Tag Archive for: ultrasound.

The Role of Imaging in Diagnosis and Management of Congenital High Scapula (Sprengel’s Deformity): Case Report and Review

Volume 4 | Issue 2 | July-December 2018 | Page: 27-31 | Nada Garrouche, Saida Jerbi, Nedra Chouchane, Wassia Kessomtini, Hssine Hamza

DOI- 10.13107/ijpo.2018.v04i02.015

Authors: Nada Garrouche, Saida Jerbi, Nedra Chouchane, Wassia Kessomtini [1], Hssine Hamza

Departments of Radiology and, [1] Physical Medicine Rehabilitation, Taher Sfar University Hospital, Mahdia- Tunisia

Address of Correspondence
Dr. Nada Garrouche,
Rue Habib Zine el Abidine n°200 (7) Sahloul 2 Sousse 4054-Tunisia.
E-mail: nadagarrouche@yahoo.fr

Abstract

Sprengel’s deformity is the congenital failure of descent of the scapula. The diagnosis is based on a clinical examination and radiological procedures. Volume rendering three-dimensional computed tomography reconstructions analyze the precise topography and spatial proportions of examined bone structures. It enables an optional rotation of visualized bone structures to clarify the anatomical abnormalities. Ultrasound and magnetic resonance are useful in prenatal management and for the diagnosis of concomitant abnormalities. In this paper, we report our imaging experience from one child with Sprengel’s deformity and discuss the importance of imaging techniques with a particular focus on the role of three-dimensional reconstructions.
Keywords: Congenital high scapula, CT, MRI, Sprengel’s deformity, ultrasound, volume rendering 3D-CT

References 

1. Cho TJ, Choi IH, Chung CY, Hwang JK. The Sprengel deformity. Morphometric analysis using 3D-CT and its clinical relevance. J Bone Joint Surg Br 2000;82:711-8.
2. Dilli A, Ayaz UY, Damar C, Ersan O, Hekimoglu B. Sprengel deformity: Magnetic resonance imaging findings in two pediatric cases. J Clin Imaging Sci 2011;1:13.
3. Horwitz AE. Congenital elevation of the scapula–Sprengel’s deformity. Am J Orthop Surg 1908;s2-6:260-311.
4. Grogan DP, Stanley EA, Bobechko WP. The congenital undescended scapula. Surgical correction by the Woodward procedure. Bone Joint J 1983;65:598-605.
5. Gonen E, Simsek U, Solak S, Bektaser B, Ates Y, Aydin E. Long-ter results of modified Green method in Sprengel’s deformity. J Chil Orthop 2010;4:309-14.
6. Bindoudi A, Kariki EP, Vasiliadis K, Tsitouridis I. The rare Sprengel deformity: Our experience with three cases. J Clin Imaging Sci 2014;4:55.
7. Siu KK, Ko JY, Huang CC, Wang FS, Chen JM, Wong T. Woodwar procedure improves shoulder function in Sprengel deformity. Chang Gung Med J 2011;34:403-9.
8. Nakamura N, Inaba Y, Machida J, Saito T. Use of glenoid inclination angle for the assessment of unilateral congenital high scapula. J Pediatr Orthop B 2016;25:54-61.
9. Stein-Wexler R. The Shoulder: Congenital and Developmental Conditions. Pediatric Orthopedic Imaging. Berlin Heidelberg: Springer; 2015. p. 129-39.
10. Greitemann B, Rondhuis JJ, Karbowski A. Treatment of congenital elevation of the scapula: 10 (2–18) year follow-up of 37 cases of Sprengel’s deformity. Acta Orthop Scand 1993;64:365-8.
11. Füllbier L, Tanner P, Henkes H, Hopf NJ. Omovertebral bone associated with Sprengel deformity and Klippel-Feil syndrome leading to cervical myelopathy. J Neurosurg Spine 2010;13:224-8.
12. Chinn DH. Prenatal ultrasonographic diagnosis of Sprengel’s deformity. J Ultrasound Med 2001;20:693-7.
13. Cavendish ME. Congenital elevation of the scapula. J Bone Joint Surg Br 1972;54:395-408.
14. Rockwood CA. Rockwood and Matsen’s the shoulder. Elsevier; 2017.
15. van der Molen AJ, Prokop M, Galanski M, Schaefer-Prokop CM. Spiral and Multislice Computed Tomography of the Body. Stuttgart, New York: Georg Thieme Verlag; 2003.
16. Yuksel M, Karabiber H, Yuksel KZ, Parmaksiz G. Diagnostic importance of 3D CT images in Klippel-Feil syndrome with multiple skeletal anomalies: A case report. Korean J Radiol 2005;6:278-81.
17. Rasul ME, Reddy AV. The sprengel deformity. Int J Res Med Sci 2015;3:3869-71.
18. Rockwood CA. The shoulder. Vol. 1, Ch. 3, Elsevier Health Sciences;2009. p. 120-4.
19. Andrin J, Macaron C, Pottecher P, Martz P, Baulot E, Trouilloud P, et al. Determination of a new computed tomography method for measuring the glenoid version and comparing with a reference method. Radio-anatomical and retrospective study. Int Orthop 2016;40:525-9.
20. Friedman RJ, Hawthorne KB, Genez BM. The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am 1992;74:1032-7.
21. Nyffeler RW, Jost B, Pfirrmann CW, Gerber C. Measurement of glenoid version: conventional radiographs versus computed tomography scans. J Shoulder Elbow Surg 2003;12:493-6.
22. Hamner DL, Hall JE. Sprengel’s deformity associated witmultidirectional shoulder instability. J Pediatr Orthop 1995;15: 641-3.
23. Guillaume R, Nectoux E, Bigot J, Vandenbussche L, Fron D, Mézel A, et al. Congenital high scapula (Sprengel’s deformity): Four cases. Diagn Interv Imaging 2012;93:878-83.
24. Wada A, Nakamura T, Fujii T, Takamura K, Yanagida H, Yamaguchi T, et al. Sprengel deformity: Morphometric assessment and surgical treatment by the modified green procedure. J Pediatr Orthop 2014;34:55-62.
25. Woodward JW. Congenital elevation of the scapula. J Bone Joint Surg Am 1961;43:219-28.

How to Cite this Article:  Garrouche N, Jerbi S, Chouchane N, Kessomtini W, Hamza H The Role of Imaging in Diagnosis and Management of Congenital High Scapula (Sprengel’s Deformity): Case Report and Review | July-December 2018; 4(2): 27-31.

 

(Article Text HTML)      (Download PDF)

Correlation of Pirani Score and Ultrasound in Assessing the Severity of Clubfoot in Neonates Treated by Ponseti Method

Volume 3 | Issue 1 | Jan-Jun 2017 | Page 16-19 | Vineet Bajaj, Rahul Anshuman, Nikhil Verma, Mahipal Singh, Anupama Tandon, Neerav Anand Singh

Authors : Vineet Bajaj [1], Rahul Anshuman [1], Nikhil Verma [1], Mahipal Singh [1], Anupama Tandon [1], Neerav Anand Singh [1].

[1] Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India.

Address of Correspondence
Dr Rahul Anshuman
Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India.
Email: anshuman.cool@gmail.com

Abstract

Aim: The aim of this study is to correlate Pirani score and ultrasound in assessing the severity of clubfoot in neonates treated by Ponseti method.
Materials and Methods: A total of 32 ft with idiopathic congenital talipes equinovarus deformity in neonates were prospectively treated by Ponseti method. Pirani score and ultrasound parameters were measured 3 times, i.e., at the time of initial presentation, at 4 weeks of treatment, and at completion of treatment. Feet were divided according to Pirani score in groups: One (0–2.0), two (2.5–4), and three (4.5–6). Correlation between ultrasound parameters and Pirani score was evaluated using one-way ANOVA and Tukey test.
Results: Correlation between Pirani score and ultrasound parameters was statistically significant (p<0.05).
Conclusion: Ultrasound has the potential to accurately depict the pathoanatomy in clubfoot. Ultrasound is objective method to assess the severity of clubfoot. Pirani score and ultrasound correlated in severity of deformity and correction achieved along the course of treatment.
Keywords: Idiopathic congenital talipes equinovarus, Pirani score, Ponseti method, ultrasound.

References 

1. Brewster MB, Gupta M, Pattison GT, Dunn-van der Ploeg ID. Ponseti casting: A new soft option. J Bone Joint Surg Br 2008;90:1512-5.
2. Matuszewski L, Gil L, Karski J. Early results of treatment for congenital clubfoot using the Ponseti method. Eur J Orthop Surg Traumatol 2012;22:403-6.
3. Porecha MM, Parmar DS, Chavda HR. Mid-term results of Ponseti method for the treatment of congenital idiopathic clubfoot–(a study of 67 clubfeet with mean five year follow-up). J Orthop Surg Res 2011;6:3.
4. Ponseti IV, Smoley EN. Congenital club foot: The results of treatment. J Bone Joint Surg Am 1963;45:2261-75.
5. Ponseti IV. Clubfoot management. J Pediatr Orthop 2000;20:699-700.
6. Bhargava SK, Tandon A, Prakash M, Arora SS, Bhatt S, Bhargava S. Radiography and sonography of clubfoot: A comparative study. Indian J Orthop 2012;46:229-35.
7. Wainwright AM, Auld T, Benson MK, Theologis TN. The classification of congenital talipes equinovarus. J Bone Joint Surg Br 2002;84:1020-4.
8. Shaheen S, Jaibala H, Pirani S. Intraobserver reliability in Pirani clubfoot severity scoring between a paediatric orthopedic surgeon and a physiotherapy assistant. J Pediatr Orthop B 2012;21:366-8.
9. Desai S, Aroojis A, Mehta R. Ultrasound evaluation of clubfoot correction during Ponseti treatment: A preliminary report. J Pediatr Orthop 2008;28:53-9.
10. El-Adwar KL, Taha Kotb H. The role of ultrasound in clubfoot treatment: Correlation with the Pirani score and assessment of the Ponseti method. Clin Orthop Relat Res 2010;468:2495-506.
11. Shiels WE 2nd, Coley BD, Kean J, Adler BH. Focused dynamic sonographic examination of the congenital clubfoot. Pediatr Radiol 2007;37:1118-24.
12. Gigante C, Talenti E, Turra S. Sonographic assessment of clubfoot. J Clin Ultrasound 2004;32:235-42.
13. Aurell Y, Johansson A, Hansson G, Wallander H, Jonsson K. Ultrasound anatomy in the normal neonatal and infant foot: An anatomic introduction to ultrasound assessment of foot deformities. Eur Radiol 2002;12:2306-12.

How to Cite this Article: Bajaj V, Anshuman R, Verma N, Singh M, Tandon A, Singh A.  Correlation of Pirani Score and Ultrasound in Assessing the Severity of Clubfoot in Neonates Treated by Ponseti Method. International Journal of Paediatric Orthopaedics Jan-June 2017;3(1):16-19.

(Abstract)      (Full Text HTML)      (Download PDF)