Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 Well, it definitely sounds like some unique situations exist in Kai's foot. I have a strong hunch that his is one of the TRUE atypical feet. Seems we've seen a rash of them lately and I have to say there is just no way they could all be like Kai's. I'm really curious about my rubber band theory and hope to " bounce " (pun intended) it off Dobbs the next time I see him. If between that and the slipping casts theory we could explain a majority of the 'atypical' feet and then devise the best course to prevent these things from happening I think it could really help. I guess it is not really necessary to x-ray, they can tell exactly what is going on in there just by feeling; I just sometimes think it might be helpful to see it with your own eyes. Dobbs does a before and after x-ray just for his own records and while we haven't had any problems with Sammy's correction I think it would be nice to be able to look back at those if it would ever be needed down the road. So now that Kai's foot is newly corrected again is he able to wear regular shoes again? And is he wearing the P/M's at night? thanks, Oh, in case you or anyone cares, I found this easy to read and understand website that lists all the bones and joints of the foot and has lots of references for terms: http://www.footmaxx.com/clinicians/anatomy.html --- angelmommy23 wrote: > , > > 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________________________________ Yahoo! Mail - PC Magazine Editors' Choice 2005 http://mail.yahoo.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 Well, it definitely sounds like some unique situations exist in Kai's foot. I have a strong hunch that his is one of the TRUE atypical feet. Seems we've seen a rash of them lately and I have to say there is just no way they could all be like Kai's. I'm really curious about my rubber band theory and hope to " bounce " (pun intended) it off Dobbs the next time I see him. If between that and the slipping casts theory we could explain a majority of the 'atypical' feet and then devise the best course to prevent these things from happening I think it could really help. I guess it is not really necessary to x-ray, they can tell exactly what is going on in there just by feeling; I just sometimes think it might be helpful to see it with your own eyes. Dobbs does a before and after x-ray just for his own records and while we haven't had any problems with Sammy's correction I think it would be nice to be able to look back at those if it would ever be needed down the road. So now that Kai's foot is newly corrected again is he able to wear regular shoes again? And is he wearing the P/M's at night? thanks, Oh, in case you or anyone cares, I found this easy to read and understand website that lists all the bones and joints of the foot and has lots of references for terms: http://www.footmaxx.com/clinicians/anatomy.html --- angelmommy23 wrote: > , > > 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________________________________ Yahoo! Mail - PC Magazine Editors' Choice 2005 http://mail.yahoo.com Quote Link to comment Share on other sites More sharing options...
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