Re: clubfoot and metatarsus adductus

[Guest guest]

,

Thanks for the info.

Both myself and my brother-in-law (first borns) had Metatarsus adductus. We

both wore the dbb from about 6 to 12 months of age. My mom says she took it

off me for good once I started walking.

My only sibling did not have any foot problems. My husband and his two other

siblings did not have any foot problems.

I do recall a cousin of my father that had a problem with his foot, but no

one knows what the official diagnosis was. His mother was too proud

(probably scared) to travel from New Hampshire to Children's Hospital in

Boston for treatment in the 1940s.

Joanne W.

Northern VA

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: clubfoot and metatarsus adductus

>Date: Fri, 26 Jul 2002 14:08:35 -0000

>

>

>I have heard that it is pretty common for the first born to have some

>sort of foot disorder and then the second will have cf. This seems

>pretty true, I think I have heard others on this board say that one

>of their children has M.A.

> > Sincerely,

> > & Breanna

>

>Hi,

>

>Just jumping in on this topic... Dr. Ponseti told me once that there

>IS an association between m.a. and clubfoot. I was curious about it,

>because I believe I had m.a. as a baby, though we have had no

>clubfoot in our family before.

>

>Here's an excerpt on the topic from the intro to his book, which is

>in the Files section here:

>

>---

>

>Idiopathic congenital clubfoot may be associated with other

>congenital abnormalities. Metatarsus varus (adductus) was observed

>by Kite in 8 per cent of 764 patients with unilateral clubfoot (Kite

>1930). In the 70 clubfoot patients studied by Laaveg and myself, 36

>had unilateral clubfoot (Laaveg and Ponseti 1980). Eight of these

>(22.2 per cent) had metatarsus adductus, a higher incidence than

>reported by Kite. Among the 1200 clubfoot patients initially treated

>by me, I have estimated but not reported an incidence of metatarsus

>adductus in 18 per cent of the cases. Ruth Wynne-Davies (1964a)

>found joint laxity in 17 to 18 per cent of her patients, an incidence

>of hernia not higher than in the normal population, one child with

>congenital dislocation of the hip, and 4 to 5 per cent with other

>deformities in the limbs such as ring constrictions, syndactyly, and

>missing or extra fingers.

>

>---

>

>Hope this helps,

>one of the other s =) and

>

>

_________________________________________________________________

Chat with friends online, try MSN Messenger: http://messenger.msn.com

[Guest guest]

,

Thanks for the info.

Both myself and my brother-in-law (first borns) had Metatarsus adductus. We

both wore the dbb from about 6 to 12 months of age. My mom says she took it

off me for good once I started walking.

My only sibling did not have any foot problems. My husband and his two other

siblings did not have any foot problems.

I do recall a cousin of my father that had a problem with his foot, but no

one knows what the official diagnosis was. His mother was too proud

(probably scared) to travel from New Hampshire to Children's Hospital in

Boston for treatment in the 1940s.

Joanne W.

Northern VA

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: clubfoot and metatarsus adductus

>Date: Fri, 26 Jul 2002 14:08:35 -0000

>

>

>I have heard that it is pretty common for the first born to have some

>sort of foot disorder and then the second will have cf. This seems

>pretty true, I think I have heard others on this board say that one

>of their children has M.A.

> > Sincerely,

> > & Breanna

>

>Hi,

>

>Just jumping in on this topic... Dr. Ponseti told me once that there

>IS an association between m.a. and clubfoot. I was curious about it,

>because I believe I had m.a. as a baby, though we have had no

>clubfoot in our family before.

>

>Here's an excerpt on the topic from the intro to his book, which is

>in the Files section here:

>

>---

>

>Idiopathic congenital clubfoot may be associated with other

>congenital abnormalities. Metatarsus varus (adductus) was observed

>by Kite in 8 per cent of 764 patients with unilateral clubfoot (Kite

>1930). In the 70 clubfoot patients studied by Laaveg and myself, 36

>had unilateral clubfoot (Laaveg and Ponseti 1980). Eight of these

>(22.2 per cent) had metatarsus adductus, a higher incidence than

>reported by Kite. Among the 1200 clubfoot patients initially treated

>by me, I have estimated but not reported an incidence of metatarsus

>adductus in 18 per cent of the cases. Ruth Wynne-Davies (1964a)

>found joint laxity in 17 to 18 per cent of her patients, an incidence

>of hernia not higher than in the normal population, one child with

>congenital dislocation of the hip, and 4 to 5 per cent with other

>deformities in the limbs such as ring constrictions, syndactyly, and

>missing or extra fingers.

>

>---

>

>Hope this helps,

>one of the other s =) and

>

>

_________________________________________________________________

Chat with friends online, try MSN Messenger: http://messenger.msn.com

[Guest guest]

, I found the information you sited extremely

interesting concerning other associated disorders found

with clubfeet. Of particular interest was the ring

constrictions and missing fingers or syndactly.

has no thumbnails and a very small or hypoplastic pointer

fingernails. We have often wondered if this has any

relation to her cf (we have ruled out genetic issues as a

cause) and now feel like it might be possible that there

is some relationship. Someday, when CF is better

understood, I will be so interested to hear what causes

this disorder when no other hereditary influence is found.

Amy & (6-10-01)

[Guest guest]

, I found the information you sited extremely

interesting concerning other associated disorders found

with clubfeet. Of particular interest was the ring

constrictions and missing fingers or syndactly.

has no thumbnails and a very small or hypoplastic pointer

fingernails. We have often wondered if this has any

relation to her cf (we have ruled out genetic issues as a

cause) and now feel like it might be possible that there

is some relationship. Someday, when CF is better

understood, I will be so interested to hear what causes

this disorder when no other hereditary influence is found.

Amy & (6-10-01)

[Guest guest]

, I found the information you sited extremely

interesting concerning other associated disorders found

with clubfeet. Of particular interest was the ring

constrictions and missing fingers or syndactly.

has no thumbnails and a very small or hypoplastic pointer

fingernails. We have often wondered if this has any

relation to her cf (we have ruled out genetic issues as a

cause) and now feel like it might be possible that there

is some relationship. Someday, when CF is better

understood, I will be so interested to hear what causes

this disorder when no other hereditary influence is found.

Amy & (6-10-01)

[Guest guest]

Our elder son has syndactyly (two of the toes on his right foot are

fused together) and our younger one has bilateral clubfoot.

There is no history of clubfoot in the family.

Rosie

> , I found the information you sited extremely

> interesting concerning other associated disorders found

> with clubfeet. Of particular interest was the ring

> constrictions and missing fingers or syndactly.

> has no thumbnails and a very small or hypoplastic pointer

> fingernails. We have often wondered if this has any

> relation to her cf (we have ruled out genetic issues as a

> cause) and now feel like it might be possible that there

> is some relationship. Someday, when CF is better

> understood, I will be so interested to hear what causes

> this disorder when no other hereditary influence is found.

> Amy & (6-10-01)

[Guest guest]

I forgot to mention that in addition to metatarsus adductus, I also have a

bone missing in my left foot. As a result, my second toe in is smaller than

the pinky toe and kind of sunken into my foot. I have a huge callous on the

bottom of my foot because of it.

I had it x-rayed when I was in high school because my foot would ache after

playing soccer. At the time, the orthopod said it would take about 6

operations for them to insert a piece of plastic in my foot in place of the

missing bone. I would have been on crutches for about a year. It didn't hurt

badly enough to justify that kind of intervention.

Anyway, now I'm wondering if it's somehow related. I joked with my mom that

it happened because she was on birth control before she knew she was

pregnant. I think one of the side effects of being on birth control is

missing digits. My mom didn't appreciate the joke. Now that I'm a mom, I can

see why.

I keep thinking that perhaps her clubfoot was a result of the 2 beers I had

one night before I knew I was pregnant. I was also on an anti-depressant,

but from what I've read, it's not supposed to cause problems to pregnant

women. It wasn't an MAOI.

Sorry for the rambling.

Joanne W.

Fairfax VA

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Re: clubfoot and metatarsus adductus

>Date: Fri, 26 Jul 2002 18:24:27 -0000

>

>Our elder son has syndactyly (two of the toes on his right foot are

>fused together) and our younger one has bilateral clubfoot.

>

>There is no history of clubfoot in the family.

>

>Rosie

>

>

>

>

> > , I found the information you sited extremely

> > interesting concerning other associated disorders found

> > with clubfeet. Of particular interest was the ring

> > constrictions and missing fingers or syndactly.

> > has no thumbnails and a very small or hypoplastic pointer

> > fingernails. We have often wondered if this has any

> > relation to her cf (we have ruled out genetic issues as a

> > cause) and now feel like it might be possible that there

> > is some relationship. Someday, when CF is better

> > understood, I will be so interested to hear what causes

> > this disorder when no other hereditary influence is found.

> > Amy & (6-10-01)

>

_________________________________________________________________

MSN Photos is the easiest way to share and print your photos:

http://photos.msn.com/support/worldwide.aspx

[Guest guest]

I forgot to mention that in addition to metatarsus adductus, I also have a

bone missing in my left foot. As a result, my second toe in is smaller than

the pinky toe and kind of sunken into my foot. I have a huge callous on the

bottom of my foot because of it.

I had it x-rayed when I was in high school because my foot would ache after

playing soccer. At the time, the orthopod said it would take about 6

operations for them to insert a piece of plastic in my foot in place of the

missing bone. I would have been on crutches for about a year. It didn't hurt

badly enough to justify that kind of intervention.

Anyway, now I'm wondering if it's somehow related. I joked with my mom that

it happened because she was on birth control before she knew she was

pregnant. I think one of the side effects of being on birth control is

missing digits. My mom didn't appreciate the joke. Now that I'm a mom, I can

see why.

I keep thinking that perhaps her clubfoot was a result of the 2 beers I had

one night before I knew I was pregnant. I was also on an anti-depressant,

but from what I've read, it's not supposed to cause problems to pregnant

women. It wasn't an MAOI.

Sorry for the rambling.

Joanne W.

Fairfax VA

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Re: clubfoot and metatarsus adductus

>Date: Fri, 26 Jul 2002 18:24:27 -0000

>

>Our elder son has syndactyly (two of the toes on his right foot are

>fused together) and our younger one has bilateral clubfoot.

>

>There is no history of clubfoot in the family.

>

>Rosie

>

>

>

>

> > , I found the information you sited extremely

> > interesting concerning other associated disorders found

> > with clubfeet. Of particular interest was the ring

> > constrictions and missing fingers or syndactly.

> > has no thumbnails and a very small or hypoplastic pointer

> > fingernails. We have often wondered if this has any

> > relation to her cf (we have ruled out genetic issues as a

> > cause) and now feel like it might be possible that there

> > is some relationship. Someday, when CF is better

> > understood, I will be so interested to hear what causes

> > this disorder when no other hereditary influence is found.

> > Amy & (6-10-01)

>

_________________________________________________________________

MSN Photos is the easiest way to share and print your photos:

http://photos.msn.com/support/worldwide.aspx

[Guest guest]

I forgot to mention that in addition to metatarsus adductus, I also have a

bone missing in my left foot. As a result, my second toe in is smaller than

the pinky toe and kind of sunken into my foot. I have a huge callous on the

bottom of my foot because of it.

I had it x-rayed when I was in high school because my foot would ache after

playing soccer. At the time, the orthopod said it would take about 6

operations for them to insert a piece of plastic in my foot in place of the

missing bone. I would have been on crutches for about a year. It didn't hurt

badly enough to justify that kind of intervention.

Anyway, now I'm wondering if it's somehow related. I joked with my mom that

it happened because she was on birth control before she knew she was

pregnant. I think one of the side effects of being on birth control is

missing digits. My mom didn't appreciate the joke. Now that I'm a mom, I can

see why.

I keep thinking that perhaps her clubfoot was a result of the 2 beers I had

one night before I knew I was pregnant. I was also on an anti-depressant,

but from what I've read, it's not supposed to cause problems to pregnant

women. It wasn't an MAOI.

Sorry for the rambling.

Joanne W.

Fairfax VA

>

>Reply-To: nosurgery4clubfoot

>To: nosurgery4clubfoot

>Subject: Re: clubfoot and metatarsus adductus

>Date: Fri, 26 Jul 2002 18:24:27 -0000

>

>Our elder son has syndactyly (two of the toes on his right foot are

>fused together) and our younger one has bilateral clubfoot.

>

>There is no history of clubfoot in the family.

>

>Rosie

>

>

>

>

> > , I found the information you sited extremely

> > interesting concerning other associated disorders found

> > with clubfeet. Of particular interest was the ring

> > constrictions and missing fingers or syndactly.

> > has no thumbnails and a very small or hypoplastic pointer

> > fingernails. We have often wondered if this has any

> > relation to her cf (we have ruled out genetic issues as a

> > cause) and now feel like it might be possible that there

> > is some relationship. Someday, when CF is better

> > understood, I will be so interested to hear what causes

> > this disorder when no other hereditary influence is found.

> > Amy & (6-10-01)

>

_________________________________________________________________

MSN Photos is the easiest way to share and print your photos:

http://photos.msn.com/support/worldwide.aspx

[Guest guest]

Hello,

Thank you for the information = ) ! What a great name huh! ; ) Just

wanted to add this in that as far as I know there is no history of cf on either

my side or my hubby's.

Sincerely,

& Breanna

teresaandclaire wrote:

I have heard that it is pretty common for the first born to have some

sort of foot disorder and then the second will have cf. This seems

pretty true, I think I have heard others on this board say that one

of their children has M.A.

> Sincerely,

> & Breanna

Hi,

Just jumping in on this topic... Dr. Ponseti told me once that there

IS an association between m.a. and clubfoot. I was curious about it,

because I believe I had m.a. as a baby, though we have had no

clubfoot in our family before.

Here's an excerpt on the topic from the intro to his book, which is

in the Files section here:

---

Idiopathic congenital clubfoot may be associated with other

congenital abnormalities. Metatarsus varus (adductus) was observed

by Kite in 8 per cent of 764 patients with unilateral clubfoot (Kite

1930). In the 70 clubfoot patients studied by Laaveg and myself, 36

had unilateral clubfoot (Laaveg and Ponseti 1980). Eight of these

(22.2 per cent) had metatarsus adductus, a higher incidence than

reported by Kite. Among the 1200 clubfoot patients initially treated

by me, I have estimated but not reported an incidence of metatarsus

adductus in 18 per cent of the cases. Ruth Wynne-Davies (1964a)

found joint laxity in 17 to 18 per cent of her patients, an incidence

of hernia not higher than in the normal population, one child with

congenital dislocation of the hip, and 4 to 5 per cent with other

deformities in the limbs such as ring constrictions, syndactyly, and

missing or extra fingers.

---

Hope this helps,

one of the other s =) and

[Guest guest]

Hello,

Thank you for the information = ) ! What a great name huh! ; ) Just

wanted to add this in that as far as I know there is no history of cf on either

my side or my hubby's.

Sincerely,

& Breanna

teresaandclaire wrote:

I have heard that it is pretty common for the first born to have some

sort of foot disorder and then the second will have cf. This seems

pretty true, I think I have heard others on this board say that one

of their children has M.A.

> Sincerely,

> & Breanna

Hi,

Just jumping in on this topic... Dr. Ponseti told me once that there

IS an association between m.a. and clubfoot. I was curious about it,

because I believe I had m.a. as a baby, though we have had no

clubfoot in our family before.

Here's an excerpt on the topic from the intro to his book, which is

in the Files section here:

---

Idiopathic congenital clubfoot may be associated with other

congenital abnormalities. Metatarsus varus (adductus) was observed

by Kite in 8 per cent of 764 patients with unilateral clubfoot (Kite

1930). In the 70 clubfoot patients studied by Laaveg and myself, 36

had unilateral clubfoot (Laaveg and Ponseti 1980). Eight of these

(22.2 per cent) had metatarsus adductus, a higher incidence than

reported by Kite. Among the 1200 clubfoot patients initially treated

by me, I have estimated but not reported an incidence of metatarsus

adductus in 18 per cent of the cases. Ruth Wynne-Davies (1964a)

found joint laxity in 17 to 18 per cent of her patients, an incidence

of hernia not higher than in the normal population, one child with

congenital dislocation of the hip, and 4 to 5 per cent with other

deformities in the limbs such as ring constrictions, syndactyly, and

missing or extra fingers.

---

Hope this helps,

one of the other s =) and

[Guest guest]

Joanne,

Funny you mentioned your father's cousin had a foot problem, my father in

law's cousin was the only " known " clubfoot in both sides of our families. We

" think " my great grandmother may have had bilateral clubfoot, but no one

knows for sure. She did write a book about her life, but I can't seem to

find out who in the family has the book and how I can get my hands on it.

That side of the family is all over seas (England) and the last of that

generation has recently passed away (my mom's aunt) so I don't know if I'll

ever find it. It sure would be interesting to read though!

It is interesting though that I have found that two of my husbands cousins

had short achilles that required lenghtening. I did not have clubfoot and

neither did my brother or sister, but I did wear the DBB brace for a problem

with my tibial bones in my legs, they were slightly turned which made my

feet turn in slightly. My husband and his brother and sister all had no

problems.

Aren't genes interesting!!!!!

Holly and

clubfoot and metatarsus adductus

>>Date: Fri, 26 Jul 2002 14:08:35 -0000

>>

>>

>>I have heard that it is pretty common for the first born to have some

>>sort of foot disorder and then the second will have cf. This seems

>>pretty true, I think I have heard others on this board say that one

>>of their children has M.A.

>> > Sincerely,

>> > & Breanna

>>

>>Hi,

>>

>>Just jumping in on this topic... Dr. Ponseti told me once that there

>>IS an association between m.a. and clubfoot. I was curious about it,

>>because I believe I had m.a. as a baby, though we have had no

>>clubfoot in our family before.

>>

>>Here's an excerpt on the topic from the intro to his book, which is

>>in the Files section here:

>>

>>---

>>

>>Idiopathic congenital clubfoot may be associated with other

>>congenital abnormalities. Metatarsus varus (adductus) was observed

>>by Kite in 8 per cent of 764 patients with unilateral clubfoot (Kite

>>1930). In the 70 clubfoot patients studied by Laaveg and myself, 36

>>had unilateral clubfoot (Laaveg and Ponseti 1980). Eight of these

>>(22.2 per cent) had metatarsus adductus, a higher incidence than

>>reported by Kite. Among the 1200 clubfoot patients initially treated

>>by me, I have estimated but not reported an incidence of metatarsus

>>adductus in 18 per cent of the cases. Ruth Wynne-Davies (1964a)

>>found joint laxity in 17 to 18 per cent of her patients, an incidence

>>of hernia not higher than in the normal population, one child with

>>congenital dislocation of the hip, and 4 to 5 per cent with other

>>deformities in the limbs such as ring constrictions, syndactyly, and

>>missing or extra fingers.

>>

>>---

>>

>>Hope this helps,

>>one of the other s =) and

>>

>>

>

>

>

>

>_________________________________________________________________

>Chat with friends online, try MSN Messenger: http://messenger.msn.com

>

>

>

>

[Guest guest]

Just wanted to thank everyone who put in a little history of their own

regarding clubfoot and other possible related problems, metatarsus, etc.

My girls have about 30 cousins (first and second cousins) between both sides

of the family (my husband comes from a very large family and all of his

cousins and brother and sister now have children also) and our two girls so

far were the only two born with any foot problems (one M.A. and one

bilateral clubfoot). All of the other children had no problems that we are

aware of. I too will be interested one day to find out how and why the

condition starts and how it is passed along in the genes.

Holly and

Re: clubfoot and metatarsus adductus

>Our elder son has syndactyly (two of the toes on his right foot are

>fused together) and our younger one has bilateral clubfoot.

>

>There is no history of clubfoot in the family.

>

>Rosie

>

>

>

>

>> , I found the information you sited extremely

>> interesting concerning other associated disorders found

>> with clubfeet. Of particular interest was the ring

>> constrictions and missing fingers or syndactly.

>> has no thumbnails and a very small or hypoplastic pointer

>> fingernails. We have often wondered if this has any

>> relation to her cf (we have ruled out genetic issues as a

>> cause) and now feel like it might be possible that there

>> is some relationship. Someday, when CF is better

>> understood, I will be so interested to hear what causes

>> this disorder when no other hereditary influence is found.

>> Amy & (6-10-01)

>

>

>

>

[Guest guest]

Joanne,

Isn't it funny how looking back I think at one time or another all of us

assumed it must have been something we either did or did'nt do to cause our

child to be born with clubfoot. Well, maybe not so funny, but I remember

also thinking it must have been those darn " cold eez " that I took once while

pregnant that caused a miscarriage inbetween my girls. Then when was

born I thought her clubfoot was my fault because I did'nt drink enough milk.

Of course I know better now, but it's hard to have something happen and not

know the reason for it!

Information is so valuable though, I recently found out that if I decided to

have another child one day that I should be put on extra folic acid.

(my clubfoot baby) was also born with a tiny dimple on her back right above

her bottom. This can be a sign of spinal deformities (such as spina bifida)

which thank god was not her case. But............my O.B. has stated that

anyone who has either a history of S.B. (which I do not) or as in my case a

significant reason (the dimple on ) should take a higher dosage than

the prenatal vitamin offers.

One thing has taught me from all of this is...............don't be

scared to ask questions and don't be scared to question the doctors.

Holly and

Re: clubfoot and metatarsus adductus

>>Date: Fri, 26 Jul 2002 18:24:27 -0000

>>

>>Our elder son has syndactyly (two of the toes on his right foot are

>>fused together) and our younger one has bilateral clubfoot.

>>

>>There is no history of clubfoot in the family.

>>

>>Rosie

>>

>>

>>

>>

>> > , I found the information you sited extremely

>> > interesting concerning other associated disorders found

>> > with clubfeet. Of particular interest was the ring

>> > constrictions and missing fingers or syndactly.

>> > has no thumbnails and a very small or hypoplastic pointer

>> > fingernails. We have often wondered if this has any

>> > relation to her cf (we have ruled out genetic issues as a

>> > cause) and now feel like it might be possible that there

>> > is some relationship. Someday, when CF is better

>> > understood, I will be so interested to hear what causes

>> > this disorder when no other hereditary influence is found.

>> > Amy & (6-10-01)

>>

>

>

>

>

>_________________________________________________________________

>MSN Photos is the easiest way to share and print your photos:

>http://photos.msn.com/support/worldwide.aspx

>

>

>

>

[Guest guest]

Joanne,

Isn't it funny how looking back I think at one time or another all of us

assumed it must have been something we either did or did'nt do to cause our

child to be born with clubfoot. Well, maybe not so funny, but I remember

also thinking it must have been those darn " cold eez " that I took once while

pregnant that caused a miscarriage inbetween my girls. Then when was

born I thought her clubfoot was my fault because I did'nt drink enough milk.

Of course I know better now, but it's hard to have something happen and not

know the reason for it!

Information is so valuable though, I recently found out that if I decided to

have another child one day that I should be put on extra folic acid.

(my clubfoot baby) was also born with a tiny dimple on her back right above

her bottom. This can be a sign of spinal deformities (such as spina bifida)

which thank god was not her case. But............my O.B. has stated that

anyone who has either a history of S.B. (which I do not) or as in my case a

significant reason (the dimple on ) should take a higher dosage than

the prenatal vitamin offers.

One thing has taught me from all of this is...............don't be

scared to ask questions and don't be scared to question the doctors.

Holly and

Re: clubfoot and metatarsus adductus

>>Date: Fri, 26 Jul 2002 18:24:27 -0000

>>

>>Our elder son has syndactyly (two of the toes on his right foot are

>>fused together) and our younger one has bilateral clubfoot.

>>

>>There is no history of clubfoot in the family.

>>

>>Rosie

>>

>>

>>

>>

>> > , I found the information you sited extremely

>> > interesting concerning other associated disorders found

>> > with clubfeet. Of particular interest was the ring

>> > constrictions and missing fingers or syndactly.

>> > has no thumbnails and a very small or hypoplastic pointer

>> > fingernails. We have often wondered if this has any

>> > relation to her cf (we have ruled out genetic issues as a

>> > cause) and now feel like it might be possible that there

>> > is some relationship. Someday, when CF is better

>> > understood, I will be so interested to hear what causes

>> > this disorder when no other hereditary influence is found.

>> > Amy & (6-10-01)

>>

>

>

>

>

>_________________________________________________________________

>MSN Photos is the easiest way to share and print your photos:

>http://photos.msn.com/support/worldwide.aspx

>

>

>

>

[Guest guest]

Joanne,

Isn't it funny how looking back I think at one time or another all of us

assumed it must have been something we either did or did'nt do to cause our

child to be born with clubfoot. Well, maybe not so funny, but I remember

also thinking it must have been those darn " cold eez " that I took once while

pregnant that caused a miscarriage inbetween my girls. Then when was

born I thought her clubfoot was my fault because I did'nt drink enough milk.

Of course I know better now, but it's hard to have something happen and not

know the reason for it!

Information is so valuable though, I recently found out that if I decided to

have another child one day that I should be put on extra folic acid.

(my clubfoot baby) was also born with a tiny dimple on her back right above

her bottom. This can be a sign of spinal deformities (such as spina bifida)

which thank god was not her case. But............my O.B. has stated that

anyone who has either a history of S.B. (which I do not) or as in my case a

significant reason (the dimple on ) should take a higher dosage than

the prenatal vitamin offers.

One thing has taught me from all of this is...............don't be

scared to ask questions and don't be scared to question the doctors.

Holly and

Re: clubfoot and metatarsus adductus

>>Date: Fri, 26 Jul 2002 18:24:27 -0000

>>

>>Our elder son has syndactyly (two of the toes on his right foot are

>>fused together) and our younger one has bilateral clubfoot.

>>

>>There is no history of clubfoot in the family.

>>

>>Rosie

>>

>>

>>

>>

>> > , I found the information you sited extremely

>> > interesting concerning other associated disorders found

>> > with clubfeet. Of particular interest was the ring

>> > constrictions and missing fingers or syndactly.

>> > has no thumbnails and a very small or hypoplastic pointer

>> > fingernails. We have often wondered if this has any

>> > relation to her cf (we have ruled out genetic issues as a

>> > cause) and now feel like it might be possible that there

>> > is some relationship. Someday, when CF is better

>> > understood, I will be so interested to hear what causes

>> > this disorder when no other hereditary influence is found.

>> > Amy & (6-10-01)

>>

>

>

>

>

>_________________________________________________________________

>MSN Photos is the easiest way to share and print your photos:

>http://photos.msn.com/support/worldwide.aspx

>

>

>

>

[Guest guest]

> I have heard that it is pretty common for the first born to have some

> sort of foot disorder and then the second will have cf. This seems

> pretty true, I think I have heard others on this board say that one

> of their children has M.A.

> > Sincerely,

> > & Breanna

It's been great to hear the other responses on this topic -- thanks everyone! I

just have the two children, a 3-year-old daughter with M.A. and a 3-month-old

son with unilateral left clubfoot. We had been told that there was no

association between the two, which I found hard to believe. ALL of my husband's

family (four siblings) had M.A. in varying degrees, my husband's feet being the

most severe. Now his siblings also have children, and several of them seem to

also have M.A., though mildly. Our daughter's feet were quite severely

in-turned, and our son has the clubfoot. Hearing that there IS a recognized

association between the two conditions makes a lot more sense to me.

I know that this is a clubfoot discussion board, but if anyone has any

information or experience treating M.A. in older children (ie: 3 years old) I

would love to hear from you -- our daughter's feet were diagnosed quite late,

and what we've heard so far from a couple of doctors has been along the lines of

" Well, they'll probably never be fully corrected... it would have been easy when

she was younger... they're not TOO bad, so we'll just leave them... she'll

always be in-toed, but don't worry about it... " (GRRRR! -- VERY frustrating...)

If there really isn't anything else we can do for her feet now, that's fine.

But if there IS, I at least want to know about it. Thanks! (Rita)

[Guest guest]

More on this topic..

Dr. Ponseti gave me several copies a while ago of journal articles on

metatarsus adductus. One was published in Feb. 1994 in the Journal of

Bone and Joint Surgery, written by him, Dr. Weinstein and Pasquale

Farsetti, titled " The Long-Term Functional and Radiographic Outcomes

of Untreated and Non-Operatively Treated Metatarsus Adductus. "

It was a long-term study of patients treated in Iowa City more than

30 years before, some with mild cases that were left untreated, and

others with more rigid cases that were treated with a few casts. It's

rather long but here are some highlights:

" Metatarsus adductus is a congenital deformity of the foot that was

described by Henke in 1863. ... The deformity is present at birth but

very often is not diagnosed until the first year of life. The

clinical features are adduction and various degrees of supination of

the forefoot, often associated with mild valgus angulation of the

heel and internal tibial torsion.

" Treatment of metatarsus adductus has been controversial. Some

authors [my note: the footnotes for this sentence include a study by

Dr. Ponseti among this group] have believed that a passively

correctable deformity will resolve on its own, whereas they have

recommended treatment with manipulation and serial plaster casts when

the deformity is rigid. Other authors have recommended operative

treatment with use of various techniques, and some have even

suggested that the procedure be done during the first year of life.

" The purpose of this study was to evaluate the long-term functional

and radiographic outcomes of untreated and non-operatively treated

metatarsus adductus.

(and later in the article:)

" Metatarsus adductus should be treated conservatively. ...

Conservative treatment with serial manipulation and plaster casts is

sufficient to correct the deformity and to prevent recurrence...

however the proper technique for treatment with the casts is

important. A faulty technique could be blamed for the failed

correction in one of our patients who had a bilateral deformity.

" It is best to start treatment as soon as the deformity has been

detected and has been deemed not to be passively correctable.

According to our study, a good final result can be obtained if proper

treatment begins when the patient is between three and twelve months

old; however, we observed a good result in one patient who was 16

months old at the time of the diagnosis, was conservatively managed

for 4 weeks, and was evaluated 31 years later. "

My note here: The bottom line was that all the patients did well..

The results were good in all of the untreated feet (mild cases) and

90 percent of the casted feet (which were more rigid).

" There were no poor results... The passively correctable deformities

resolved spontaneously. "

(and, later, in talking about what to do if an older child has

residual metatarsus adductus:)

" Thus, according to the results, we believe that operative treatment

is not needed or desirable in patients who have residual mild or

moderate deformities. " [my note here: because whatever residual

ldeformity they had didn't give them much trouble and wasn't worth

the risk of surgical correction.]

Hope this was helpful and the excerpts made sense..

and

[Guest guest]

More on this topic..

Dr. Ponseti gave me several copies a while ago of journal articles on

metatarsus adductus. One was published in Feb. 1994 in the Journal of

Bone and Joint Surgery, written by him, Dr. Weinstein and Pasquale

Farsetti, titled " The Long-Term Functional and Radiographic Outcomes

of Untreated and Non-Operatively Treated Metatarsus Adductus. "

It was a long-term study of patients treated in Iowa City more than

30 years before, some with mild cases that were left untreated, and

others with more rigid cases that were treated with a few casts. It's

rather long but here are some highlights:

" Metatarsus adductus is a congenital deformity of the foot that was

described by Henke in 1863. ... The deformity is present at birth but

very often is not diagnosed until the first year of life. The

clinical features are adduction and various degrees of supination of

the forefoot, often associated with mild valgus angulation of the

heel and internal tibial torsion.

" Treatment of metatarsus adductus has been controversial. Some

authors [my note: the footnotes for this sentence include a study by

Dr. Ponseti among this group] have believed that a passively

correctable deformity will resolve on its own, whereas they have

recommended treatment with manipulation and serial plaster casts when

the deformity is rigid. Other authors have recommended operative

treatment with use of various techniques, and some have even

suggested that the procedure be done during the first year of life.

" The purpose of this study was to evaluate the long-term functional

and radiographic outcomes of untreated and non-operatively treated

metatarsus adductus.

(and later in the article:)

" Metatarsus adductus should be treated conservatively. ...

Conservative treatment with serial manipulation and plaster casts is

sufficient to correct the deformity and to prevent recurrence...

however the proper technique for treatment with the casts is

important. A faulty technique could be blamed for the failed

correction in one of our patients who had a bilateral deformity.

" It is best to start treatment as soon as the deformity has been

detected and has been deemed not to be passively correctable.

According to our study, a good final result can be obtained if proper

treatment begins when the patient is between three and twelve months

old; however, we observed a good result in one patient who was 16

months old at the time of the diagnosis, was conservatively managed

for 4 weeks, and was evaluated 31 years later. "

My note here: The bottom line was that all the patients did well..

The results were good in all of the untreated feet (mild cases) and

90 percent of the casted feet (which were more rigid).

" There were no poor results... The passively correctable deformities

resolved spontaneously. "

(and, later, in talking about what to do if an older child has

residual metatarsus adductus:)

" Thus, according to the results, we believe that operative treatment

is not needed or desirable in patients who have residual mild or

moderate deformities. " [my note here: because whatever residual

ldeformity they had didn't give them much trouble and wasn't worth

the risk of surgical correction.]

Hope this was helpful and the excerpts made sense..

and

[Guest guest]

More on this topic..

Dr. Ponseti gave me several copies a while ago of journal articles on

metatarsus adductus. One was published in Feb. 1994 in the Journal of

Bone and Joint Surgery, written by him, Dr. Weinstein and Pasquale

Farsetti, titled " The Long-Term Functional and Radiographic Outcomes

of Untreated and Non-Operatively Treated Metatarsus Adductus. "

It was a long-term study of patients treated in Iowa City more than

30 years before, some with mild cases that were left untreated, and

others with more rigid cases that were treated with a few casts. It's

rather long but here are some highlights:

" Metatarsus adductus is a congenital deformity of the foot that was

described by Henke in 1863. ... The deformity is present at birth but

very often is not diagnosed until the first year of life. The

clinical features are adduction and various degrees of supination of

the forefoot, often associated with mild valgus angulation of the

heel and internal tibial torsion.

" Treatment of metatarsus adductus has been controversial. Some

authors [my note: the footnotes for this sentence include a study by

Dr. Ponseti among this group] have believed that a passively

correctable deformity will resolve on its own, whereas they have

recommended treatment with manipulation and serial plaster casts when

the deformity is rigid. Other authors have recommended operative

treatment with use of various techniques, and some have even

suggested that the procedure be done during the first year of life.

" The purpose of this study was to evaluate the long-term functional

and radiographic outcomes of untreated and non-operatively treated

metatarsus adductus.

(and later in the article:)

" Metatarsus adductus should be treated conservatively. ...

Conservative treatment with serial manipulation and plaster casts is

sufficient to correct the deformity and to prevent recurrence...

however the proper technique for treatment with the casts is

important. A faulty technique could be blamed for the failed

correction in one of our patients who had a bilateral deformity.

" It is best to start treatment as soon as the deformity has been

detected and has been deemed not to be passively correctable.

According to our study, a good final result can be obtained if proper

treatment begins when the patient is between three and twelve months

old; however, we observed a good result in one patient who was 16

months old at the time of the diagnosis, was conservatively managed

for 4 weeks, and was evaluated 31 years later. "

My note here: The bottom line was that all the patients did well..

The results were good in all of the untreated feet (mild cases) and

90 percent of the casted feet (which were more rigid).

" There were no poor results... The passively correctable deformities

resolved spontaneously. "

(and, later, in talking about what to do if an older child has

residual metatarsus adductus:)

" Thus, according to the results, we believe that operative treatment

is not needed or desirable in patients who have residual mild or

moderate deformities. " [my note here: because whatever residual

ldeformity they had didn't give them much trouble and wasn't worth

the risk of surgical correction.]

Hope this was helpful and the excerpts made sense..

and

[Guest guest]

Thanks for your input, and ! (I wish I had time to respond to each

of you individually, but with two rather demanding children...) I just wanted

to let you know that I really appreciated your responses, and will be contacting

my doctor with some questions. Thanks again! (Rita)

[Guest guest]

Thanks for your input, and ! (I wish I had time to respond to each

of you individually, but with two rather demanding children...) I just wanted

to let you know that I really appreciated your responses, and will be contacting

my doctor with some questions. Thanks again! (Rita)

[Guest guest]

Thanks for your input, and ! (I wish I had time to respond to each

of you individually, but with two rather demanding children...) I just wanted

to let you know that I really appreciated your responses, and will be contacting

my doctor with some questions. Thanks again! (Rita)

[Guest guest]

Your more than welcome! It brought up a great topic!

Sincerely,

& Breanna

ritadeane wrote: Thanks for your input, and

! (I wish I had time to respond to each of you individually, but with two

rather demanding children...) I just wanted to let you know that I really

appreciated your responses, and will be contacting my doctor with some

questions. Thanks again! (Rita)

[Guest guest]

Your more than welcome! It brought up a great topic!

Sincerely,

& Breanna

ritadeane wrote: Thanks for your input, and

! (I wish I had time to respond to each of you individually, but with two

rather demanding children...) I just wanted to let you know that I really

appreciated your responses, and will be contacting my doctor with some

questions. Thanks again! (Rita)