Re: Re: Angel: What constitutes atypical clubfoot?

[Guest guest]

I sent a more detailed answer privately, but I thought I would respond

here as well.

Yes, it is true that a Markell shoe is usually not capable of holding correction

in an atypical clubfoot, and relapse is commonly seen within a month of going

into the braces.

Angel

Re: Angel: What constitutes atypical clubfoot?

>

> " 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

How do the Markell shoes damage their feet? Do you mean he could

relapse in them?

and 11/10/03 bilateral clubfeet