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plantaris? atypical?

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I am a little confused about plantaris and atypical. Are all

atypical clubfeet plantaris or is plantaris different than atypical.

Dr Ponseti said that had atypical clubfeet because of the

creases but never mentioned plantaris. I was also reading the web

site A Different Foot about Plantaris and it said that it doesn’t

show up until after the Tenotomy but just had hers done

after she was diagnosed as atypical. Can anyone give me more info on

plantaris vs atypical? Thanks.

1/30/04 bilateral atypical cf, in cast for another 2 weeks

following her tenotomy

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Wow! You found my website! It is still very incomplete and some of

the information is outdated as alot has been learned about plantaris

in the last few months. Because I have not had time to write about

it to Dr P, I am not sure if what he originally called Plantaris is

the same as the more recent cases of " atypical " clubfoot. I know

that there are cases of atypical clubfoot that are NOT plantaris.

But I also know that plantaris is included in " atypical clubfoot " .

Hope that makes sense ;)

It could be that Dr P has figured out how to identify plantaris pre-

tenotomy. I think there are telling factors. I think the foot -

before any correction - would have a very deep medial/transverse

crease on the sole with very severe cavus (very high arch). Kai's

did, as well as a deep crease above the heel. Even after correction

the creases on the sole tend to remain unless the foot is corrected

with the manipulation that is geared specifically for this

condition. If you look at the " catalogue page " on my site there are

a few pictures :)

Atypical simply refers to a foot that does not fall within the usual

variances of clubfoot. There is someone here whose daughter had

atypical clubfeet that were in equinus (toe down) but there was no

varus/adduction (curling in of the foot). That falls outside

the " norm " therefore is atypical. I think that overall atypical just

refers to a foot that will not properly respond to the normal casting

proceedure and needs to be manipulated a bit differently.

You can always write to Dr P and ask if 's foot falls into

the cavus/plantaris type group or if it is atypical in another way.

Eventually I would like to add a bit of information about other kinds

of atypical feet to my web site, but first I better finish off what I

have on it already! lol

Anyway, I hope this clears things up a bit - as much as possible!

Angel

Caitlen 08/29/97

Arica 08/22/01 born with positional LCF that spontaneously resloved

and moderate metatarsus adductus that we still battle ;)

Kai 12/31/02 RCF initially casted by Dr Mosca 01/03 - 03/03, FAB to

08/03, recasted by Dr Ponseti 09/03, FAB to 01/04, recasted by Dr

Mosca 02/04 - 04/04, currently in FAB 14 hrs/day

> I am a little confused about plantaris and atypical. Are all

> atypical clubfeet plantaris or is plantaris different than

atypical.

> Dr Ponseti said that had atypical clubfeet because of the

> creases but never mentioned plantaris. I was also reading the web

> site A Different Foot about Plantaris and it said that it doesn’t

> show up until after the Tenotomy but just had hers done

> after she was diagnosed as atypical. Can anyone give me more info

on

> plantaris vs atypical? Thanks.

>

> 1/30/04 bilateral atypical cf, in cast for another 2 weeks

> following her tenotomy

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