive correlation between sonographic parameters and clinical system.
Medial malleolus navicular distance (MMN) measured on medial view, calcaneo-cuboid distance (CCD) and calcaneo-cuboid angle (CCA) measured on lateral view, talar length (TAL) measured on dorsal view and tibio-calcaneal distance (TCL) measured on posterior view showed statistical significance. Sonographic parameters correlated statistically with Pirani scoring system on measuring Pearson correlation coefficient.
Ultrasound is a relatively simple, non invasive and widely available procedure that can improve pathomorphological documentation of nonossified clubfoot and its correction.
Level II prospective study, as per guidelines for authors.
由于传统成像方式作用有限，因此需要对患有马蹄内翻足的婴儿进行客观评估。超声显示是一种评估畸形和监测马蹄内翻足矫正的有前景的技术。
进行研究以超声评估畸形；评估经庞塞蒂方法治疗后这些参数的变化，并将这些超声变量与临床皮拉尼评分相关联。
观察了54名儿童的82只脚。使用皮拉尼六点系统进行临床评估，并使用配备7.5 - 12MHz线性换能器的超声仪测量几个参数，并对获得的数据进行评估以得出超声参数与临床系统之间的相关性。
在内侧视图上测量的内踝舟骨距离（MMN）、在外侧视图上测量的跟骰距离（CCD）和跟骰角（CCA）、在背侧视图上测量的距骨长度（TAL）以及在后视图上测量的胫跟距离（TCL）显示出统计学意义。在测量皮尔逊相关系数时，超声参数与皮拉尼评分系统具有统计学相关性。
超声是一种相对简单、无创且广泛可用的检查方法，可改善未骨化马蹄内翻足及其矫正的病理形态学记录。
根据作者指南，为II级前瞻性研究。
