A SURVEY OF CLUB FOOT CASES IN SOUTHERN NIGERIA USING RADIOGRAPHIC REQUEST FORMS
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Abstract
Background: Clubfoot is a birth defect where the foot is inverted and twisted inwards. If not corrected, affected individuals usually walk with the side of their feet or ankles.
Methods: A survey of cases of clubfeet (Talipes equinovarus) was carried out in two orthopedic hospitals and one rehabilitation center coded NOHI, NOHE and SJRC in three cities (Lagos, Enugu and Essien-Udim) each representing a zone in Southern Nigeria. Patients’ clinical history and biodata were collected from their radiological request forms between years 2000 – 2005. Number of cases in each zone, age at presentation for correction, patients’ gender, foot and number of feet affected were recorded.
Results: A total of 1202 clubfeet cases were recorded. About 713(59.3%) were males and 489 (40.7%) were females. Highest number of cases was in Lagos (56.5%) followed by Essien Udim (21.8%). Majority 599(49.8%) of the children were presented between 1 – 6 months after birth. About of 97(76%) of patients who were presented after 30 weeks were from the South-South region of Southern Nigeria. Bilateral involvement was predominant (59.2%) followed by unilateral right sided involvement (23.2%). A ratio of 1.5:1 was found between males and female patients.
Conclusion: The highest number of cases recorded was in densely populated areas with a greater male to female ratio. Bilateral involvement is common and a greater proportion of children are presented within the first six months of birth. Late presentation for treatment in South-South Nigeria may be due to ignorance, poverty and lack of orthopedic hospitals and specialists to provide quality services.
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References
Patel M. Clubfoot. National Institutes of Health, 2007. Available at: www.nlm.nih.gov/medlineplus/ency/article/001228.htm
. Accessed December 2009.
Mathias RG, Lule JK, Waiswa G, Naddumba EK, Pirani S. Incidence of clubfoot in Uganda. Canadian Journal of Public Health, 2010; 101(4):341–344.
Pirani S, Naddumba EK, Mathias R, Konde-Lule J, Penny JN, Beyeza T, Mbonye B, Amone J, Franceschi F. Towards effective clubfoot Ponseti: the Uganda sustainable clubfoot care project. Clinical Orthopaedics and Related Research, 2009; 467(5):1154–1164.
Honein MA, Paulozzi LJ, Moore CA. Family history, maternal smoking, and clubfoot: an indication of a gene-environment interaction. American Journal of Epidemiology, 2000; 152(7):658–665.
Carey M, Bower C, Mylvaganam A, Rouse I. Talipes equinovarus in Western Australia. Paediatric and Perinatal Epidemiology, 2003; 17(2):187–194.
Dobbs MB, Gurnett CA. Update on clubfoot: etiology and treatment. Clinical Orthopaedics and Related Research, 2009; 467(s):1146–1153.
Krogsgaard MR, Jensen PK, Kjaer I, Husted H, Lorentzen J, Hvass-Christensen B, Christensen SB, Larson K, Sonne-Holm S. Increasing incidence of clubfoot with higher population density: incidence and geographical variation in Denmark over a 16-year period—an epidemiological study of 936,525 births. Acta Orthopaedica, 2006; 77(6):839–846.
Dietz FR. The genesis of idiopathic clubfoot. Clinical Orthopaedics and Related Research, 2002; 401:39–40.
Patel M. Clubfoot workup. Medscape eMedicine. Updated December 20, 2011. Available at: emedicine.medscape.com/article/1237077-workup. Accessed May 10, 2010.
Adewole OA, Giwa SO, Kayode MO, Balogun RA. Congenital clubfoot in a teaching hospital in Lagos, Nigeria. African Journal of Medical Sciences, 2009; 38(2):203–206.
American Academy of Orthopaedic Surgeons. Children’s clubfoot: treatment with casting or operation? Orthoinfo.aaos.org. Last reviewed October 2007. Accessed May 12, 2010.
Culverwell A, Tapping C. Congenital equinovarus in Papua New Guinea: a difficult yet potentially manageable situation. International Orthopaedics, 2009; 33:521–526.
Paton R, Fox A, Fosta A, Fehily M. Incidence and etiology of talipes equinovarus with recent population changes. Acta Orthopaedica Belgica, 2010; 76(1):86–89.