The Pirani scoring system is used to:

• A Classify severity of developmental dysplasia of the hip
• B Grade the severity of clubfoot deformity to guide Ponseti casting treatment ✓
• C Assess the Risser stage of skeletal maturity in scoliosis
• D Quantify the degree of femoral head necrosis in Perthes disease

Explanation

The Pirani scoring system is a validated assessment tool for congenital talipes equinovarus (CTEV/clubfoot) severity, used to guide and monitor Ponseti method treatment. It scores 6 clinical signs (medial crease, curved lateral border, posterior crease, talar head coverage, rigid equinus, empty heel) on a 0-0.5-1 scale, giving a total score of 0-6. Higher scores predict more castings needed and higher likelihood of Achilles tenotomy. Serial Pirani scores track improvement during casting. At Pirani score ≤1, foot abduction brace (FAB) is used to maintain correction.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.