Prognostic Value of the Radiologic Appearance of the Navicular Ossification Center in Congenital Talipes Equinovarus

Abstract Congenital talipes equinovarus (CTEV), more commonly known as clubfoot, is a deformity of the foot that is not well understood. The tarsal navicular is at the center of the disease process and exhibits abnormal development and delayed ossification. However, its role in the pathologic proces...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2015-09, Vol.54 (5), p.844-847
Main Authors: Atanda, Abiola A., MD, Oni, Julius K., MD, Ramsden, David M., BS, Yoon, Richard S., MD, Ahmad, Alaa A., MD, Otsuka, Norman Y., MD
Format: Article
Language:English
Subjects:
Child, Preschool
clubfoot
Clubfoot - diagnostic imaging
Clubfoot - surgery
Confidence Intervals
congenital talipes equinovarus
Databases, Factual
Female
Humans
Infant
Male
Orthopedic Procedures - methods
Orthopedics
Osteogenesis - physiology
outcome
Prognosis
Radiography
Recovery of Function
Retrospective Studies
Risk Assessment
tarsal
Tarsal Bones - diagnostic imaging
Tarsal Bones - surgery
Treatment Outcome
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Summary:Abstract Congenital talipes equinovarus (CTEV), more commonly known as clubfoot, is a deformity of the foot that is not well understood. The tarsal navicular is at the center of the disease process and exhibits abnormal development and delayed ossification. However, its role in the pathologic process is not clear. The aim of the present study was to better understand the role of the tarsal navicular in CTEV by correlating the presence of the navicular ossification center and relapse of clubfoot deformity after surgical treatment. The medical records and radiographs of 34 patients (41 feet) with surgically treated CTEV were reviewed for the presence of the navicular ossification center and the lateral talocalcaneal angles. Of the 41 feet, 17 (41.46%) did not have the tarsal navicular ossification center present before surgery, and 24 (58.54%) did have the ossification center present. The talocalcaneal angles were similar between those with and without the navicular ossification center present. No significant difference was found in the incidence of relapse between the nonossified navicular group (17.6%) and the ossified navicular group (16.7%; p  = .63). The presence of the navicular ossification center before surgery does not appear to have prognostic value for the relapse of CTEV after surgical intervention.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2015.01.007