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Foot and ankle deformities in children with down syndrome
Purpose Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome. Methods Ch...
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| Published in: | Journal of children's orthopaedics 2018-06, Vol.12 (3), p.218-226 |
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| container_end_page | 226 |
| container_issue | 3 |
| container_start_page | 218 |
| container_title | Journal of children's orthopaedics |
| container_volume | 12 |
| creator | Perotti, L. R. Abousamra, O. del Pilar Duque Orozco, M. Rogers, K. J. Sees, J. P. Miller, F. |
| description | Purpose
Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome.
Methods
Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed. In all, 41 children (79 feet) had foot radiographs and 60 children (117 ankles) had ankle radiographs, with 15 children overlapping between Groups I and II.
Results
In Group I, hallux valgus deformity was seen before ten years of age and hallux valgus angle increased afterwards. Metatarsus adductus angle showed a significant increase (p = 0.006) with obesity and was higher in patients who had foot pain (p = 0.05). In Group II, none of the ankle measurements showed a significant difference with age or body mass index percentiles. Tibiotalar angle (TTA) and medial distal tibial angle (MDTA) were higher in patients who had ankle pain. In Group III, correlation analysis was performed between the different measurements with the strongest correlations found between TTA and MDTA.
Conclusion
In children with Down syndrome, radiographic evaluation of the foot and ankle reveals higher prevalence of deformities than clinical examination. However, foot and ankle radiographs are needed only for symptomatic children with pain and gait changes.
Level of Evidence
Level IV - Prognostic Study |
| doi_str_mv | 10.1302/1863-2548.12.170197 |
| format | article |
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Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome.
Methods
Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed. In all, 41 children (79 feet) had foot radiographs and 60 children (117 ankles) had ankle radiographs, with 15 children overlapping between Groups I and II.
Results
In Group I, hallux valgus deformity was seen before ten years of age and hallux valgus angle increased afterwards. Metatarsus adductus angle showed a significant increase (p = 0.006) with obesity and was higher in patients who had foot pain (p = 0.05). In Group II, none of the ankle measurements showed a significant difference with age or body mass index percentiles. Tibiotalar angle (TTA) and medial distal tibial angle (MDTA) were higher in patients who had ankle pain. In Group III, correlation analysis was performed between the different measurements with the strongest correlations found between TTA and MDTA.
Conclusion
In children with Down syndrome, radiographic evaluation of the foot and ankle reveals higher prevalence of deformities than clinical examination. However, foot and ankle radiographs are needed only for symptomatic children with pain and gait changes.
Level of Evidence
Level IV - Prognostic Study</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1302/1863-2548.12.170197</identifier><identifier>PMID: 29951120</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Age groups ; Ankle ; Body mass index ; Children & youth ; Correlation analysis ; Down syndrome ; Feet ; Foot diseases ; Original Clinical ; Orthopedics ; Pain ; Patients ; Pediatrics</subject><ispartof>Journal of children's orthopaedics, 2018-06, Vol.12 (3), p.218-226</ispartof><rights>2018 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>2018. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2018, The author(s) 2018 The author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-db201a2befa342b08f7ff2a756a8de209610824763c48078bd4fce15c23781f83</citedby><cites>FETCH-LOGICAL-c474t-db201a2befa342b08f7ff2a756a8de209610824763c48078bd4fce15c23781f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2584404995/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2584404995?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21965,25752,27852,27923,27924,37011,37012,44589,44944,45332,53790,53792,74997</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29951120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perotti, L. R.</creatorcontrib><creatorcontrib>Abousamra, O.</creatorcontrib><creatorcontrib>del Pilar Duque Orozco, M.</creatorcontrib><creatorcontrib>Rogers, K. J.</creatorcontrib><creatorcontrib>Sees, J. P.</creatorcontrib><creatorcontrib>Miller, F.</creatorcontrib><title>Foot and ankle deformities in children with down syndrome</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><description>Purpose
Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome.
Methods
Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed. In all, 41 children (79 feet) had foot radiographs and 60 children (117 ankles) had ankle radiographs, with 15 children overlapping between Groups I and II.
Results
In Group I, hallux valgus deformity was seen before ten years of age and hallux valgus angle increased afterwards. Metatarsus adductus angle showed a significant increase (p = 0.006) with obesity and was higher in patients who had foot pain (p = 0.05). In Group II, none of the ankle measurements showed a significant difference with age or body mass index percentiles. Tibiotalar angle (TTA) and medial distal tibial angle (MDTA) were higher in patients who had ankle pain. In Group III, correlation analysis was performed between the different measurements with the strongest correlations found between TTA and MDTA.
Conclusion
In children with Down syndrome, radiographic evaluation of the foot and ankle reveals higher prevalence of deformities than clinical examination. However, foot and ankle radiographs are needed only for symptomatic children with pain and gait changes.
Level of Evidence
Level IV - Prognostic Study</description><subject>Age groups</subject><subject>Ankle</subject><subject>Body mass index</subject><subject>Children & youth</subject><subject>Correlation analysis</subject><subject>Down syndrome</subject><subject>Feet</subject><subject>Foot diseases</subject><subject>Original Clinical</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatrics</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><recordid>eNp9kU1PxCAQhonR-P0LTEwTL152Haa00IuJMX4lJl70TGiBXbQFha7Gf2_XXdePgwcCA8-8w8xLyAGFMc0BT6go8xEWTIwpjikHWvE1sr26XV-dkW6RnZQeAUqoKrFJtrCqCkoRtkl1GUKfKa-H9dSaTBsbYud6Z1LmfNZMXauj8dmb66eZDm8-S-9ex9CZPbJhVZvM_nLfJQ-XF_fn16Pbu6ub87PbUcM460e6RqAKa2NVzrAGYbm1qHhRKqENQlVSEMh4mTdMABe1ZrYxtGgw54Jake-S04Xu86zujG6M76Nq5XN0nYrvMignf794N5WT8CpLgAIRBoHjpUAMLzOTetm51Ji2Vd6EWZIIJWXAGcxrHf1BH8Ms-qE9iYVgDNgwuIHKF1QTQ0rR2NVnKMi5NXI-eDk3QdIh-LRmyDr82ccq58uLAYAFkNTEfBf-T_MD_LmW0g</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Perotti, L. R.</creator><creator>Abousamra, O.</creator><creator>del Pilar Duque Orozco, M.</creator><creator>Rogers, K. J.</creator><creator>Sees, J. P.</creator><creator>Miller, F.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>The British Editorial Society of Bone & Joint Surgery</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201806</creationdate><title>Foot and ankle deformities in children with down syndrome</title><author>Perotti, L. R. ; Abousamra, O. ; del Pilar Duque Orozco, M. ; Rogers, K. J. ; Sees, J. P. ; Miller, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-db201a2befa342b08f7ff2a756a8de209610824763c48078bd4fce15c23781f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age groups</topic><topic>Ankle</topic><topic>Body mass index</topic><topic>Children & youth</topic><topic>Correlation analysis</topic><topic>Down syndrome</topic><topic>Feet</topic><topic>Foot diseases</topic><topic>Original Clinical</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Patients</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perotti, L. R.</creatorcontrib><creatorcontrib>Abousamra, O.</creatorcontrib><creatorcontrib>del Pilar Duque Orozco, M.</creatorcontrib><creatorcontrib>Rogers, K. J.</creatorcontrib><creatorcontrib>Sees, J. P.</creatorcontrib><creatorcontrib>Miller, F.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perotti, L. R.</au><au>Abousamra, O.</au><au>del Pilar Duque Orozco, M.</au><au>Rogers, K. J.</au><au>Sees, J. P.</au><au>Miller, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Foot and ankle deformities in children with down syndrome</atitle><jtitle>Journal of children's orthopaedics</jtitle><addtitle>J Child Orthop</addtitle><date>2018-06</date><risdate>2018</risdate><volume>12</volume><issue>3</issue><spage>218</spage><epage>226</epage><pages>218-226</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Purpose
Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome.
Methods
Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed. In all, 41 children (79 feet) had foot radiographs and 60 children (117 ankles) had ankle radiographs, with 15 children overlapping between Groups I and II.
Results
In Group I, hallux valgus deformity was seen before ten years of age and hallux valgus angle increased afterwards. Metatarsus adductus angle showed a significant increase (p = 0.006) with obesity and was higher in patients who had foot pain (p = 0.05). In Group II, none of the ankle measurements showed a significant difference with age or body mass index percentiles. Tibiotalar angle (TTA) and medial distal tibial angle (MDTA) were higher in patients who had ankle pain. In Group III, correlation analysis was performed between the different measurements with the strongest correlations found between TTA and MDTA.
Conclusion
In children with Down syndrome, radiographic evaluation of the foot and ankle reveals higher prevalence of deformities than clinical examination. However, foot and ankle radiographs are needed only for symptomatic children with pain and gait changes.
Level of Evidence
Level IV - Prognostic Study</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>29951120</pmid><doi>10.1302/1863-2548.12.170197</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-2521 |
| ispartof | Journal of children's orthopaedics, 2018-06, Vol.12 (3), p.218-226 |
| issn | 1863-2521 1863-2548 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6005220 |
| source | Open Access: PubMed Central; Publicly Available Content Database; Sage Journals GOLD Open Access 2024 |
| subjects | Age groups Ankle Body mass index Children & youth Correlation analysis Down syndrome Feet Foot diseases Original Clinical Orthopedics Pain Patients Pediatrics |
| title | Foot and ankle deformities in children with down syndrome |
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