Clubfoot: Classification - Andrew Bucknill 14/8/2001

Brief

Catterall, RNOH

Clin.Orth.& Rel.Res.

1991

Title

A Method of Assessment of the Clubfoot Deformity

Authors

Catterall A

Reference

Clin.Orth.& Rel.Res. 1991 264: 49-53

Summary

Clinical assessment after failed conservative Mx -> "Resolving, Tendon Contracture, Joint Contracture, False Correction". Based on Hind foot Equinus, Lateral malleolus, Skin Creases, Forefoot (lateral border, mobility, cavus, supination).

Critique

Unintelligible, Not memorable, Not proven reliable or useful.

Brief

Harrold, St.Marys

JBJS (B)

1983

Title

Treatment & Prognosis in Congenital Club Foot

Authors

Harrold AJ, Walker CJ

Reference

JBJS 1983 65-B: 8-11

Summary

129 feet -> grades 1, 2 & 3 at presentation.Bad feet did worse. Serial splinting corrected 90% of grade 1, 50% grade 2 and 10% grade 3.Grade 1: foot can reach neutral. Grade 2 <20' from neutral. Grade 3 >20' fixed equinus or varus.

Critique

Useful clinically for prognosis. No testing of reproducability.

Brief

Dimeglio, Paris

J.Paed.Orth

1995

Title

Classification of Clubfoot

Authors

Dimeglio A, Bensahel H, Souchet Ph, Mazeau Ph, Bonnet F

Reference

J.Paed.Orth 1995 Part B: 4: 129-136

Summary

Scale of 0-20 on the basis of equinus, varus, derotation of calcaneo-forefoot block around talus, and adduction of forefoot on hindfoot.Four grades: 1, "soft-soft", mild, (1-5): 2, "soft>stiff", moderate, (5-10): 3, "stiff>soft", severe, (10-15): 4, "stiff-stiff", very severe, (15-20).

Critique

Not memorable, Untested in this paper   - tested later by someone else.