The diagnostic dilemma of congenital foot deformity in pediatrics: could adding ultrasound be problem solving?

Abstract Background Foot deformity is one of the most common congenital musculoskeletal anomalies in pediatric age group. Accurate diagnosis can be sometimes impossible to established clinically. In assessment foot abnormalities, radiology plays a crucial role. Lack ossification tarsal bones renders plain radiographs as little diagnostic value this MRI apart from its cost requires anesthesia and sedation. contrast, ultrasonography allows for imaging cartilaginous structures. As result, newborn abnormalities thoroughly assessed. The whole anatomy evaluated using several scanning views. Additional planes may needed show pathologic features specific deformity. purpose study was demonstrate additive ultrasound deformities Results This case–control performed on sixty children, 30 which were patients admitted orthopedic clinic, presenting with deformity, after being examined Antero-posterior lateral foot, tibiocalcaneal, antero-posterior talocalcaneal, talocalcaneal angles measured. Sonographic examination done different projections both feet, while patient lying supine dynamic sonography. sonographic parameters measured follows: medial malleolar–navicular distance soft tissue thickness projection, calcaneocuboid talonavicular relation dorsal tibiocalcaneal posterior projection. There statistically significant difference between controls view, recorded view. Conclusions Ultrasonography has growing useful role complementary modality evaluation follow-up