Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot

Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes W...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Merrill, Laura J. [verfasserIn] Gurnett, Christina A. [verfasserIn] Siegel, Marilyn [verfasserIn] Sonavane, Sushil [verfasserIn] Dobbs, Matthew B. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Clubfoot Muscle Volume Vascular Anomaly Ponseti Method Soft Tissue Abnormality

Übergeordnetes Werk:	Enthalten in: Clinical orthopaedics and related research - Philadelphia, PA : Wolters Kluwer Health, 1963, 469(2010), 5 vom: 02. Nov., Seite 1442-1449
Übergeordnetes Werk:	volume:469 ; year:2010 ; number:5 ; day:02 ; month:11 ; pages:1442-1449

Links:	Volltext

DOI / URN:	10.1007/s11999-010-1657-1

Katalog-ID:	SPR023606088

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520			\|a Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot.
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650		4	\|a Ponseti Method \|7 (dpeaa)DE-He213
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700	1		\|a Gurnett, Christina A. \|e verfasserin \|4 aut
700	1		\|a Siegel, Marilyn \|e verfasserin \|4 aut
700	1		\|a Sonavane, Sushil \|e verfasserin \|4 aut
700	1		\|a Dobbs, Matthew B. \|e verfasserin \|4 aut
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allfields	10.1007/s11999-010-1657-1 doi (DE-627)SPR023606088 (SPR)s11999-010-1657-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Merrill, Laura J. verfasserin aut Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot. Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213 Gurnett, Christina A. verfasserin aut Siegel, Marilyn verfasserin aut Sonavane, Sushil verfasserin aut Dobbs, Matthew B. verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 469(2010), 5 vom: 02. Nov., Seite 1442-1449 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449 https://dx.doi.org/10.1007/s11999-010-1657-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 469 2010 5 02 11 1442-1449
spelling	10.1007/s11999-010-1657-1 doi (DE-627)SPR023606088 (SPR)s11999-010-1657-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Merrill, Laura J. verfasserin aut Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot. Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213 Gurnett, Christina A. verfasserin aut Siegel, Marilyn verfasserin aut Sonavane, Sushil verfasserin aut Dobbs, Matthew B. verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 469(2010), 5 vom: 02. Nov., Seite 1442-1449 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449 https://dx.doi.org/10.1007/s11999-010-1657-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 469 2010 5 02 11 1442-1449
allfields_unstemmed	10.1007/s11999-010-1657-1 doi (DE-627)SPR023606088 (SPR)s11999-010-1657-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Merrill, Laura J. verfasserin aut Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot. Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213 Gurnett, Christina A. verfasserin aut Siegel, Marilyn verfasserin aut Sonavane, Sushil verfasserin aut Dobbs, Matthew B. verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 469(2010), 5 vom: 02. Nov., Seite 1442-1449 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449 https://dx.doi.org/10.1007/s11999-010-1657-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 469 2010 5 02 11 1442-1449
allfieldsGer	10.1007/s11999-010-1657-1 doi (DE-627)SPR023606088 (SPR)s11999-010-1657-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Merrill, Laura J. verfasserin aut Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot. Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213 Gurnett, Christina A. verfasserin aut Siegel, Marilyn verfasserin aut Sonavane, Sushil verfasserin aut Dobbs, Matthew B. verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 469(2010), 5 vom: 02. Nov., Seite 1442-1449 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449 https://dx.doi.org/10.1007/s11999-010-1657-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 469 2010 5 02 11 1442-1449
allfieldsSound	10.1007/s11999-010-1657-1 doi (DE-627)SPR023606088 (SPR)s11999-010-1657-1-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Merrill, Laura J. verfasserin aut Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot. Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213 Gurnett, Christina A. verfasserin aut Siegel, Marilyn verfasserin aut Sonavane, Sushil verfasserin aut Dobbs, Matthew B. verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 469(2010), 5 vom: 02. Nov., Seite 1442-1449 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449 https://dx.doi.org/10.1007/s11999-010-1657-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 469 2010 5 02 11 1442-1449
language	English
source	Enthalten in Clinical orthopaedics and related research 469(2010), 5 vom: 02. Nov., Seite 1442-1449 volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449
sourceStr	Enthalten in Clinical orthopaedics and related research 469(2010), 5 vom: 02. Nov., Seite 1442-1449 volume:469 year:2010 number:5 day:02 month:11 pages:1442-1449
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Clubfoot Muscle Volume Vascular Anomaly Ponseti Method Soft Tissue Abnormality
dewey-raw	610
isfreeaccess_bool	false
container_title	Clinical orthopaedics and related research
authorswithroles_txt_mv	Merrill, Laura J. @@aut@@ Gurnett, Christina A. @@aut@@ Siegel, Marilyn @@aut@@ Sonavane, Sushil @@aut@@ Dobbs, Matthew B. @@aut@@
publishDateDaySort_date	2010-11-02T00:00:00Z
hierarchy_top_id	316019062
dewey-sort	3610
id	SPR023606088
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR023606088</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519232328.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201006s2010 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s11999-010-1657-1</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR023606088</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s11999-010-1657-1-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.83</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Merrill, Laura J.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2010</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. 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author	Merrill, Laura J.
spellingShingle	Merrill, Laura J. ddc 610 bkl 44.83 misc Clubfoot misc Muscle Volume misc Vascular Anomaly misc Ponseti Method misc Soft Tissue Abnormality Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot
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topic_title	610 ASE 44.83 bkl Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot Clubfoot (dpeaa)DE-He213 Muscle Volume (dpeaa)DE-He213 Vascular Anomaly (dpeaa)DE-He213 Ponseti Method (dpeaa)DE-He213 Soft Tissue Abnormality (dpeaa)DE-He213
topic	ddc 610 bkl 44.83 misc Clubfoot misc Muscle Volume misc Vascular Anomaly misc Ponseti Method misc Soft Tissue Abnormality
topic_unstemmed	ddc 610 bkl 44.83 misc Clubfoot misc Muscle Volume misc Vascular Anomaly misc Ponseti Method misc Soft Tissue Abnormality
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title	Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot
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title_full	Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot
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author_browse	Merrill, Laura J. Gurnett, Christina A. Siegel, Marilyn Sonavane, Sushil Dobbs, Matthew B.
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title_sort	vascular abnormalities correlate with decreased soft tissue volumes in idiopathic clubfoot
title_auth	Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot
abstract	Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot.
abstractGer	Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot.
abstract_unstemmed	Background Lower extremity vascular anomalies have been described for patients with clubfoot but few imaging studies have investigated effects on soft tissues such as fat and muscle. To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. Clinical Relevance This approach has the potential to enhance our understanding of the anatomy of clubfoot and lead to a larger MRI study that may allow more accurate prediction of the risk of recurrent clubfoot.
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title_short	Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot
url	https://dx.doi.org/10.1007/s11999-010-1657-1
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up_date	2024-07-03T20:02:40.452Z
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To make these assessments we need noninvasive, noncontrast agents to more safely image children. Questions/purposes We describe a novel noninvasive imaging protocol to identify vascular and soft tissue abnormalities in the lower limbs of patients with clubfoot and determine whether these abnormalities are present in patients who had recurrent clubfoot. Patients and Methods Three-dimensional noncontrast-enhanced MR angiography was used to identify vascular, bone, and soft tissue abnormalities in patients with clubfoot. We determined whether these abnormalities were more common in patients who had experienced recurrent clubfoot. Results Four patients with isolated unilateral clubfoot had arterial anomalies in the clubfoot limb. All patients had less muscle volume in the affected limb, and nine of 11 patients (82%) had less subcutaneous fat, with a mean difference of 0.56 $ cm^{3} $ ± 0.36 $ cm^{3} $ (range, 0.08–1.12 $ cm^{3} $). Vascular anomalies and decreased fat and muscle volumes were present in all three patients with recurrent clubfoot. Conclusions We found a high frequency of vascular and soft tissue anomalies in the affected limbs of patients with unilateral clubfoot that may correlate with response to treatment. 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Vascular Abnormalities Correlate with Decreased Soft Tissue Volumes in Idiopathic Clubfoot

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