European Journal of Molecular & Clinical Medicine

Abstract

Background: Congenital talipes equinovarus is a paediatric congenital deformity with an occurence of 1 in 1,000 live births, it is distinguished with the development of equinus and varus deformity in the hind foot, cavus in the middle of the foot, forefoot adduction. Clubfoot assessment is essential to assess the initial severity of the clubfoot, to monitor treatment progress and to identify relapses. Currently, there is no measurement tool available to measure the extent of the deformity or control the treatment and it is difficult to do so using measures such as Pirani scoring and Dimeglio classification, as observer bias is susceptible. With Real Time Sonoelastography we can test changes in the properties of CTEV-affected Soft tissues. 
Objective :1)To evaluate initial properties of the tendons of Tibialis Anterior and Tendo Achilles by real time sonoelastography in CTEV.2) To compare changes in tendon substance of Tibialis Anterior and Tendo Achilles with Real time elastography in patients with Clubfoot after serial Ponseti’s cast correction.3)To evaluate sonoelastographic properties of normal Tibialis Anterior and Tendo Achilles in cases of unilateral club foot.
Methods and Material: A total of 30 unilateral clubfoot children who are less than 2 years old visiting the out patients department of AVBRH would be recruited. In this study, we will use a Real time sonoelastography, Real time sonoelastography will be performed using the (Hitachi Aloka ;Model: Arietta S 70) and the ultrasound probe ( MSK liner probe 12 to 18 MHz).
Results – The result will be compiled after the results of elastography, in well tabulated manner.
Conclusion – The conclusion will be based on the findings for study.