Re: Technical questions.... I hope someone can help

[Guest guest]

> Hindfoot Varus----Hindfoot varus deformity

is a heel deformity in which the long axis of the talus lies lateral

to the base of the first metatarsal bone as a result of adduction of

the anterior end of the calcaneus, and the talocalcaneal angle is

decreased. Varus deformity occurs in equinovarus deformity and some

paralytic disorders.

dorsiflex---this is the ability to flex the foot w/ the toes pointing

in the air.

dorsiflex around talus---not sure about this one. I couldnt find the

exact phrase. Can you tell more about how its used?

active eversion---From what I found this is opposite of dorsiflexion.

Its pointing the toes down toward the floor.

>

> And what are the ranges a corrected foot should be in? I was told

that the goal is 70 degrees external rotation and 15 degrees

dorsiflexion.

Hope this helps,

Lori

and Elijah 7 mo atypical RCF BDD 23/7

>

> I recieved a note today from Becky's doctor from her last

> appointment with all these technical terms and I just want to know

> what they are talking about LOL

>

> Thanks!!

>

> , mommy to Becky 11/12/01

[Guest guest]

> Hindfoot Varus----Hindfoot varus deformity

is a heel deformity in which the long axis of the talus lies lateral

to the base of the first metatarsal bone as a result of adduction of

the anterior end of the calcaneus, and the talocalcaneal angle is

decreased. Varus deformity occurs in equinovarus deformity and some

paralytic disorders.

dorsiflex---this is the ability to flex the foot w/ the toes pointing

in the air.

dorsiflex around talus---not sure about this one. I couldnt find the

exact phrase. Can you tell more about how its used?

active eversion---From what I found this is opposite of dorsiflexion.

Its pointing the toes down toward the floor.

>

> And what are the ranges a corrected foot should be in? I was told

that the goal is 70 degrees external rotation and 15 degrees

dorsiflexion.

Hope this helps,

Lori

and Elijah 7 mo atypical RCF BDD 23/7

>

> I recieved a note today from Becky's doctor from her last

> appointment with all these technical terms and I just want to know

> what they are talking about LOL

>

> Thanks!!

>

> , mommy to Becky 11/12/01

[Guest guest]

Here is the section on the note:

" Today on examination, she is able to walk around easily around the

clinic. She is noted on the left to have a very mild hindfoot

varusand can dorsiflex her foot 25 degrees around the talus, and she

has no active eversion. She has no varus positioning of the foot.

On the right there is questionable varus in the hindfoot. She holds

her forefoot in 25 degrees varus. I can abduct her foot 15 degrees

around the talus, and she again has active eversion. On the right I

can dorsiflex her foot 3 degrees with her knee extended. "

is this good/bad?? the 3 degrees on the right dosen't sound good

to me.....

Thanks guys!

, mommy to Becky 11/12/01

>

> > Hindfoot Varus----Hindfoot varus deformity

>

> is a heel deformity in which the long axis of the talus lies

lateral

> to the base of the first metatarsal bone as a result of adduction

of

> the anterior end of the calcaneus, and the talocalcaneal angle is

> decreased. Varus deformity occurs in equinovarus deformity and

some

> paralytic disorders.

>

> dorsiflex---this is the ability to flex the foot w/ the toes

pointing

> in the air.

>

> dorsiflex around talus---not sure about this one. I couldnt find

the

> exact phrase. Can you tell more about how its used?

>

> active eversion---From what I found this is opposite of

dorsiflexion.

> Its pointing the toes down toward the floor.

> >

> > And what are the ranges a corrected foot should be in? I was

told

> that the goal is 70 degrees external rotation and 15 degrees

> dorsiflexion.

>

>

> Hope this helps,

> Lori

> and Elijah 7 mo atypical RCF BDD 23/7

>

>

> >

> > I recieved a note today from Becky's doctor from her last

> > appointment with all these technical terms and I just want to

know

> > what they are talking about LOL

> >

> > Thanks!!

> >

> > , mommy to Becky 11/12/01

[Guest guest]

I wish I could help more. Everything I found just had more and more

medical terms and it didnt clarify anything.

As for the 3 degrees on the right, it sounds to me that the Dr might

suggest a tenotomy (Achilles tendon release) since the goal is to

have 15 degrees dorsiflexion.

Lori

and Elijah 7 mo atypical RCF DBB 23/7

>

> Here is the section on the note:

>

> " Today on examination, she is able to walk around easily around the

> clinic. She is noted on the left to have a very mild hindfoot

> varusand can dorsiflex her foot 25 degrees around the talus, and

she

> has no active eversion. She has no varus positioning of the foot.

>

> On the right there is questionable varus in the hindfoot. She

holds

> her forefoot in 25 degrees varus. I can abduct her foot 15 degrees

> around the talus, and she again has active eversion. On the right

I

> can dorsiflex her foot 3 degrees with her knee extended. "

>

>

> is this good/bad?? the 3 degrees on the right dosen't sound

good

> to me.....

>

>

> Thanks guys!

>

> , mommy to Becky 11/12/01

>

>

>

[Guest guest]

,

Dr. Ponseti discusses some of those terms in the introduction to his

1996 book " Congential Clubfoot, Fundamentals of Treatment " on pages 2-

3. A copy of the introduction is found in the files section of this

site at the link address listed below the following quotes. It

includes a diagram to help identify the directions.

Dr. Ponseti states, " The congenital clubfoot is a complex three-

dimensional deformity having four components: equinus, varus,

adductus, and cavus. Since the definitions of foot movements and of

movements of tarsal bones are confusing in the orthopedic literature,

yet basic to the understanding of the deformity and its treatment, we

shall describe the direction of rotation of a tarsal bone by the

appropriately used terms of abduction/adduction, flexion/extension,

and inversion/eversion. In agreement with the international SFTP,

method, we define these terms according to Pusse and Gerhard (1975),

as reported by Van Langelaan (1983; Fig. 1). "

·adduction is that movement of a tarsal bone in which the distal part

of this bone moves towards the median body plane;

·abduction is this movement in the opposite direction;

flexion is that movement of a tarsal bone in which the distal part of

that bone moves in the plantar direction;

Fig. I Definitions of movements for a tarsal (calcaneal) bone with

respect to the body planes. (From Van Langelaan 1983.)

·extension is the movement in the opposite direction;

·inversion is the movement of a tarsal bone in which the undersurface

of the bone moves towards the median body plane;

·eversion is the movement in the opposite direction.

We reserve the term supination for combined movements of adduction,

flexion, and inversion, and the term pronation for combined movements

of abduction, extension, and eversion.

The term heel varus is used for movements of inversion and abduction

of the calcaneus, and the term heel valgus is used for eversion and

abduction of the

calcaneus.

The term forefoot supination is used for movements of inversion and

adduction of the forepart of the foot and the term forefoot pronation

is used for eversion and abduction of the forepart of the foot.

Equinus refers to an increased degree of plantar flexion of the foot.

Cavus refers to the increased height of the vault of the foot. " [END

OF QUOTE]

Dorsiflexion is not listed in his description of directions but means

the movement of the forward part of the foot upward. If you were

standing up, your foot is approximately in a nuetral position or zero

degrees off of a 90 degree angle with your lower leg. If you lift

the front of the foot upward towards your shin, that is referred to

as dorsiflexion. The number of degrees that the foot can be lifted up

should be I believe 10-20 degrees above nuetral. On Dr. Ponseti's

diragram it is referred to as extention instead of dorsiflexion.

The location is in the files section under a file called " reference

information " and then in the file called " BookIntro10pgs.doc "

http://health.groups.yahoo.com/group/nosurgery4clubfoot/files/Referenc

e%20Information/

I hope that this helps.

>

> Can someone help me in understanding what these terms mean:

> Hindfoot Varus

> dorsiflex

> dorsiflex around talus

> active eversion

>

> And what are the ranges a corrected foot should be in?

>

> I recieved a note today from Becky's doctor from her last

> appointment with all these technical terms and I just want to know

> what they are talking about LOL

>

> Thanks!!

>

> , mommy to Becky 11/12/01

[Guest guest]

Becky is almost 3 so I don't really think they would do another

tenotomy.....

These notes were from a doctor here in Los Angeles that I am trying

for follow-ups. We saw Dr. P in July and he said that there is a

possiblity of her needing the ATTT but he wanted to wait a year

before deciding on that for sure.

I just hate all that Dr. lingo. No matter how hard I try I just

can't understand it!! LOL

Thanks anyhow Lori!

, mommy to Becky 11/12/01

> >

> > Here is the section on the note:

> >

> > " Today on examination, she is able to walk around easily around

the

> > clinic. She is noted on the left to have a very mild hindfoot

> > varusand can dorsiflex her foot 25 degrees around the talus, and

> she

> > has no active eversion. She has no varus positioning of the

foot.

> >

> > On the right there is questionable varus in the hindfoot. She

> holds

> > her forefoot in 25 degrees varus. I can abduct her foot 15

degrees

> > around the talus, and she again has active eversion. On the

right

> I

> > can dorsiflex her foot 3 degrees with her knee extended. "

> >

> >

> > is this good/bad?? the 3 degrees on the right dosen't sound

> good

> > to me.....

> >

> >

> > Thanks guys!

> >

> > , mommy to Becky 11/12/01

> >

> >

> >