Radiographic Assessment of Club Foot
- helps to determine preoperative pathology;
- in infancy, ossification centers of the talus, calcaneus, and cuboid are present, whereas the navicular does not appear until 3-4 yr;
- Method of Beatson and Pearson
- AP of Foot:
- taken in 30 deg plantarflexion, with the x-ray tube directed 30 deg from the perpendicular;
- lines are drawn longitudinally thru the talus parallel to its medial border and thru the calcaneus parallel to its lateral border;
- on AP view, talocalcaneal angle should be between 25-40 deg;
- angle more than 35 deg indicates valgus;
- angle less than 20 deg indicates varus;
- Lateral of Foot:
- taken with the foot in 30 deg of flexion;
- x-ray beam should be perpendicular to both malleoli;
- lines are drawn longitudinally thru the central axis of talus and parallel to the lower border of the body of the calcaneus;
- parallelism of the calcaneus and talus is key;
- this is recognized as a decr in lateral talocalcaneal angle which is normally 30-50 deg;
- this does not increase on max dorsiflexion view;
- on lateral view, this angle should be between 35 - 40 deg;
- Forced dorsiflexion lateral:
- will show an angle smaller than nl (35-50 deg);
- w/ club foot, axes of talus & calcaneus becomes more parallel;
- most reliable roentgenographic view is the lateral projection, usually with the foot in maximum dorsiflexion.
- in clubfoot there is no convergence of talocalcaneal region (parallel alignment), and the tibiocalcaneal relationship reveals equinus;
- plantar flexion at the ankle (equinus)
- forefoot and hindfoot inversion (varus);
- Kyte's angles from AP and Lateral views are added together to form talcalcaneal index;
- in a corrected foot the talocalcaneal index should be greater than 40 degrees
A Method of Assessing Correction in Club Feet.
Deformity of the calcaneocuboid joint in patients who have talipes equinovarus.
A standardized method for the radiographic evaluation of cludfeet.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Tuesday, May 15, 2012 1:10 pm