Diagnosis of Club Foot
Diagnosis of club foot is usually straightforward, as the condition is visible at birth. Routine prenatal ultrasounds may reveal club foot in some cases. Allowing for early planning and referral to specialists. An accurate and timely diagnosis is essential for starting treatment as early as possible.
1. Physical Examination at Birth
Doctors typically identify club foot immediately after birth through visual assessment. The position and flexibility of the foot are evaluated. Clinicians use the Pirani and Dimeglio scales to grade deformity severity. These tools help assess the likelihood of treatment success and the need for surgery.
2. Prenatal Diagnosis | Diagnosis of Club Foot
High-resolution ultrasound imaging can detect club foot during pregnancy, usually between 18 and 22 weeks of gestation. Once confirmed, parents meet an orthopaedic specialist to receive counseling and plan post-birth treatment.
3. Distinguishing Between Types
It’s important to determine whether the club foot is:
- Idiopathic (isolated): Occurs on its own, without other abnormalities
- Syndromic: Occurs alongside other conditions like spina bifida or neuromuscular disorders
Further investigations, including genetic tests or MRI scans, help diagnose suspected abnormalities in complex cases.
4. Monitoring During Growth
After initial treatment begins, regular follow-up appointments and imaging (usually X-rays) help monitor progress. To maintain proper correction, doctors regularly check foot positioning, bone growth, and joint flexibility.
5. Parental Education | Diagnosis of Club Foot
Parents are often involved in early treatment, especially when bracing is required. Diagnosis includes education about the importance of compliance with home care routines, casting schedules, and potential long-term follow-up.
A precise diagnosis of club foot sets the foundation for successful treatment. Early intervention, guided by an experienced orthopaedic team, leads to excellent outcomes in the vast majority of cases.
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