E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Research (Original Article) 


Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study

Mustafa Hayder El Hadi, Mohamed Abdelsalam Nurein, Mustafa Abbas El Sheikh Bader, Mohamed Mahdy Ali Salih, Haydar Elhadi Babikir.

Abstract
Club foot or congenital talipes equinovarus (CTEV) is a common developmental disorder of the foot, affecting 1 per 1,000 live births. The main goal of this study is to evaluate the anatomical bony arrangement of the clubfoot deformity radiologically and to correlate this arrangement with the Pirani clinical scoring system. This descriptive, analytical study was conducted in three centres in Sudan. It recruited all the patients of both sexes with CTEV attending these centres, and excluding children on conservative cast and those who already had surgery. Data were collected using structured questionnaire. Pirani clinical scoring system, a reliable clinical assessment method, was applied. Four angles were used to measure each component of the deformity and correlate this with the Pirani score. Feet radiology was performed to assess the bone anatomy. The index cases number was 25 with male-to-female ratio of 1.6:1. Both feet were involved simultaneously in about half of the cases. Only the dorsoplanter (DP) and lateral (L) views talo-1st metatarsal angle was used to describe the forefoot adduction and midfoot cavus, respectively. These correlated significantly with the clinical score of Pinari, whereas the other two measures for the equinus and varus did not. The results matched with the demographic description of the deformity found in the literature. Further studies are warranted that combine both the clinical assessment and the X-ray measurements in one score to classify the severity of the deformity and guide the management options.

Key words: Clubfoot; Congenital talipes equinovarus; Pirani scoring system; Children; Sudan.


 
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Pubmed Style

Hadi MHE, Nurein MA, Bader MAES, Salih MMA, Babikir HE. Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudan J Paed. 2019; 19(2): 101-109. doi:10.24911/SJP.106-1573461977


Web Style

Hadi MHE, Nurein MA, Bader MAES, Salih MMA, Babikir HE. Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. http://www.sudanjp.com/?mno=73229 [Access: February 28, 2020]. doi:10.24911/SJP.106-1573461977


AMA (American Medical Association) Style

Hadi MHE, Nurein MA, Bader MAES, Salih MMA, Babikir HE. Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudan J Paed. 2019; 19(2): 101-109. doi:10.24911/SJP.106-1573461977



Vancouver/ICMJE Style

Hadi MHE, Nurein MA, Bader MAES, Salih MMA, Babikir HE. Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudan J Paed. (2019), [cited February 28, 2020]; 19(2): 101-109. doi:10.24911/SJP.106-1573461977



Harvard Style

Hadi, M. H. E., Nurein, . M. A., Bader, . M. A. E. S., Salih, . M. M. A. & Babikir, . H. E. (2019) Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudan J Paed, 19 (2), 101-109. doi:10.24911/SJP.106-1573461977



Turabian Style

Hadi, Mustafa Hayder El, Mohamed Abdelsalam Nurein, Mustafa Abbas El Sheikh Bader, Mohamed Mahdy Ali Salih, and Haydar Elhadi Babikir. 2019. Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudanese Journal of Paediatrics, 19 (2), 101-109. doi:10.24911/SJP.106-1573461977



Chicago Style

Hadi, Mustafa Hayder El, Mohamed Abdelsalam Nurein, Mustafa Abbas El Sheikh Bader, Mohamed Mahdy Ali Salih, and Haydar Elhadi Babikir. "Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study." Sudanese Journal of Paediatrics 19 (2019), 101-109. doi:10.24911/SJP.106-1573461977



MLA (The Modern Language Association) Style

Hadi, Mustafa Hayder El, Mohamed Abdelsalam Nurein, Mustafa Abbas El Sheikh Bader, Mohamed Mahdy Ali Salih, and Haydar Elhadi Babikir. "Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study." Sudanese Journal of Paediatrics 19.2 (2019), 101-109. Print. doi:10.24911/SJP.106-1573461977



APA (American Psychological Association) Style

Hadi, M. H. E., Nurein, . M. A., Bader, . M. A. E. S., Salih, . M. M. A. & Babikir, . H. E. (2019) Radiological study of anatomical bony arrangement of the clubfoot deformity and its correlation with the Pirani clinical scoring system: A multicenter study. Sudanese Journal of Paediatrics, 19 (2), 101-109. doi:10.24911/SJP.106-1573461977





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