Dimeglio et al developed a score for evaluating a clubfoot prior to corrective surgery.
Parameters:
(1) equinus
(2) varus
(3) supination
(4) adductus
(5) posterior crease
(6) medial crease
(7) cavus
(8) deviant muscle function
|
Parameter |
Finding |
Points |
|
equinus |
45 to 90 degrees plantarflexion |
4 |
|
|
20 to 45 degrees plantarflexion |
3 |
|
|
0 to 20 degrees plantarflexion |
2 |
|
|
0 to 20 degrees dorsiflexion |
1 |
|
|
> 20 degrees dorsiflexion |
0 |
|
varus |
45 to 90 degrees varus |
4 |
|
|
20 to 45 degrees varus |
3 |
|
|
0 to 20 degrees varus |
2 |
|
|
0 to 20 degrees valgus |
1 |
|
|
> 20 degrees valgus |
0 |
|
supination |
45 to 90 degrees supination |
4 |
|
|
20 to 45 degrees supination |
3 |
|
|
0 to 20 degrees supination |
2 |
|
|
0 to 20 degrees pronation |
1 |
|
|
> 20 degrees pronation |
0 |
|
adductus |
45 to 90 degree adduction |
4 |
|
|
20 to 45 degree adduction |
3 |
|
|
0 to 20 degree adduction |
2 |
|
|
0 to 20 degree abduction |
1 |
|
|
> 20 degrees abduction |
0 |
|
posterior crease |
yes |
1 |
|
|
no |
0 |
|
medial crease |
yes |
1 |
|
|
no |
0 |
|
cavus |
yes |
1 |
|
|
no |
0 |
|
poor muscle function |
yes |
1 |
|
|
no |
0 |
where:
• The first 4 items overlap at 3 points.
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 20
• The higher the score the more severe the deformity.
|
Total Score |
Grade |
Description |
|
0 to 4 |
I |
benign feet |
|
5 to 9 |
II |
moderate feet |
|
10 to 14 |
III |
severe feet |
|
15 to 20 |
IV |
very severe feet |
Specialty: Surgery, orthopedic, Genetics, Pedatrics
