TITLE:
Prenatal Sonographic Diagnosis of Talipes Equinovarus (Clubfoot) in a Non-Selected Population of Northwest of Iran
AUTHORS:
Mostafa Ghavami, Ramin Abedinzadeh, Mohammad-Hossein Biglu
KEYWORDS:
Clubfoot Sonography, Prenatal, Anomaly
JOURNAL NAME:
Open Access Library Journal,
Vol.3 No.12,
December
7,
2016
ABSTRACT: Background: Clubfoot is one of the most common malformations of children, in which the infant’s foot is turned into inner side. The objective of current study is to determine the infants with Clubfoot and associated anomalies in the second and third trimester of gestation by transabdominal sonography. Methods: We analyzed retrospectively the ultrasound examination of 7300 women who referred to our Medical Imaging Center during March 2005-March 2015. All women went under routine anomaly scanning at the second or third trimester of gestation. Results: A total number of 128 cases with Clubfoot were diagnosed during the last decade with an incidence of 2.4:1000, which 67 (52%) of cases were determined with isolated clubfoot and 61 cases (48%) had associated anomaly. 82 (64%) cases were male and 46 (36%) of cases were female. The gestational age at diagnosis period ranged from 14 to 34 weeks. Conclusion: When the clubfoot is identified in sonography, it is vital to determine whether it is bilateral or unilateral, complex or isolated. Amniocentesis should be offered in complex cases and considered in bilaterally isolated cases. Serial sonography in cases with Clubfoot has demonstrated that there is reclassification to the complex group during pregnancy which is important for counseling given the difference in prognosis.