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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8, 1082-1084.
doi: 10.1302/0301-620X.88B8.17482  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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The role of the Pirani scoring system in the management of club foot by the Ponseti method

P. J. Dyer, BSc Hons, Medical Student1; and N. Davis, BMed Sci, BM, BS, FRCSEd(Tr & Orth), Consultant in Paediatric Orthopaedic Surgery1

1 Booth Hall Children’s Hospital, Charlestown Road, Manchester M9 7AA, UK.

Correspondence should be sent to Mr P. J. Dyer c/o Naomi Davis; e-mail: petedyer{at}doctors.org.uk

The Pirani scoring system, together with the Ponseti method of club foot management, was assessed for its predictive value.

The data on 70 idiopathic club feet successfully treated by the Ponseti method and scored by Pirani’s system between February 2002 and May 2004 were analysed. There was a significant positive correlation between the initial Pirani score and number of casts required to correct the deformity.

A foot scoring 4 or more is likely to require at least four casts, and one scoring less than 4 will require three or fewer. A foot with a hindfoot score of 2.5 or 3 has a 72% chance of requiring a tenotomy.

The Pirani scoring system is reliable, quick, and easy to use, and provides a good forecast about the likely treatment for an individual foot but a low score does not exclude the possibility that a tenotomy may be required.




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eLetters:

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Classification vs evaluation of club foot
Faisal N Hussain
J Bone Joint Surg Br Online, 15 Sep 2006 [Full text]
Pirani scoring of club foot
Robert S JEFFERY
J Bone Joint Surg Br Online, 3 Oct 2006 [Full text]
Authors' reply
Peter J Dyer, et al.
J Bone Joint Surg Br Online, 6 Dec 2006 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General