Arterial insufficiency in congenital club foot

Abstract EN

Background : Idiopathic club foot (Talipes equina varus) (TEV) is a common congenital deformity, but its etiology and pathophysiology remains uncertain, a congenital vascular abnormalities or malformation is one of the hypothesises behind the etiology of the pathogenesis of (TEV). Patient and methods : Doppler ultrasonography examination has been done to fifteen child with twenty five club feet, their age was ranging from two weeks to fourteen year, two children subjected for M.

R Arteriography of the affected feet.

Nineteen normal feet as a control group undergone Doppler ultrasonagraphy for comparison. Results : the posterior tibial and peroneal arteries were present in all cases while the anterior tibial artery was present in all cases but severely reduced in ten (40 %).

Dorsalis pedis artery (DP) was normal in six feet (24 %), severely reduced in eight (32 %) and absent in eleven feet (44 %). MRA of the two feet confirmed the absence of (DP) in one foot, reduced in the other one. Conclusion : the consistent finding is the high incidence of absence of DP artery or it is severely reduced, which might be an important etiopathological factor in the pathogeneses of idiopathic (TEV). Evaluation of the vascular state in the pretreatment stage in patient with club foot might decides what mode of therapeutic approach to be undertaken.