Re: Re: dorsiflexion ???? What is course of action now ???

[Guest guest]

Hi ,

We are noticed that my son has some problem in his dorsiflexion. His foot is

well corrected. This is was pointed by Dr Ponseti also in his mail. I send some

images to him yesterday. I am expecting aswer very soon.

What is the course of action now. Because my son was already went through

tenatomy. Almost 1 month he is in braces.? From now we found this is the

problem. Now what is course of action of now ? Does it reqd again tenatomy ? or

any special procedure is there ? Or does he require some more casts. ?

-Ramesh.

& Rich jenrichtrevillian@...> wrote:

Ramesh,

The dorsiflexion is the ability to point the end of the foot (toes)

up toward the shin. To see how much dorsiflexion your son has, place

his foot in the palm of your hand, completely support the entire

length of the foot, and flex the foot upward. You should check the

dorsiflexion with the knee straight as well as with the knee flexed.

Sometimes it is hard to do if the baby is not relaxed as they will

tighten up their muscles and not let you flex their foot. The

desired amount of dorsiflexion is 10-15 degrees beyond neutral

(neutral is the normal " L " position of the foot flat on the floor).

Any amount above neutral is acceptable (functional), but 10-15

degrees is the initial desired goal for correction.

If you download that Global HELP organization booklet, there is a

picture of a foot on page 11 that does not have adequate dorsiflexion

in Figure D. Figure G on page 14 shows a foot w/ adequate

dorsiflexion after a tenotomy procedure.

I hope this helps some.

> Hi

>

> Any body experienced ? when i send some imges of my son to him. Any

body have an idea ????

>

> ///////

>

> Dr Ponseti's reply

>

> The feet appear to be well corrected. I am not sure, however, of

how much dorsiflexion he has because there are still folds of skin on

the back of the heel. I wonder if the heelcord is somewhat tight,

which would possibly explain the blisters he incurred when wearing

the brace

>