Dergiler / Annals of Medical Research / 2021 / Cilt: 28 - Sayı: 9

The chromosomal abnormalities associated defects and outcomes of fetuses diagnosed prenatally with clubfoot

Sayfa
1653–1658
Yayın Tarihi
2022-10-12
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The laterality did not have any impact on the prognosis of cases with clubfoot.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Aim: To assess associated findings, chromosomal abnormalities and outcomes of the pregnancies diagnosed with fetal clubfoot.
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Temel Bulgular & Veri:Materials and Methods: Ultrasonographic characteristics, pregnancy work-up and fetal outcomes of the pregnancies diagnosed with fetal clubfoot between January 2015 and October 2019 were evaluated retrospectively.
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Sonuç & Katkı:The laterality did not have any impact on the prognosis of cases with clubfoot.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: To assess associated findings, chromosomal abnormalities and outcomes of the pregnancies diagnosed with fetal clubfoot. Materials and Methods: Ultrasonographic characteristics, pregnancy work-up and fetal outcomes of the pregnancies diagnosed with fetal clubfoot between January 2015 and October 2019 were evaluated retrospectively. Clubfoot was considered as complex or isolated depending on the presence or absence of additional structural abnormalities. The results of cases, which grouped according to the presence of additional abnormalities and laterality, were compared. Results: A total data of 46 pregnancies diagnosed with fetal clubfoot during the study period were included. The most associated abnormality with clubfoot was central nervous system (CNS) anomalies. Nineteen (41%) of fetuses were considered complex, and 27 (59%) were considered isolated. The ratio of the cases with poor outcomes was higher in the complex group than in the isolated group and was 15 (79%) and 1(3%) respectively (p=0.000 for bilateral group and p=0.013 for unilateral group). There were 7 (36%) cases with a chromosomal abnormality in the complex group and 1(4%) case in the isolated group. The deformity was unilateral in 16 (35%) and bilateral in 30 (65%) cases. The rate of poor outcomes was not different in cases with bilateral and unilateral clubfoot deformity (p=0.356). Conclusion: The prognosis of the fetuses diagnosed with clubfoot mostly depends on associated abnormalities. Therefore a careful evaluation of these fetuses must be performed even if karyotyping is normal. The laterality did not have any impact on the prognosis of cases with clubfoot.

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Bu Makaleye Atıf Yap

Obut, M., Celen, S., Tolunay, H. E., Celik, O. Y., Kahraman, N. C., Arat, O., Unal, M. O. (2022). The chromosomal abnormalities associated defects and outcomes of fetuses diagnosed prenatally with clubfoot. Annals of Medical Research, Cilt: 28 - Sayı: 9, 1653–1658. https://ajindex.com/articles/445983

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Kaynakça (14)

  1. Lochmiller C, Johnston D, Scott A, et al. Genetic epidemiology study of idiopathic talipes equinovarus. Am J Med Genet 1998;79:90-2
  2. Drvaric DM, Kuivila TE, Roberts JM. Congenital clubfoot. Etiology, pathoanatomy, pathogenesis, and the changing spectrum of early management. Orthop Clin North Am 1989;20:641-4
  3. Radler C, Myers AK, Burghardt RD, et al. Maternal attitudes towards prenatal diagnosis of idiopathic clubfoot. Ultrasound Obstet Gynecol 2011;37:658-6
  4. Keret D, Ezra E, Lokiec F, et al. Efficacy of prenatal ultrasonography in confirmed club foot. J Bone Joint Surg Br 2002;84:1015-7
  5. Nemec U, Nemec SF, Kasprian G, et al. Clubfeet and associated abnormalities on fetal magnetic resonance imaging. Prenat Diagn 2012;32:822-9
  6. Sharma R, Stone S, Alzouebi A, et al. Perinatal outcome of prenatally diagnosed congenital talipes equinovarus. Prenat Diagn 2011;31:142-2
  7. Offerdal K, Jebens N, Blaas HG, et al. Prenatal ultrasound detection of talipes equinovarus in a nonselected population of 49 314 deliveries in Norway. Ultrasound Obstet Gynecol 2007;30:838-6
  8. Lauson S, Alvarez C, Patel MS, et al. Outcome of prenatally diagnosed isolated clubfoot. Ultrasound Obstet Gynecol 2010;35:708-6
  9. Carroll SG, Lockyer H, Andrews H, et al. Outcome of fetal talipes following in utero sonographic diagnosis. Ultrasound Obstet Gynecol 2001;18:437-5
  10. Mahan ST, Yazdy MM, Kasser JR, et al. Prenatal screening for clubfoot: what factors predict prenatal detection?. Prenat Diagn 2014;34:389-4
  11. Miller PR, Kuo KN, Lubicky JP. Clubfoot deformity in Down's syndrome Orthopedics 1995;18:449-5
  12. Canto MJ, Cano S, Palau J, et al. Prenatal diagnosis of clubfoot in low-risk population: associated anomalies and long-term outcome. Prenat Diagn 2008;28:343-4 13. Benacerraf BR. Antenatal sonographic diagnosis of congenital clubfoot: a possible indication for amniocentesis. J Clin Ultrasound 1986;14:703-9 14. Offerdal K, Jebens N, Blaas HG, et al. Prenatal ultrasound detection of talipes equinovarus in a nonselected population of 49 314 deliveries in Norway. Ultrasound Obstet Gynecol 2007;30:838-6
  13. Viaris de le Segno B, Gruchy N, Bronfen C, et al. Prenatal diagnosis of clubfoot: Chromosomal abnormalities associated with fetal defects and outcome in a tertiary center. J Clin Ultrasound 2016;44:100-2
  14. Perthus I, de Brosses L, Amar E, et al. Is fetal karyotyping justified after prenatal diagnosis of isolated clubfoot? [Article in French with English abstract