Skip to main content
main-content

01.05.2011 | Clinical Research | Ausgabe 5/2011

Clinical Orthopaedics and Related Research® 5/2011

Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot

Zeitschrift:
Clinical Orthopaedics and Related Research® > Ausgabe 5/2011
Autoren:
MD Laura J. Merrill, MD, PhD Christina A. Gurnett, MD Marilyn Siegel, MD Sushil Sonavane, MD Matthew B. Dobbs
Wichtige Hinweise
One or more of the authors (LMN, CAG) have received funding from the NIH National Center for Research Resources (TL1 RR024995) and HIN K12 (HD001459). One or more of the authors (MBD, CAG) have received funding from The Children’s Discovery Institute, March of Dimes Basil O’Connor Starter Scholar Research Award, St Louis Children’s Hospital Foundation, Orthopaedic Research and Education Foundation, Pediatric Orthopaedic Society of North America, Mallinckrodt Institute of Radiology, and Shriners Hospital for Children.
Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

Abstract

Background

Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children.

Questions/purposes

We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot.

Patients and Methods

Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot.

Results

Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 cm3 ± 0.36 cm3 (range, 0.08–1.12 cm3). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot.

Conclusions

We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment.

Clinical Relevance

This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Alle e.Med Abos bis 30. April 2021 zum halben Preis!

Jetzt e.Med zum Sonderpreis bestellen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 5/2011

Clinical Orthopaedics and Related Research® 5/2011 Zur Ausgabe
  1. Sie können e.Med Orthopädie & Unfallchirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Arthropedia

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, DICOM-Daten, Videos und Abbildungen. » Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

09.04.2021 | Leitsymptom Rückenschmerzen | Podcast | Onlineartikel

Nicht-spezifische Rückenschmerzen – Chronifizierung vermeiden!

Im Gespräch mit Prof. Dr. Casser, Orthopäde und Rheumatologe

02.04.2021 | Pädiatrische Notfallmedizin | Podcast | Nachrichten

Kindernotfall? Wann es wirklich kritisch wird

Mit Dr. med. Thomas Hoppen, Kinder- und Jugendmediziner und Notfallexperte

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise