Idiopathic congenital talipes equinovarus; not always an isolated anomaly. A review of long-term outcomes. (18th October 2018)

• Record Type: Journal Article
• Authors: Stone, Peter; Martis, Walston; Crawford, Haemish
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 31:Number 20(2018)
• Page Start: 2693
• Page End: 2698
• Publication Date: 2018-10-18
• Subjects: Club feet outcomes -- Maori genetic studies -- Pirani score -- Polynesian epidemiology of club foot -- Ponseti method -- prenatal diagnosis club foot; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2017.1353967
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Objective: To describe the long-term outcomes of children at school age who were thought to have isolated idiopathic congenital talipes equino varus (ICTEV) at birth. Method: A retrospective review of all children attending a regional talipes clinic who had achieved school age. Results: One hundred sixty-three children were followed up. ICTEV was more common in Maori and other Polynesian children and in males. Additional abnormalities were apparent in 30.1% overall, but higher in New Zealand Europeans (43%) than Maori (21%) or other Polynesians (22%). Of the abnormalities, 41% were associated with the central nervous system or with neurodevelopmental delay. Conventional G-band karyotyping, where performed, was not informative. Conclusions: The rate of additional abnormalities was higher than previous reports. This has implications for prenatal counseling and postnatal follow-up as a prenatal diagnosis of ICTEV may subsequently be found to have longer term implications in addition to orthopedic treatments of the clubfeet.