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Cai M, Lin J, Que Y, Xu L, Lin N, Huang H. Fetal congenital talipes equinovarus: genomic abnormalities and obstetric follow-up results. J Matern Fetal Neonatal Med 2024; 37:2299113. [PMID: 38151241 DOI: 10.1080/14767058.2023.2299113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 12/20/2023] [Indexed: 12/29/2023]
Abstract
OBJECTIVE The etiology of congenital talipes equinovarus (CTEV) is unknown, and the relationship between chromosome microdeletion/microduplication and fetal CTEV is rarely reported. In this study, we retrospectively analyzed fetal CTEV to explore the relationship among the CTEV phenotype, chromosome microdeletion/microduplication, and obstetric outcomes. METHODS Chromosome karyotype analysis and single nucleotide polymorphism (SNP) array were performed for the 68 fetuses with CTEV. RESULTS An SNP array was performed for 68 fetuses with CTEV; pathogenic copy number variations (CNVs) were detected in eight cases (11.8%, 8/68). In addition to one case consistent with karyotype analysis, the SNP array revealed seven additional pathogenic CNVs, including three with 22q11.21 microdeletions, two with 17p12p11.2 microduplications, one with 15q11.2 microdeletions, and one with 7q11.23 microduplications. Of the seven cases carrying pathogenic CNVs, three were tested for family genetics; of these, one was de novo, and two were inherited from either the father or mother. In total, 68 fetuses with CTEV were initially identified, of which 66 cases successfully followed-up. Of these, 9 were terminated, 2 died in utero, and 55 were live births. In 9 cases, no clinical manifestations of CTEV were found at birth; the false-positive rate of prenatal ultrasound CTEVdiagnosis was thus 13.6% (9/66). CONCLUSION CTEV was associated with chromosome microdeletion/microduplication, the most common of which was 22q11.21 microdeletion, followed by 17p12p11.2 microduplication. Thus, further genomic detection is recommended for fetuses with CTEV showing no abnormalities on conventional karyotype analysis.
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Affiliation(s)
- Meiying Cai
- College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Medical Genetic Diagnosis and Therapy Center, Fujian Maternity and Child Health Hospital, Fujian Key Laboratory for Prenatal Diagnosis and Birth Defect, Fuzhou, China
| | - Jiansong Lin
- Department of Pathology, Fujian Maternal and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
| | - Yanting Que
- College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
| | - Liangpu Xu
- Medical Genetic Diagnosis and Therapy Center, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Key Laboratory for Prenatal Diagnosis and Birth Defect, Fuzhou, China
| | - Na Lin
- Medical Genetic Diagnosis and Therapy Center, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Key Laboratory for Prenatal Diagnosis and Birth Defect, Fuzhou, China
| | - Hailong Huang
- College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Medical Genetic Diagnosis and Therapy Center, Fujian Maternity and Child Health Hospital, Fujian Key Laboratory for Prenatal Diagnosis and Birth Defect, Fuzhou, China
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do Amaral E Castro A, Peixoto JB, Miyahara LK, Akuri MC, Moriwaki TL, Sato VN, Rissato UP, Pinto JA, Taneja AK, Aihara AY. Clubfoot: Congenital Talipes Equinovarus. Radiographics 2024; 44:e230178. [PMID: 38935547 DOI: 10.1148/rg.230178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2024]
Abstract
Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common musculoskeletal entity that affects one to two per 1000 live births worldwide. Imaging modalities including radiography, US, and MRI have emerged as valuable tools for the diagnosis, treatment, and monitoring of CTEV. The deformity is characterized by midfoot cavus, forefoot adductus, and hindfoot varus and equinus. The Ponseti method of manipulation and serial casting is the standard treatment of CTEV. Radiography shows the anatomy, position, and relationships of the different bones of the foot. US allows accurate assessment of cartilaginous and bony structures, in addition to its inherent advantages such as absence of ionizing radiation exposure. One of the indications for US is to monitor the response to Ponseti method treatment. MRI enables visualization of bones, cartilage, and soft tissues and allows multiplanar evaluation of deformities, providing a comprehensive imaging analysis of CTEV. An integrated approach that combines clinical examination and imaging findings is essential for effective management of CTEV. The authors provide a comprehensive overview of CTEV with a review of imaging modalities to help evaluate CTEV, focusing on radiography, US, and MRI. Using this article as a guide, radiologists involved in the assessment and treatment of CTEV can contribute to the management of the condition. ©RSNA, 2024 Supplemental material is available for this article.
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Affiliation(s)
- Adham do Amaral E Castro
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Júlia B Peixoto
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Lucas K Miyahara
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Marina C Akuri
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Tatiane L Moriwaki
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Vitor N Sato
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Ulysses P Rissato
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - José A Pinto
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - Atul K Taneja
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
| | - André Y Aihara
- From the Division of Musculoskeletal Radiology, Department of Diagnostic Imaging (A.d.A.e.C., J.B.P., L.K.M., M.C.A., T.L.M., V.N.S., A.Y.A.), and Discipline of Pediatric Orthopedics, Department of Orthopedics and Traumatology (U.P.R., J.A.P.), Napoleão de Barros St, 800-Vila Clementino, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, SP, Brazil 04024-002; Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); Department of Diagnostic Imaging, DASA/Laboratório Delboni Auriemo, São Paulo, SP, Brazil (T.L.M., V.N.S., A.Y.A.); Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil (V.N.S.); and Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX (A.K.T.)
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Yolaçan H, Güler S, Özmanevra R. Clubfoot from past to the present: A bibliometric analysis with global productivity and research trends. Medicine (Baltimore) 2023; 102:e32803. [PMID: 36820544 PMCID: PMC9907969 DOI: 10.1097/md.0000000000032803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
Abstract
Clubfoot, a common congenital abnormality, affects the lower extremities; however, the literature search revealed no bibliometric research on this subject. Thus, we aimed to holistically analyze scientific articles and reveal global productivity and trend issues. This study statistically analyzed 1417 published articles on clubfoot (1980-2021) from the Web of Science database. Bibliometric network visualization maps were created to reveal trend topics, citation analysis, and cross-country collaborations. The analysis was conducted using Spearman correlation analysis. An exponential smoothing estimator was used to predict article productivity. The United States of America (433, 30.5%), the United Kingdom (166, 11.7%), and India (107, 7.5%) are the top 3 countries contributing to the literature. The Journal of Pediatric Orthopedics (220 articles), the Journal of Pediatric Orthopedics-Part B (147 articles), and Clinical Orthopedics and Related Research (69 articles) are the top 3 most productive journals. Dobbs MB (34 articles) is the most active author, and Shriners Hospital Children (44 articles) is the most active institution. Bibliometric analysis revealed that recently studied trend topics included Pirani score, Dimeglio score, Ponseti method, Ponseti casting, tenotomy, recurrence, neglected, tendon transfer, bracing, gait, risk factors, pedobarography, complex clubfoot, and polymorphism. The most studied subjects included Ponseti technique, treatment/casting, recurrent/relapsed clubfoot, Pirani score, pediatrics/children, foot deformities, surgery, ultrasound, Achilles tendon/tenotomy, gait analysis, casting, outcomes, neglected clubfoot, and tenotomy. Research leadership was determined in the western and European countries and Canada in studies and scientific collaborations on clubfoot; its impact was remarkable in India, China, and Turkey.
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Affiliation(s)
- Hakan Yolaçan
- Aksaray Training and Research Hospital, Orthopaedics and Traumatology, Aksaray, Turkey
- * Correspondence: Hakan Yolaçan, Aksaray Training and Research Hospital, Orthopaedics and Traumatology, Aksaray 68200, Turkey (e-mail: )
| | - Serkan Güler
- Aksaray Training and Research Hospital, Orthopaedics and Traumatology, Aksaray, Turkey
| | - Ramadan Özmanevra
- Cyprus International University, Orthopaedics and Traumatology, Nicosia, Cyprus
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