This
evaluation method is based on six well-described clinical
signs of contracture characterising a severe clubfoot.
Each sign on the abnormal foot is compared to the same
area on the normal foot (if the deformity is not bilateral).
Each sign is scored according to the principle described
below.
0
0.5
1
Columbian
Clubfoot Score- general principle of scoring
Curvature
of the lateral border of the clubfoot is one indicator
of the severity of the deformity. This illustrates the
principle of our method of scoring:
0
No
abnormality
0.5
Moderate Abnormality
1
Severe Abnormality
These
six signs are divided by area of involvement into 2 groups
of 3 signs:
Curvature
of Lateral Border of Foot (CLB)
Medial Crease (MC)
Lateral part of the Head of the Talus (LHT)
Hence,
each foot can receive:
A
higher score indicates a more severe deformity.
•
A
Hindfoot contracture score
(HFCS)
between
0 and 3
•
A Midfoot
contracture score
(MFCS)
between 0 and 3
•
A Total
Score
(TS)
between 0 and 6
Scoring
the foot at each visit during treatment easily enables
the treating orthopaedic officer or physiotherapist
to document how the foot is responding to manipulation
and casting.
Technique of Examination
The
examiner is seated. The infant is on mother's lap. A feeding,
relaxed infant allows for a more precise examination.
