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Re: ? about boys & girls

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Ok is it just me or does it seem as though more boys are born with

both feet clubbed while most girls only seem to have one. Is there a

known reason for this?I have read club foot is more common in boys

than girls. If anyone knows why please let me know.

> Carla & Kelli edd 3/14/01

I don't think anyone knows the reason. I even asked Dr. P about this.

It is interesting that you notice that, though. I know twice as many

boys as girls get clubfoot so isn't it interesting if clubfoot boys

also have twice as many clubbed feet as girls (now try to say that

three times fast).

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Hello Carla,

My name is Lori Stime and I haven't been around much these days, but

I just had to comment on this observation, although I cannot answer

the question as to " why? " clubfoot occurs more in boys.

My father was born with uni-lateral clubfoot.

My daughter was born with bi-lateral clubfeet.

So we are not in the most common category and I've always thought

that was kinda weird.

It would be interesting to do a poll on this.....

, could you set up a poll asking the sex of the child affected

and wether they had uni/bi-lateral clubfoot???

Lori

> Ok is it just me or does it seem as though more boys are born with

> both feet clubbed while most girls only seem to have one. Is there

a

> known reason for this? Our 6 yr old son was born with two while it

> looks like our daughter will only be born with one. I have read

club

> foot is more common in boys than girls. If anyone knows why please

> let me know.

>

> Thanks -

> Carla & Kelli edd 3/14/01

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Lori,

Great idea, I'd like to see the results in a poll too....

Carla & Kelli edd 3/14/01

> > Ok is it just me or does it seem as though more boys are born

with

> > both feet clubbed while most girls only seem to have one. Is

there

> a

> > known reason for this? Our 6 yr old son was born with two while

it

> > looks like our daughter will only be born with one. I have read

> club

> > foot is more common in boys than girls. If anyone knows why

please

> > let me know.

> >

> > Thanks -

> > Carla & Kelli edd 3/14/01

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This is what you learn in orthopaedic training: clubfoot is more

common in boys and is generally bilateral in 50% of cases (boys and

girls). There are published statistics about recurrence rate (which

I always have to look up) which demonstrate that although it is less

likely to have a daughter with (or be a girl with) a clubfoot, if

this happens the recurrence risk is higher than if you have a son

with (or are a boy with) a clubfoot. In general clubfoot is

described as " multifactorial " inheritance - you need many genes to

have a clubfoot is my simple way of thinking of it (although there

are the unusual families that have an " autosomal dominant " pattern of

inheritance and a 50% chance of a clubfoot with each child).

Confused yet? I think of it as follows: if you are a girl, you need

more CF genes to be born with a clubfoot (therefore less common in

females), however if you are a female with a clubfoot, it is more

likely for your relatives (siblings, your own children) to have a

CF. If there are any geneticists in the crowd they may laugh me out

of the hall with my " surgeon " explanations.

son

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