Bilateral clubfoot - congenital talipes equinovarus
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Congenital club footclubfoot is best diagnosed by ultrasound between 18 to 24th weeks of gestation. In 50% of cases, the condition may be bilateral. False positive reports may be seen in nearly 20-25% of cases,careful, careful examination of feet on several occasions by experienced observers may reduce errors 3. Club footClubfoot occurs because of short tendons of the feet. Early intervention produces good results in most cases.
Diagnosis of club footclubfoot should preferably not be made before 12 weeks of gestation because the transient club foot-like position is present during the early normal development of feet4. In the present case, the fetus had multiple congenital anomalies including lemon sign, banana sign, open spina bifida, meningomyelocele, oligohydramnios, double vessel cord and musculoskeletal defects like persistent scissoring of legs.
-<p>Congenital club foot is best diagnosed by ultrasound between 18 to 24<sup>th</sup> weeks of gestation. In 50% of cases, the condition may be bilateral. False positive reports seen in nearly 20-25% of cases,careful examination of feet on several occasions by experienced observers may reduce errors <sup>3</sup>. Club foot occurs because of short tendons of the feet. Early intervention produces good results in most cases.</p><p>Diagnosis of club foot should preferably not be made before 12 weeks of gestation because the transient club foot-like position is present during the early normal development of feet<sup>4</sup>. In the present case, the fetus had multiple congenital anomalies including lemon sign, banana sign, open spina bifida, meningomyelocele, oligohydramnios, double vessel cord and musculoskeletal defects like persistent scissoring of legs.</p>- +<p>Congenital clubfoot is best diagnosed by ultrasound between 18 to 24<sup>th</sup> weeks of gestation. In 50% of cases, the condition may be bilateral. False positive reports may be seen in 20-25% of cases, careful examination of feet on several occasions by experienced observers may reduce errors <sup>3</sup>. Clubfoot occurs because of short tendons of the feet. Early intervention produces good results in most cases.</p><p>Diagnosis of clubfoot should preferably not be made before 12 weeks of gestation because the transient club foot-like position is present during the early normal development of feet <sup>4</sup>. In the present case, the fetus had multiple congenital anomalies including lemon sign, banana sign, open spina bifida, meningomyelocele, oligohydramnios, double vessel cord and musculoskeletal defects like persistent scissoring of legs.</p>
References changed:
- 1. Society for Maternal-Fetal Medicine., McKinney J, Rac MWF, Gandhi M. Congenital talipes equinovarus (clubfoot). Am J Obstet Gynecol. 2019 Dec. 221 (6):B10-B12.
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Epidemiology
Prevalence of 0.1% or 1 in 1000 live births for congenital clubfoot1. Males are twice more affected than females. Higher prevalence rates are observed in lower socio-economic strata, with genetic factors and environmental conditions2.
Updates to Freetext Attributes
Ultrasound is the investigation of choice. Half the cases may be associated with other congenital anomalies like spina bifida, trisomy 13, trisomy 18 and several other conditions. 50% of cases may have isolated congenital talipes equinovarus deformity. No fetal karyotyping is advisable in cases with isolated club foot3.
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