Related Experiment Video
Updated: Jan 22, 2026

Culture of Murine Embryonic Metatarsals: A Physiological Model of Endochondral Ossification
Published on: December 3, 2016
Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: should it affect bracing
Y Hemo1, R Gigi1, S Wientroub1
1Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, and The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Purpose:
To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF).
Methods:
Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF.
Results:
The literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot.
Conclusion:
Gentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management.
Level Of Evidence:
V.
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