Abstract
This is a difficult, complex and often confusing topic to the uninitiated for a variety of reasons. These range from a lack of knowledge of the congenital and neuromuscular disorders associated with foot deformities, inexperience in analysing paediatric foot radiographs and lack of understanding of the descriptive terms used to document the abnormalities. Most of the measurements are based on the dorsoplantar (AP) and lateral radiographic views. Importantly the views are frequently obtained on weight bearing or simulated weight bearing (in infants or non-ambulatory patients, weight bearing can be simulated by dorsiflexion stress). The function of the foot is to transmit load, adapt to varying surface conditions and act as a lever for progression with effects at the knee and the hip. Adaptation requires flexibility, and only during weight bearing or simulated weight bearing will the configuration of the bony skeleton allowed by the constraints of the ligamentous structures become apparent.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Abulsaad M, Abdelgaber N (2008) Correlation between clinical outcome of surgically treated clubfeet and different radiological parameters. Acta Orthop Belg 74(4):489–495
Aurell Y, Johansson A, Hansson G, Wallander H, Jonsson K (2002) Ultrasound anatomy in the normal neonatal and infant foot: an anatomic introduction to ultrasound assessment of foot deformities. Eur Radiol 12(9):2306–2312
Bohler L (1931) Diagnosis, pathology, and treatment of fractures of the os calcis. J Bone Joint Surg Am 13(1):75–89
Clint SA, Morris TP, Shaw OM, Oddy MJ, Rudge B, Barry M (2010) The reliability and variation of measurements of the os calcis angles in children. J Bone Joint Surg Br 92(4):571–575
Coley BD, Shiels WE, Kean J, Adler BH (2007) Age-dependent dynamic sonographic measurement of pediatric clubfoot. Pediatr Radiol 37(11):1125–1129
Davids JR, McBrayer D, Blackhurst DW (2007) Juvenile hallux valgus deformity: surgical management by lateral hemiepiphyseodesis of the great toe metatarsal. J Pediatr Orthop 27(7):826–830
Davis LA, Hatt WS (1955) Congenital abnormalities of the feet. Radiology 64(6):818–825
de Gheldere A, Docquier P-L (2008) Analytical radiography of clubfoot after tenotomy. J Pediatr Orthop 28(6):691–694
Dimeglio A, Bensahel H, Souchet P, Mazeau P, Bonnet F (1995) Classification of clubfoot. J Pediatr Orthop B 4(2):129–136
Downey DJ, Drennan JC, Garcia JF (1992) Magnetic resonance image findings in congenital talipes equinovarus. J Pediatr Orthop 12(2):224–228
Elftman H, Manter J (1935) The evolution of the human foot, with especial reference to the joints. J Anat 70(Pt 1):56–67
Engel E, Erlick N, Krems I (1983) A simplified metatarsus adductus angle. J Am Podiatry Assoc 73(12):620–628
Farsetti P, Weinstein SL, Ponseti IV (1994) The long-term functional and radiographic outcomes of untreated and non-operatively treated metatarsus adductus. J Bone Joint Surg Am 76(2):257–265
Harris R, Beath T (1947) Army foot survey. Report. National Research Council of Canada, Ottawa
Howard CB, Benson MK (1992) The ossific nuclei and the cartilage anlage of the talus and calcaneum. J Bone Joint Surg Br 74(4):620–623
Ippolito E, Fraracci L, Farsetti P, De Maio F (2004) Validity of the anteroposterior talocalcaneal angle to assess congenital clubfoot correction. AJR Am J Roentgenol 182(5):1279–1282
Laaveg SJ, Ponseti IV (1980) Long-term results of treatment of congenital club foot. J Bone Joint Surg Am 62(1):23–31
McCluney JG, Tinley P (2006) Radiographic measurements of patients with juvenile hallux valgus compared with age-matched controls: a cohort investigation. J Foot Ankle Surg 45(3):161–167
Pekindil G, Aktas S, Saridogan K, Pekindil Y (2001) Magnetic resonance imaging in follow-up of treated clubfoot during childhood. Eur J Radiol 37(2):123–129
Pirani S, Outerbridge HK, Sawatzky B (1999) A reliable method of clinically evaluating a virgin clubfoot evaluation. In Proceedings of the 21st SICOT World Congress. SICOT
Radler C, Manner HM, Suda R, Burghardt R, Herzenberg JE, Ganger R, Grill F (2007) Radiographic evaluation of idiopathic clubfeet undergoing ponseti treatment. J Bone Joint Surg Am 89(6):1177–1183
Radler C, Egermann M, Riedl K, Ganger R, Grill F (2010) Interobserver reliability of radiographic measurements of contralateral feet of pediatric patients with unilateral clubfoot. J Bone Joint Surg Am 92(14):2427–2435
Ritchie GW, Keim HA (1964) A radiographic analysis of major foot deformities. Can Med Assoc J 91:840–844
Schmidt TL, Weiner DS (1982) Calcaneal fractures in children. An evaluation of the nature of the injury in 56 children. Clin Orthop Relat Res 171:150–155
Simons GW (1977) Analytical radiography of club feet. J Bone Joint Surg Br 59-B(4):485–489
Templeton AW, McAlister WH, Zim ID (1965) Standardization of terminology and evaluation of osseous relationships in congenitally abnormal feet. Am J Roentgenol Radium Therapy, Nucl Med 93:374–381
Vanderwilde R, Staheli LT, Chew DE, Malagon V (1988) Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am 70(3):407–415
Wallander HM (2010) Congenital clubfoot. Aspects on epidemiology, residual deformity and patient reported outcome. Acta Orthop Suppl 81(339):1–25
Yeung EHK, Li YH, Ng ON, Chow W (2005) Radiographic assessment of congenital talipes equinovarus: strapping versus forced dorsiflexion. J Orthop Surg (Hong Kong) 13(3):253–258
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer-Verlag GmbH Germany, part of Springer Nature
About this chapter
Cite this chapter
Roberts, A. (2020). Foot and Ankle: Paediatric Measurements. In: Cassar-Pullicino, V., Davies, A. (eds) Measurements in Musculoskeletal Radiology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68897-6_15
Download citation
DOI: https://doi.org/10.1007/978-3-540-68897-6_15
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-43853-3
Online ISBN: 978-3-540-68897-6
eBook Packages: MedicineMedicine (R0)