A. Rijhsinghani et al., ANTENATAL SONOGRAPHIC DIAGNOSIS OF CLUB FOOT WITH PARTICULAR ATTENTION TO THE IMPLICATIONS AND OUTCOMES OF ISOLATED CLUB FOOT, Ultrasound in obstetrics & gynecology, 12(2), 1998, pp. 103-106
Citations number
10
Categorie Soggetti
Acoustics,"Obsetric & Gynecology","Radiology,Nuclear Medicine & Medical Imaging
Objective There are no studies to date on the implications and outcome
s of antenatally detected isolated club foot. The purpose of this stud
y was to perform a contemporary evaluation of club foot diagnosed in t
he antenatal period. Design We performed a retrospective analysis of a
ll ultrasound examinations performed in 1989-96 in the Fetal Diagnosis
and Treatment Unit of the University of Iowa Hospitals and Clinics (n
= 23 863). Subjects and methods All cases of club foot (n = 35) were
evaluated for the presence of other detectable abnormalities and karyo
type results if available. Postnatal follow-up was performed until ove
r 1 year of age. Results We diagnosed unilateral (n = 18) and bilatera
l (n = 17) club foot from 17.4 to 37.0 weeks. Defects involving other
systems were found in 28 of 35 cases. Of the seven cases considered to
be isolated antenatally, three were diagnosed with additional malform
ations in the neonatal period. Conclusion Most cases of antenatally di
agnosed club foot were not isolated. Even when they were thought to be
isolated on antenatal ultrasound over half of them were later found t
o be associated with additional severe abnormalities that were detecta
ble only in the neonatal period.