Radiological assessment of congenital talipes equinovarus (clubfoot): Is it worthwhile? 2018

Surendra U Kamath, and Jose Austine
Department of Orthopaedic Surgery, Kasturba Medical College, Mangalore, 575001, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India. Electronic address: skamath3@hotmail.com.

The lack in consensus with regard to qualitative use of standard radiographs and their predictive value in evaluating congenital talipes equinovarus among infants continues to be apparent in clinical practice. Since standard radiographs continue to play a role in the assessment of clubfoot it is essential to ensure that the values measured are reliable and reproducible keeping in mind acceptable tolerances for clinical application. This study was undertaken to assess the inter-observer and the intra-observer reliability in estimation of talocalcaneal and talo-first metatarsal angles on standard radiographs done according to Simon's method. The study was conducted by consecutively selecting eleven children with unilateral idiopathic congenital clubfoot who presented to our tertiary care hospital with a paediatric orthopaedic service unit. Only those with unilateral idiopathic clubfoot with persistent deformity at the age of 3 months were included. The data obtained from three observers on two separate occasions was analysed by the method proposed by Bland and Altman to assess intra and inter observer variability in the measurements. The results of the present study suggest a significant difference between the measurements on two occasions by the same observer. The difference was constant and the level of experience of the observer had no significance. Also, there was a marked inter observer variability as evident from the calculation of limit of agreement. Therefore, radiological assessment of the type and degree of malalignment in these cases is insufficient as it does not possess the accuracy required in evaluation and further management.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008682 Metatarsal Bones The five long bones of the METATARSUS, articulating with the TARSAL BONES proximally and the PHALANGES OF TOES distally. Metatarsals,Bone, Metatarsal,Bones, Metatarsal,Metatarsal,Metatarsal Bone
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001837 Body Weights and Measures Measurements of the height, weight, length, area, etc., of the human and animal body or its parts. Body Measures,Body Measure,Measure, Body,Measures, Body
D003025 Clubfoot A deformed foot in which the foot is plantarflexed, inverted, and adducted. Equinovarus,Talipes Equinovarus,Clubfeet,Clubfeet, Congenital,Clubfoot, Congenital,Congenital Talipes Equinovarus,Pie Torcido,Congenital Clubfeet,Congenital Clubfoot,Pie Torcidos,Talipes Equinovarus, Congenital
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013639 Tarsal Bones The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms. Ankle Bones,Cuboid Bone,Cuneiform Bones,Navicular Bone of Foot,Tarsus Osseus,Os Naviculare,Bone, Cuboid,Bone, Cuneiform,Bone, Tarsal,Bones, Ankle,Bones, Cuboid,Bones, Cuneiform,Bones, Tarsal,Cuboid Bones,Cuneiform Bone,Foot Navicular Bone,Foot Navicular Bones,Naviculare, Os,Naviculares, Os,Os Naviculares,Tarsal Bone

Related Publications

Surendra U Kamath, and Jose Austine
December 2019, American journal of obstetrics and gynecology,
Surendra U Kamath, and Jose Austine
February 1995, Journal of the Royal College of Surgeons of Edinburgh,
Surendra U Kamath, and Jose Austine
April 2012, The Cochrane database of systematic reviews,
Surendra U Kamath, and Jose Austine
January 2015, Paediatrics & child health,
Surendra U Kamath, and Jose Austine
May 2020, The Cochrane database of systematic reviews,
Surendra U Kamath, and Jose Austine
August 2014, The Cochrane database of systematic reviews,
Surendra U Kamath, and Jose Austine
February 2010, BMJ (Clinical research ed.),
Surendra U Kamath, and Jose Austine
April 1968, L'Infirmiere francaise,
Surendra U Kamath, and Jose Austine
January 1997, Clinics in podiatric medicine and surgery,
Surendra U Kamath, and Jose Austine
August 1990, Foot & ankle,
Copied contents to your clipboard!