Prenatal diagnosis of musculoskeletal conditions

Document Type

Journal Article

Publication Date

4-27-2015

Journal

Journal of the American Academy of Orthopaedic Surgeons

Volume

23

Issue

4

DOI

10.5435/JAAOS-D-14-00004

Abstract

Copyright 2015 by the American Academy of Orthopaedic Surgeons. Ultrasonography is a safe, cost-effective tool used to prenatally detect common musculoskeletal conditions, including clubfoot, skeletal dysplasias, limb-length discrepancies, spinal abnormalities, and hand and other upper extremity deformities. With increased detection of such abnormalities, prenatal parental counseling by orthopaedic surgeons is being requested more frequently. Counseling is important for family education on prognosis and treatment options. A thorough understanding of the common musculoskeletal conditions diagnosed on prenatal ultrasonography, classification of these conditions, and the correlations of these classifications to postnatal severity allows the orthopaedic surgeon to conduct well-informed counseling sessions with families. Accurate information and counseling aids parents in understanding their child's diagnosis, assists clinicians in planning treatment algorithms, and optimizes family preparedness.

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