Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 , LOL I think I forgot to add the link when I went to send that to you! http://www.aaos.org/wordhtml/anmt2005/sciprog/270.htm There it is! The only photos I have of Kai's feet prior to August '03 were done with a " traditional " camera (LOL) and are very blurry, but I will try to describe his foot to you. He was born with a deep crease at the heel that extended from the achilles around the inside to the " ankle bone " . The back of his heel touched his leg/ankle. His foot was turned fully sideways. His forefoot was very adducted, and yes, there was a large hump at the midfoot. There WAS a significant difference in the length of the feet at birth. Also, his newborn prints show only his heel, far outside of foot and ball of foot/toes (where the metatarsal meets the first set of toe bones forward). I dont recall if the top of his foot was fatty then, but later, after the tenotomy, the top of his foot was very puffy. More than once I have thought of asking Dr Mosca to x-ray Kai's foot - no one ever has - to try to see if there is something abnormal about the way the bones are positioned. Even now, when his foot is in best correction it has been since Dr P casted, you can feel a lump at the midfoot, specifically at the first two meatarsals, like the metatarsals are still not in correct allignment with the tarsals. If you feel your own foot you will find the slope constant, but in Kai's foot there is a definite change in angle at the midfoot. As for the abnormal flexibility ... if you or I try to bend our foot at the Lisfranc joint (where the metatarsals meet the tarsals) we cant. That is not a " moving " joint. But Kai CAN bend his foot at that joint (or at least, used to be able to, havent seen him do it recently). Also, remember that Kai's case is something f an anomoly. At almost 3 yrs old, his foot still tries to revert to a position where the forefoot is in serious plantar flexion. It is weird, because seeing him walk on it (prior to recent correction) it looked like he was walking on his whole foot, but he was actually walking on the outter area of the " ball " of his foot. When he came out of the last cast, he walked on his toes for several hours because it hurt his heel to take the weight of his body because it was unaccustomed. Now, one odd thing about Kai's foot is that it feels and appears that only the first two metatarsals are like this. the last 3 seem to sit in the correct position. Last year Dr P and I corresponded about Kai's foot and he had the thought that not only the plantar ligament was problematic in his foot, but also the long toe flexor, so that he has 2 different forces working together to pull the front of his foot down. I have gone thru 2 hard drive changes since the first of the year, and we are still trying to track down which drive has all my photos and e-mail correspondence on it - we think we may have to have the disc recovered - so I dont even have any of the photos that I usually use to illustrate all this. As soon as we are able to recover the photos, I will upload them at CFPics - which will no doubt make Kori very happy since I was supposed to do it a long time ago! lol > > > > > > > > > > > > Hi there, I have made a folder for Hayden and uploaded some > > > > photos. > > > > > > As you can see from the 12th casts, his left foot is still > > quite > > > > > > sloped at the heel, much more than the right, even though the > > > > rotation > > > > > > appears to be 70 degrees. But when you see his feet after > > just a > > > > few > > > > > > weeks out of the casts, and supposedly in the shoes, you can > > see > > > > the > > > > > > left one already wanting to turn back in. Arrgh! > > > > > > > > > > > > I'm going to collect my thoughts and see if I can compose > > > > something > > > > > > coherent to Dr. Ponseti. I am not sure if the photos I have > > > > taken are > > > > > > good enough for him to see what's happening, though. > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 , LOL I think I forgot to add the link when I went to send that to you! http://www.aaos.org/wordhtml/anmt2005/sciprog/270.htm There it is! The only photos I have of Kai's feet prior to August '03 were done with a " traditional " camera (LOL) and are very blurry, but I will try to describe his foot to you. He was born with a deep crease at the heel that extended from the achilles around the inside to the " ankle bone " . The back of his heel touched his leg/ankle. His foot was turned fully sideways. His forefoot was very adducted, and yes, there was a large hump at the midfoot. There WAS a significant difference in the length of the feet at birth. Also, his newborn prints show only his heel, far outside of foot and ball of foot/toes (where the metatarsal meets the first set of toe bones forward). I dont recall if the top of his foot was fatty then, but later, after the tenotomy, the top of his foot was very puffy. More than once I have thought of asking Dr Mosca to x-ray Kai's foot - no one ever has - to try to see if there is something abnormal about the way the bones are positioned. Even now, when his foot is in best correction it has been since Dr P casted, you can feel a lump at the midfoot, specifically at the first two meatarsals, like the metatarsals are still not in correct allignment with the tarsals. If you feel your own foot you will find the slope constant, but in Kai's foot there is a definite change in angle at the midfoot. As for the abnormal flexibility ... if you or I try to bend our foot at the Lisfranc joint (where the metatarsals meet the tarsals) we cant. That is not a " moving " joint. But Kai CAN bend his foot at that joint (or at least, used to be able to, havent seen him do it recently). Also, remember that Kai's case is something f an anomoly. At almost 3 yrs old, his foot still tries to revert to a position where the forefoot is in serious plantar flexion. It is weird, because seeing him walk on it (prior to recent correction) it looked like he was walking on his whole foot, but he was actually walking on the outter area of the " ball " of his foot. When he came out of the last cast, he walked on his toes for several hours because it hurt his heel to take the weight of his body because it was unaccustomed. Now, one odd thing about Kai's foot is that it feels and appears that only the first two metatarsals are like this. the last 3 seem to sit in the correct position. Last year Dr P and I corresponded about Kai's foot and he had the thought that not only the plantar ligament was problematic in his foot, but also the long toe flexor, so that he has 2 different forces working together to pull the front of his foot down. I have gone thru 2 hard drive changes since the first of the year, and we are still trying to track down which drive has all my photos and e-mail correspondence on it - we think we may have to have the disc recovered - so I dont even have any of the photos that I usually use to illustrate all this. As soon as we are able to recover the photos, I will upload them at CFPics - which will no doubt make Kori very happy since I was supposed to do it a long time ago! lol > > > > > > > > > > > > Hi there, I have made a folder for Hayden and uploaded some > > > > photos. > > > > > > As you can see from the 12th casts, his left foot is still > > quite > > > > > > sloped at the heel, much more than the right, even though the > > > > rotation > > > > > > appears to be 70 degrees. But when you see his feet after > > just a > > > > few > > > > > > weeks out of the casts, and supposedly in the shoes, you can > > see > > > > the > > > > > > left one already wanting to turn back in. Arrgh! > > > > > > > > > > > > I'm going to collect my thoughts and see if I can compose > > > > something > > > > > > coherent to Dr. Ponseti. I am not sure if the photos I have > > > > taken are > > > > > > good enough for him to see what's happening, though. > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.