Clubfoot: Congenital Talipes Equinovarus.

IF 5.2 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiographics Pub Date : 2024-07-01 DOI:10.1148/rg.230178

Adham do Amaral E Castro, Júlia B Peixoto, Lucas K Miyahara, Marina C Akuri, Tatiane L Moriwaki, Vitor N Sato, Ulysses P Rissato, José A Pinto, Atul K Taneja, André Y Aihara

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引用次数: 0

Abstract

Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common musculoskeletal entity that affects one to two per 1000 live births worldwide. Imaging modalities including radiography, US, and MRI have emerged as valuable tools for the diagnosis, treatment, and monitoring of CTEV. The deformity is characterized by midfoot cavus, forefoot adductus, and hindfoot varus and equinus. The Ponseti method of manipulation and serial casting is the standard treatment of CTEV. Radiography shows the anatomy, position, and relationships of the different bones of the foot. US allows accurate assessment of cartilaginous and bony structures, in addition to its inherent advantages such as absence of ionizing radiation exposure. One of the indications for US is to monitor the response to Ponseti method treatment. MRI enables visualization of bones, cartilage, and soft tissues and allows multiplanar evaluation of deformities, providing a comprehensive imaging analysis of CTEV. An integrated approach that combines clinical examination and imaging findings is essential for effective management of CTEV. The authors provide a comprehensive overview of CTEV with a review of imaging modalities to help evaluate CTEV, focusing on radiography, US, and MRI. Using this article as a guide, radiologists involved in the assessment and treatment of CTEV can contribute to the management of the condition. ^©RSNA, 2024 Supplemental material is available for this article.

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马蹄内翻足：先天性马蹄内翻足。

先天性马蹄内翻足（Congenital talipes equinovarus，CTEV）又称马蹄内翻足，是一种常见的肌肉骨骼疾病，全世界每 1000 个活产婴儿中就有 1 到 2 例。包括射线照相术、超声波和核磁共振成像在内的成像模式已成为诊断、治疗和监测 CTEV 的重要工具。这种畸形的特点是足中部凹陷、前足内收、后足外翻和等足。Ponseti 手法和连续铸造法是治疗 CTEV 的标准方法。放射线检查可显示足部不同骨骼的解剖结构、位置和关系。US 除了具有无电离辐射等固有优势外，还能对软骨和骨骼结构进行准确评估。US 的适应症之一是监测对 Ponseti 方法治疗的反应。核磁共振成像可显示骨骼、软骨和软组织，并可对畸形进行多平面评估，为 CTEV 提供全面的成像分析。结合临床检查和成像结果的综合方法对于有效治疗 CTEV 至关重要。作者对 CTEV 进行了全面概述，回顾了有助于评估 CTEV 的成像模式，重点介绍了放射摄影、US 和 MRI。以这篇文章为指导，参与 CTEV 评估和治疗的放射科医生可以为病情的管理做出贡献。©RSNA，2024 本文有补充材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiographics 医学-核医学

CiteScore

8.20

自引率

5.50%

发文量

224

审稿时长

4-8 weeks

期刊介绍： Launched by the Radiological Society of North America (RSNA) in 1981, RadioGraphics is one of the premier education journals in diagnostic radiology. Each bimonthly issue features 15–20 practice-focused articles spanning the full spectrum of radiologic subspecialties and addressing topics such as diagnostic imaging techniques, imaging features of a disease or group of diseases, radiologic-pathologic correlation, practice policy and quality initiatives, imaging physics, informatics, and lifelong learning. A special issue, a monograph focused on a single subspecialty or on a crossover topic of interest to multiple subspecialties, is published each October. Each issue offers more than a dozen opportunities to earn continuing medical education credits that qualify for AMA PRA Category 1 CreditTM and all online activities can be applied toward the ABR MOC Self-Assessment Requirement.