Deformity of the calcaneocuboid joint in patients who have talipes equinovarus. J Bone Joint Surg Am 1993 Feb;75(2):190-5
Date
02/01/1993Pubmed ID
8423179DOI
10.2106/00004623-199302000-00005Scopus ID
2-s2.0-0027459556 (requires institutional sign-in at Scopus site) 36 CitationsAbstract
A retrospective analysis was done of the records and radiographs of 100 club feet (in sixty-six patients) that had been consecutively treated with an operation. Twenty-six feet (26 per cent) had had a Grade-II deformity of the calcaneocuboid joint, as determined with a radiographic classification that had been developed on the basis of the degree of medial displacement of the cuboid. When the calcaneocuboid joint is in normal alignment, the central point of the cuboid ossification center lies on the mid-longitudinal axis of the calcaneus; when there is a Grade-I deformity, the mid-point of the cuboid ossification center lies lateral to the medial tangent but medial to the longitudinal axis of the calcaneus; and when there is a Grade-II deformity, the central point of the cuboid lies on or medial to the medial tangent of the calcaneus. Although a Grade-I deformity of the calcaneocuboid joint need not be corrected, a Grade-II deformity should be treated with release of the calcaneocuboid joint, which in this series was performed in conjunction with a complete subtalar release (including a talonavicular release). Sixteen of the twenty-six feet that had a Grade-II deformity had a complete release of the calcaneocuboid joint at the time of the operation; the release was not done in the remaining ten feet, some of which were operated on early in the series, before the importance of the deformity at the calcaneocuboid joint had been recognized.(ABSTRACT TRUNCATED AT 250 WORDS)
Author List
Thometz JG, Simons GWAuthor
John G. Thometz MD Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abnormalities, MultipleCalcaneus
Child, Preschool
Clubfoot
Follow-Up Studies
Humans
Infant
Prevalence
Prognosis
Radiography
Retrospective Studies
Tarsal Bones
