Clubfoot prenatal diagnosys
What is it?
Demonstration that the sole of the foot is not perpendicular to the lower leg bones.
In >50% of cases the condition is isolated.
Chromosomal abnormalities: common finding in trisomies 18 and 13.
Commonly associated with prolonged oligohydramnios, brain abnormalities, spina bifida, skeletal and neuromuscular disorders.
More than 250 genetic syndromes include clubfoot as one component.
Which are the symptoms?
This isolated fetal pathologic condition is not associated with maternal morbid conditions.
How is it diagnosed?
Detailed ultrasound examination.
Non-isolated cases: invasive testing and array.
Isolated: standard follow-up.
How is it treated?
In 90% of cases good long-term function is achieved by manipulation and serial application of casts, supported by limited operative intervention.
Surgery is necessary in about 10% of cases and in one third more than one operation is needed.
Where do we treat it?
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