What constitutes atypical clubfoot?

[Guest guest]

I e-mailed Dr. Poseti a picture of my son's recently corrected feet,

they are still in casts, and he mentioned they looked short. He

wondered if they were atypical and said I may need to use the

shoes.

I've read that atypical feet have a crease across the sole, but my

son's feet do not have that. Can he have atypical clubfeet without

the crease? I want to be prepared ahead of time to mention the

shoes to our doctor. I did ask him once if had

atypical clubfeet and he didn't really answer.

and 11/10/03 bilateral clubfeet

[Guest guest]

" Atypical Clubfoot " is esentially a catch-all phrase that refers to

any clubfoot that either responds to casting differently or is

different in some very basic was, such as one aspect of the foot

being vastly more or less severe than the rest of the deformity. It

pretty much meand different in some way than usually seen.

Because of this, not all aspects seen in one atypical clubfoot are

seen in others. Also, the casting and treatment done can have a huge

impact on what the foot looks like at the time of diagnosis.

My sons foot is a good example of the variety seen. He has what is

called plantaris (the most common type of atypical clubfoot) where

the muscles and ligaments in the bottom of the foot are very tight

and prone to relapse. However, a plantaris usually takes many casts

to correct and for him it really took very few. The one relapse he

had that resulted in 4 casts had alot to do with Dr Mosca being new

to the casting correction of atypical, as well as the wait for the

shoes (his 4th cast was applied to an already-corrected

foot). Also, unlike most cases of plantaris-type atypical, he did

not get out of the Markell shoes, they just did not work. The one

other thing that was way different is that his foot became more

deformed while in the post-tenotomy cast. Most feet similar to his

relapse or gain deformity AFTER that cast has been removed.

As for the shoes, all I can say is that the shoes will not

harm the foot in any way - atypical or not, whereas if you are

dealing with an atypical clubfoot, the Markell shoes could be

damaging, so, it cant hurt to use the 's if there is any

doubt.

Angel

>

> >

> > I e-mailed Dr. Poseti a picture of my son's recently corrected

> feet,

> > they are still in casts, and he mentioned they looked short. He

> > wondered if they were atypical and said I may need to use the

> > shoes.

> >

> > I've read that atypical feet have a crease across the sole, but

my

> > son's feet do not have that. Can he have atypical clubfeet

without

> > the crease? I want to be prepared ahead of time to mention the

> > shoes to our doctor. I did ask him once if had

> > atypical clubfeet and he didn't really answer.

> >

> > and 11/10/03 bilateral clubfeet