{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T19:19:35Z","timestamp":1778008775352,"version":"3.51.4"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2000,8,1]],"date-time":"2000-08-01T00:00:00Z","timestamp":965088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2000,8]]},"abstract":"<jats:p> Congenital talipes equinovarus is a common anomaly which can now be diagnosed prenatally on a routine ultrasound scan at 20 weeks of gestation. Prenatal counselling is increasingly offered to parents with affected fetuses, but it is difficult to counsel parents if there is a chance that the fetus may not have talipes. Our study correlates the prenatal ultrasound findings of 14 infants diagnosed as having unilateral or bilateral talipes during their routine 20-week ultrasound scan with their clinical findings at birth and the treatment received. <\/jats:p><jats:p> No feet diagnosed as talipes on the ultrasound scan were completely normal at birth and therefore there were no true false-positive results. One foot graded as normal at 20 weeks was found to have a mild grade-1 talipes at birth, but did not require treatment other than simple stretches. A total of 32% of feet required no treatment and so could be considered functional false-positive results on the scan. Serial casting was required by 13% of feet and surgical treatment by 55%. The severity of the talipes is difficult to establish before birth. A number of patients are likely to need surgical treatment, but a proportion will have talipes so mildly that no treatment will be required. In counselling parents at 20 weeks, orthopaedic surgeons need to know whether or not there is a small chance that the ultrasound diagnosis could be wrong and also that the talipes may be so mild that the foot will not require treatment. <\/jats:p>","DOI":"10.1302\/0301-620x.82b6.0820876","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:50:31Z","timestamp":1519213831000},"page":"876-880","source":"Crossref","is-referenced-by-count":88,"title":["Clinical outcome of congenital talipes equinovarus diagnosed antenatally by ultrasound"],"prefix":"10.1302","volume":"82-B","author":[{"given":"R. L.","family":"Tillett","sequence":"first","affiliation":[{"name":"Department of Orthopaedics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. M.","family":"Fisk","sequence":"additional","affiliation":[{"name":"Centre for Fetal Care, Queen Charlotte\u2019s and Chelsea Hospital, Goldhawk Road, London W6 1NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, St Mary\u2019s Hospital, Praed Street, London W2 1NY, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. M.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.82B6.0820876","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.82B6.0820876","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:21:49Z","timestamp":1629141709000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.82B6.0820876"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8]]},"references-count":0,"aliases":["10.1302\/0301-620x.82b6.9777","10.1302\/0301-620x.82b6.9777"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[2000,8]]}},"alternative-id":["10.1302\/0301-620X.82B6.0820876"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.82b6.0820876","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,8]]}}}