An X-Ray Study of Valgus Ankles in Spina Bifida Children with Valgus Flat Foot Deformity

This report describes the clinical, chromosomal, and radiological findings in four unrelated families with different recombinant chromosome 3 abnormalities. On the basis of the phenotypic and cytogenetic findings seen in our six patients and those noted in two recent reports, we concur with Allderdice et al. that the syndrome in which the long arm (q) of chromosome 3 is duplicated and the short arm (p) is deleted is a distinct clinical entity. The psychomotor retardation found in this syndrome appears to be caused mostly by monosomy of the region 3pter→3p25, while severity of the physical malformations (and hence the lethality) is apparently proportional to the amount of extra chromosome 3q material present. That is, patients who are trisomic for larger segments are physically more affected than patients who are trisomic for smaller amounts of the long arm of chromosome 3. Features common to the chromosome 3 duplication q/deletion p syndrome are mental and growth retardation, microcephaly, seizures, prominent and/or asymmetric frontal bossing, ocular hypertelorism, ptosis, upward-slanting palpebral fissures, and low-set and/or malformed ears. Other anomalies frequently seen are short webbed neck, various types of congenital cardiovascular disorders, omphalocele, cryptorchidism, spina bifida, short digits, hypotonia, and digital impressions on skull x-ray examination which are presumably caused by trisomy for the distal band (3q28) of the long arm of chromosome 3. In addition, the importance of doing chromosome studies in persons who are mildly affected, both mentally and physically, is illustrated by the study of one of these families.

Download Full-text

The Incidence of Foot Deformity in Japanese School-Age Patients with Spina Bifida

Spina Bifida ◽

10.1007/978-4-431-68373-5_81 ◽

1999 ◽

pp. 357-358

Author(s):

Haruhisa Yanagida ◽

Toshio Fujii ◽

Akihiko Takashima ◽

Kazuyuki Takamura

Keyword(s):

Spina Bifida ◽

School Age ◽

Foot Deformity

Download Full-text

Subtalar Arthroeresis in Posterior Tibial Tendon Dysfunction

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201118155-59 ◽

2011 ◽

Vol 18 (1) ◽

pp. 55-59

Author(s):

Sargon Konstantinovich Tamoev ◽

N V Zagorodniy ◽

V G Protsko ◽

E M Sultanov ◽

Z Kh Khamokov ◽

...

Keyword(s):

Posterior Tibial Tendon ◽

Foot And Ankle ◽

Posterior Tibial Tendon Dysfunction ◽

Flat Foot ◽

X Ray ◽

Posterior Tibial ◽

Study Results ◽

Foot Function ◽

American Orthopaedic ◽

Foot Position

The purpose of the study was to evaluate the efficacy of subtalar arthroeresis for II stage tibial tendon dysfunction by Johnson and Storm classification. From November 2007 to August 2009, 18 patients with that pathology were operated on. After implantation of Kalix® II endorthesis the plasty of posterior tibial tendon was performed. The results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) scores system. After treatment average estimate by AOFAS increased from 47.2 before operation to 79.0 after surgery, pain index from 16.3 to 30.0, foot function from 28.7 to 41.6, foot position from 2.6 to 8.4. According to X-ray data the longitudinal arch angle decreased by 14.3° at an average and talar-calcaneal angle by 8°. Study results showed that technique of subtalar arthrodesis was effective enough for correction of flat foot resulted from II stage posterior tibial tendon dysfunction. Combination of that technique with tendon plasty ensured the full-value reconstruction of the foot.

Download Full-text

Controversies in surgical reconstruction of acquired adult flat foot deformity

Foot and Ankle Clinics ◽

10.1016/s1083-7515(03)00062-7 ◽

2003 ◽

Vol 8 (3) ◽

pp. 595-604 ◽

Cited By ~ 12

Author(s):

Stephen J Pinney ◽

Anthony Van Bergeyk

Keyword(s):

Surgical Reconstruction ◽

Foot Deformity ◽

Flat Foot

Download Full-text

The high incidence of foot deformity in patients with high-level spina bifida

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.76b4.8027137 ◽

1994 ◽

Vol 76-B (4) ◽

pp. 548-550 ◽

Cited By ~ 30

Author(s):

NS Broughton ◽

G Graham ◽

MB Menelaus

Keyword(s):

Spina Bifida ◽

Foot Deformity ◽

High Incidence ◽

High Level

Download Full-text

Adult acquired flat foot deformity: clinical and radiographic examination

Foot and Ankle Clinics ◽

10.1016/s1083-7515(03)00019-6 ◽

2003 ◽

Vol 8 (3) ◽

pp. 431-452 ◽

Cited By ~ 22

Author(s):

Robert E Meehan ◽

Michael Brage

Keyword(s):

Radiographic Examination ◽

Foot Deformity ◽

Flat Foot

Download Full-text

Study of Spina Bifida Occulta Based on Age, Sex and Localization

ARS Medica Tomitana ◽

10.2478/arsm-2019-0020 ◽

2019 ◽

Vol 25 (3) ◽

pp. 95-99

Author(s):

Sipos Tamas-Csaba ◽

Denes Lorand ◽

Brinzaniuc Klara ◽

Sipos Remus Sebastian ◽

Raduly Gergo ◽

...

Keyword(s):

Spina Bifida ◽

Thoracolumbar Spine ◽

Spina Bifida Occulta ◽

Radiology Department ◽

Radiologic Diagnosis ◽

X Ray ◽

Spina Bifida Aperta ◽

Chest X Ray ◽

Incomplete Closure ◽

Age And Sex

Abstract Introduction: Spina bifida is a spine malformation that appears as an incomplete closure of the spine during development. Most frequently it involves lumbosacral vertebrae. There are two types of spina bifida: spina bifida aperta and spina bifida occulta. In most of the cases spina bifida occulta is asymptomatic, and it is identified by accident. Objectives: the aim of this study was to correlate localization of spina bifida occulta with age and sex of the patients. Materials and methods: Between July 2017 and January 2019 there have been 108 patients diagnosed with spina bifida occulta at the Radiology Department of Dora Medicals Tîrgu Mureș. The diagnoses were based on thoracolumbar spine x-ray, pelvic x-ray and chest x-ray studies requested by specialist physicians. Radiologic diagnosis was followed by data processing and statistical analysis. Results: In 81% of the cases the lesion was localized to vertebra S1, and in 15% to vertebra L5; we identified other five cases of rare localizations: C7- T1- T2, T1, T2, S2. This lesion was diagnosed most frequently at ages from 11 to 15 years (44.4%). Spina bifida localized to L5 was more frequent in males (11/16, 68.7%). Cases localized to S1 were more frequent in females (60/88, 68.1%). All spina bifida cases in females localized to vertebra L5 were diagnosed before 20 years of age. Conclusions: Our results partially correspond to those reported in other published studies.

Download Full-text

Paediatric flatfoot

Pediatria i Medycyna Rodzinna ◽

10.15557/pimr.2020.0066 ◽

2020 ◽

Vol 16 (4) ◽

pp. 368-372

Author(s):

Ryszard Tomaszewski ◽

◽

Barbara Czasławska ◽

◽

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Conservative Treatment ◽

Radiological Evaluation ◽

Foot Deformity ◽

Flat Foot ◽

Small Children ◽

Flat Feet ◽

Inflammatory Drugs ◽

Therapeutic Problem

Paediatric flat feet are a serious therapeutic problem. During the child’s development, the foot is subject to the processes of anatomical and physiological modifications. In small children, the flat foot is a physiological variant. The assessment of the flat foot deformity is based on clinical examination, a podoscope examination and possibly radiological evaluation. Only from the age of about 3 years is it possible to consider the implementation of treatment, initially conservative with rehabilitation and possibly orthotics. Some patients require treatment with analgesics, anti-inflammatory drugs or physiotherapy due to the pain they experience, especially in the hindfoot. The lack of progress in conservative treatment requires consideration of surgical treatment, which must be individually adjusted. Arthroereisis, possibly combined with the elongation of the Achilles tendon, is the most commonly used treatment. In fixed deformities or congenital flat feet, corrective bone procedures are also performed, usually combined with soft tissue procedures.

Download Full-text

Occult spinal dysraphia - a case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh04s1111r ◽

2004 ◽

Vol 132 (suppl. 1) ◽

pp. 111-114 ◽

Cited By ~ 2

Author(s):

Mirjana Raicevic ◽

Dusan Abramovic ◽

Miljan Mihajlovic ◽

Ivana Petronic ◽

Marko Vidosavljevic

Keyword(s):

Diabetes Mellitus ◽

Spina Bifida ◽

Spinal Dysraphism ◽

Occult Spinal Dysraphism ◽

Skin Changes ◽

Previous Pregnancy ◽

X Ray ◽

Female Children ◽

Neurosurgical Treatment

One of the most complex and most difficult congenital anomalies is spina bifida. Peter Van Forest was the first one who noticed this anomaly in 1587, and Recklinghausen, in 1886, classified spina bifida to types and suggested surgical procedures for its management. Earlier name, spina bifida, is currently more and more replacing with a term ?defect of neural tube? (NTDs), or even more, ?spinal dysraphia?. Anomaly can appear at any level of spinal cord (cervical, thoracal, lumbar and sacral) and posterior localization is more often than the anterior one. Contrary to the open spinal dysraphism that can be perceived immediately, closed spinal dysraphism is very deceiving anomaly, and therefore, it must be treated properly as soon as it is diagnosed. Because of its seclusion, the term usually used is ?occult spinal dysraphism (OSD)?. The incidence of this anomaly is unknown, but it has been reported that it is more common among female children. Etiology of OSD is also unknown, but some of its risk factors are as follows: previous pregnancy with NTD, partner with NTD, type 1 diabetes mellitus, usage of anticonvulsives, a lack of folates in mother?s nutrition. Prenatal diagnose of OSD is practically impossible. Skin changes, orthopedic, urological and neurological problems, suggest considering this complex anomaly. X-ray, ECHO, MRI, as well as neuropsychological examination corroborate diagnosis. At the same time, the diagnosis (once it is confirmed) represents the indication for neurosurgical treatment.

Download Full-text