Non-Idiopathic Studies (Syndromic) & Clubfoot Associated Conditions | Non-Surgical Clubfoot Treatment - The Ponseti Method Non-Idiopathic Studies (Syndromic) & Clubfoot Associated Conditions | Non-Surgical Clubfoot Treatment - The Ponseti Method

Non-Idiopathic Studies (Syndromic) & Clubfoot Associated Conditions

Get a Quote

We can help you specify the best weather station for your requirements.

Or call

Click into the heading below for more information from this paper

Figure 1 (a) Bilateral congenital talipes equinovarus deformity occurring in a male patient with trisomy 18, before treatment at age 1 month and (b) after treatment at age 3 years This patient was treated with the Ponseti method of serial casting which required a total of six casts applied weekly between the ages of 1 and 3 months.

(a) Bilateral congenital talipes equinovarus deformity occurring in a male patient with trisomy 18, before treatment at age 1 month and (b) after treatment at age 3 years This patient was treated with the Ponseti method of serial casting which required a total of six casts applied weekly between the ages of 1 and 3 months.
Differences in treatment response for idiopathic versus non-idiopathic clubfoot. (a) Number of serial casts required for initial correction of the congenital talipes equinovarus (CTEV) deformity with the Ponseti method. (b) Percentage of children who developed recurrence and percentage who required surgical correction of CTEV after initial success with the Ponseti method.

Differences in treatment response for idiopathic versus non-idiopathic clubfoot. (a) Number of serial casts required for initial correction of the congenital talipes equinovarus (CTEV) deformity with the Ponseti method. (b) Percentage of children who developed recurrence and percentage who required surgical correction of CTEV after initial success with the Ponseti method.

The following is a listing of non-idiopathic conditions from the sample of participants from the above research paper. All the patients were treated at Shriners St. Louis by Dr. Matthew Dobbs.

This is not an exhaustive list of associated or concurrent conditions, however it may help you understand the incidence of each listed condition in a sample of 84 total participants with an additional condition other than clubfoot. Please see the Discussion portion of the study linked above for more detailed information on rates seen in studies from global samples published before 2008. Rates for idiopathic vs non-idiopathic have been identified in other research since this paper was published and the general consensus at the time of this writing is that about 20% of clubfoot is non-idiopathic.


Etiologies of non-idiopathic CTEV (additional malformations, chromosomal abnormalities, genetic syndromes)

Central nervous system, n (%) 12/84 (14)

Dandy Walker 2
Septo-optic dysplasia 1
Perisylvian syndrome 2
Neuroblastoma 1
Choroid plexus papilloma 1
Other 5

Spinal cord, n (%) 19/84 (23)

Myelomeningocele 17
Spinal muscular atrophy-like (SMN negative) 1
Tethered cord 1

Muscle, n (%) 15/84 (18)

Distal arthrogryposis 6
Arthrogryposis multiplex 4
Congenital myotonic dystrophy 3
Congenital muscular dystrophy 2

Chromosomal abnormality, n (%) 10/84 (12)

Trisomy 18 2
Trisomy 21 1
Ring chromosome 18 1
Partial trisomy 4, monosomy X 1
Partial trisomy 1q and monosomy 10q 1
Partial trisomy 13q and monosomy 5p 1
22q11.2 deletion 2
Subtelomeric deletion 13q 1

Known genetic syndromes, n (%) 5/84 (6)

Costello syndrome 1
Carpenter syndrome 1
Toriello Carey syndrome 1
Osteogenesis imperfecta 1
X-linked chondrodysplasia punctata 1

Probable genetic syndrome, n (%) 19/84 (23)
Orthopedic n (%) (fibular hemimelia, polydactyly, hip dysplasia, ulnar longitudinal deficiency) 6/84 (7)
Multiple congenital anomaly 13/84 (15)
Amniotic band sequence, n (%) 4/84 (5)

Arthrogryposis

Myelomeningocele

Spina Bifida

Tethered Cord

Amniotic Band Syndrome

Polydactyly

Developmental Hip Dysplasia, Congenital Muscular Torticollis

See the Hip Dysplasia & Clubfoot Studies page for these studies.

Why? - According to all but one paper listed at the link above, Developmental Hip Dysplasia (DDH) is not at any higher risk with clubfoot. Standard clinical exams (normal exam the pediatrician does to check the hips) are sufficient for any screening for DDH, and routine ultrasound screening is not considered warranted or cost effective.

Other specific disorders or conditions

  • Saul-Wilson Syndrome Jan 2020 - Carlos Ferreira Margaret P Adam, David B Everman, Ghayda M Mirzaa, Roberta A Pagon, Stephanie E Wallace, Lora JH Bean, Karen W Gripp, Anne Amemiya

Find a Doctor

We can help you find the best Ponseti Method doctor for clubfoot treatment

Find Support

Non-Surgical Clubfoot Treatment - The Ponseti Method
Clubfoot Stuff
LINKS
RESOURCES

©2003 - 2025 NoSurgery4Clubfoot(@yahoogroups.com) All rights reserved.

NoSurgery4Clubfoot | Portland, Oregon, USA | Terms of Use | Privacy Policy