Document Detail


Resistant talipes equinovarus associated with congenital constriction band syndrome.
MedLine Citation:
PMID:  10739290     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-seven clubfeet in 28 patients with concomitant congenital constriction band syndrome were reviewed. The bands were considered to be of significance if located in the calf region (zone 2). The severity of the bands was classified. Grade 1 bands involved subcutaneous tissue, grade 2 bands extended to the fascia, grade 3 bands extended to the fascia and required release, and grade 4 bands were congenital amputations. The patients were divided based on neurologic deficit. Group A consisted of 26 clubfeet without neurologic deficit and had 1.4 surgeries per clubfoot. Group B consisted of 11 clubfeet with neurologic deficit and had 3.7 surgeries per clubfoot. Children with grade 3 bands in zone 2 were most likely to have a neurologic deficit. Twenty-three clubfeet had a good clinical result, seven clubfeet fair, and seven clubfeet poor. Group B had poorer results than Group A. These feet ultimately required numerous and more extensive surgeries to obtain correction, and ultimately had a poorer result.
Authors:
S P Hennigan; K N Kuo
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  20     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2000 Mar-Apr
Date Detail:
Created Date:  2000-05-16     Completed Date:  2000-05-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  240-5     Citation Subset:  IM    
Affiliation:
Shriners Hospital for Children, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Band Syndrome / complications*,  diagnosis
Child
Child, Preschool
Clubfoot / epidemiology,  etiology*,  surgery*
Female
Follow-Up Studies
Foot / innervation
Humans
Infant, Newborn
Male
Orthopedic Procedures / methods
Prevalence
Prognosis
Retrospective Studies
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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