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Year : 1981  |  Volume : 15  |  Issue : 2  |  Page : 136-149

Radiology In Club-Foot

Correspondence Address:
Benjamin Joseph

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Source of Support: None, Conflict of Interest: None

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In spite of adhering to universally accepted principles in the treatment of club-foot, one is often with feet which go back in to the equinovarus deformity within months or years after completion of treatment. Such feet have been termed “recurrent” or “relapsed” club-feet. There appears to be increasing support to the view that the so-called “relapsed” clubfoot is nothing more than an incompletely corrected clubfoot (Beatson and Pearson 1966, Evans 1961, Fripp and Shaw 1967, Kite 1972, Turco 1971). If this is true it is obvious that some feet appear adequately corrected initially, when in fact, covert residual deformity persists. Such spurious correction later manifests itself as a “relapse”. Attenborough (1972) divided the feet into the “easy” and “resistant” types, the latter being difficult to treat. Some feet may show evidence of “resistance” at the outset, while others fail to respond to conservative measures later on. This study was, therefore, undertaken to evaluate the role of radiology in detecting spurious correction, thereby avoiding relapse, and elucidate the cause of “resistance”. The efficacy of plain radiography in assessing the completeness of correction in treated feet was also studied.

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