PMID: 9178321May 1, 1997Paper

Caution: prenatal clubfoot can be both a transient and a late-onset phenomenon

Prenatal Diagnosis
I Bar-HavaZ Ben-Rafael

Abstract

Clubfoot (talipes equinovarus) is a common orthopaedic malformation that can be accurately diagnosed prenatally. The study was conducted to investigate possible in utero visualization of transient and late-onset clubfoot. Early (13-16 weeks' gestation) prenatal transvaginal sonographic diagnosis of clubfoot deformity was made in 36 cases during the study period. Only those cases where follow-up examination revealed different sonographic findings were considered. The results showed that seven cases of transient (as well as relapsing) clubfoot were identified. In 4 of 7 cases, the clubfoot resolved (all after more than 10 min of observation) during the same examination. In the fifth and sixth cases, it initially resolved, later reappearing in follow-up examinations (20 and 22 weeks' gestation). In the seventh case, the clubfoot persisted for two consecutive examinations (2 weeks apart each) and later disappeared. In addition, six late-onset (22-24 weeks' gestation) clubfoot cases were identified during the study period. Although infrequent, in utero clubfoot can be both a transient and a late-onset phenomenon. Over- and under-diagnosis are potential hazards in these situations.

References

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Citations

Jul 21, 1998·Annals of the New York Academy of Sciences·P S Romano, N J Waitzman
Sep 17, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S BakalisB Thilaganathan
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Apr 25, 2009·Acta Paediatrica·Ravi SwamyMithilesh Lal
May 15, 2012·Archives of Gynecology and Obstetrics·David Rafael HartgeJan Weichert
Apr 30, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Daniele Di MascioFrancesco D'Antonio
May 16, 2019·Journal of Perinatal Medicine·Armin S RazaviRobin B Kalish
Mar 1, 2017·Archives of Disease in Childhood·James S Huntley, Jason J Howard

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