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AAP Grand Rounds 2:9-10 (1999)
© 1999 American Academy of Pediatrics

ORTHOPEDICS

The Prenatal Diagnosis of a Clubfoot Deformity: An Ethical Dilemma

Sources: Katz K, Meizner I, Mashiach R, Soudry M. The contribution of prenatal sonographic diagnosis of clubfoot to preventive medicine. J Pediatr Orthop. 1999;19:5–7.

The first 20% of the full text of this article appears below.

Advances in transvaginal and transabdominal sonography allow physicians to diagnose a clubfoot deformity early in gestation. The incidence of this condition is 1.2 per thousand Caucasian births. This information is valuable to parents since 14% of infants with a clubfoot deformity will have other congenital anamalies.1 A multidisciplinary Israeli team met with 12 couples (13 fetuses) that had 9 bilateral and 4 unilateral (total 22) clubfeet diagnosed in utero by transabdominal sonography (1995–1997). The average menstrual age at diagnosis was 23.6 weeks (range, 17–36). The 13 fetuses were . . . [Full Text of this Article]

David D. Aronsson, MD, FAAP
Orthopedics and Rehabilitation, University of Vermont, Burlington, VT

 






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