Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Case 82 Clubfoot
- Case 83 Developmental dysplasia of the hip
- Case 84 Legg–Calve–Perthes disease
- Case 85 Slipped capital femoral epiphysis
- Case 86 Langerhans cell histiocytosis: MRI/PET for diagnosis and treatment monitoring
- Case 87 Congenital syphilis
- Case 88 Medial malleolus avulsion fracture
- Case 89 Triplane fracture
- Case 90 Fibrous dysplasia
- Case 91 Chest wall sarcoma
- Case 92 Campomelic dysplasia
- Case 93 Type II collagenopathy (hypochondrogenesis)
- Case 94 Morel-Lavallée lesions
- Case 95 Infantile myofibromatosis
- Case 96 Osteochondritis dissecans of the capitellum
- Index
- References
Case 82 - Clubfoot
from Section 9 - Musculoskeletal imaging
Published online by Cambridge University Press: 05 June 2014
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Case 82 Clubfoot
- Case 83 Developmental dysplasia of the hip
- Case 84 Legg–Calve–Perthes disease
- Case 85 Slipped capital femoral epiphysis
- Case 86 Langerhans cell histiocytosis: MRI/PET for diagnosis and treatment monitoring
- Case 87 Congenital syphilis
- Case 88 Medial malleolus avulsion fracture
- Case 89 Triplane fracture
- Case 90 Fibrous dysplasia
- Case 91 Chest wall sarcoma
- Case 92 Campomelic dysplasia
- Case 93 Type II collagenopathy (hypochondrogenesis)
- Case 94 Morel-Lavallée lesions
- Case 95 Infantile myofibromatosis
- Case 96 Osteochondritis dissecans of the capitellum
- Index
- References
Summary
Imaging description
A 16-month-old girl with bilateral foot deformities since birth had radiographs that demonstrated marked hindfoot and forefoot varus abnormalities bilaterally consistent with bilateral clubfeet (Fig. 82.1a). The talocalcaneal angles measured 0 degrees bilaterally on AP radiographs. The angle between the talus and the first metatarsal measured more than 20 degrees. Lateral views of both feet demonstrated decreased talocalcaneal angles bilaterally. In addition, the right foot demonstrated a fixed hindfoot equinus deformity (plantar flexed calcaneus) whereas the left calcaneus was able to be forcibly dorsiflexed (Fig. 82.1b).
Importance
Clubfoot (talipes equinovarus) is a congenital deformity consisting of hindfoot equinus, hindfoot varus (inversion), and forefoot varus (adduction) deformities. Clubfoot deformities affect three joints of the foot to varying degrees, including inversion of the subtalar joint, adduction of the talonavicular joint, and plantarflexion of the calcaneus relative to the tibia, resulting in “toe walking.” Clubfoot deformities can involve one foot or both. Bilateral involvement is found in 30–50% of cases. Clubfoot deformities can be classified as either postural or structural. Postural or positional clubfoot is not defined as true clubfoot. Structural clubfoot can be subdivided into either a flexible type, which is correctable without surgery, or a resistant type, which requires surgical release.
- Type
- Chapter
- Information
- Pearls and Pitfalls in Pediatric ImagingVariants and Other Difficult Diagnoses, pp. 336 - 338Publisher: Cambridge University PressPrint publication year: 2014