Re: illnesses/defects -Angel

[Guest guest]

Well, that article contradicted the previous statistics that I'd

seen where odds for subsequent siblings with clubfoot was only 3%

not, 10%. Either way, the odds are not favorable that you'd have

another clubfoot baby...unless you have a family history.

Idiopathic just means that they don't know what causes it. There

are both genetic and environmental factors that play a role in what

allows the baby's leg/foot to develop into clubfoot/feet.

There are currently some genetic studies being done by Dr. Dobbs in

St. Louis and Dr. Hecht in Texas.

The incidence of clubfoot is higher among children born with certain

medical issues (such as spina bifida), but children born with

clubfoot alone aren't at a higher risk of having other issues. I

believe that some clubfeet that are a part of a larger syndrome or

condition, like arthrogryposis, can be more difficult to treat.

This isn't a hard and fast rule though.

As for the genetic factor- if one of the parents has clubfoot, the

odds of the baby having clubfoot also are 25%. So your son's

children would be at a higher risk of having clubfoot than any

subsequent children that you might have (assuming that neither you

nor your husband have clubfoot). As noted in that study- they know

that it is not entirely a genetic issue because in cases of

identical twins, the majority of the time both children do not have

clubfoot.

I hope this makes sense.

It's difficult to explain because no one knows what causes it at

this time.

No, children with bilateral clubfeet don't typically suffer from

other ailments.

There is some statistical information also in Dr. Ponseti's book

intro, which you can find in the files section under the reference

folder.

HTH,

>

> Angel-

> After reading the article on the link you provided I am still a

bit baffled. While the difference was never explained to me by our

Dr. or that there are different types or causes, I assumed all cases

were similar in natural. What your saying is that clubfoot is

either a symptom of other defects (called what?) or isolated called

idiopathic? (if no other defects are present). Therefore, it is less

likely to repeat or be genetic if, idiopathic? interesting..hmmm. I

did read that idiopathic clubfoot usually manifests itself

unilaterally. Do the children with bilateral clubfeet normally

suffer from other ailments? Sorry to pick your brain but you shed

some light on me. I did not realize the difference.

> Thank you.

> Stacie

[Guest guest]

Well, that article contradicted the previous statistics that I'd

seen where odds for subsequent siblings with clubfoot was only 3%

not, 10%. Either way, the odds are not favorable that you'd have

another clubfoot baby...unless you have a family history.

Idiopathic just means that they don't know what causes it. There

are both genetic and environmental factors that play a role in what

allows the baby's leg/foot to develop into clubfoot/feet.

There are currently some genetic studies being done by Dr. Dobbs in

St. Louis and Dr. Hecht in Texas.

The incidence of clubfoot is higher among children born with certain

medical issues (such as spina bifida), but children born with

clubfoot alone aren't at a higher risk of having other issues. I

believe that some clubfeet that are a part of a larger syndrome or

condition, like arthrogryposis, can be more difficult to treat.

This isn't a hard and fast rule though.

As for the genetic factor- if one of the parents has clubfoot, the

odds of the baby having clubfoot also are 25%. So your son's

children would be at a higher risk of having clubfoot than any

subsequent children that you might have (assuming that neither you

nor your husband have clubfoot). As noted in that study- they know

that it is not entirely a genetic issue because in cases of

identical twins, the majority of the time both children do not have

clubfoot.

I hope this makes sense.

It's difficult to explain because no one knows what causes it at

this time.

No, children with bilateral clubfeet don't typically suffer from

other ailments.

There is some statistical information also in Dr. Ponseti's book

intro, which you can find in the files section under the reference

folder.

HTH,

>

> Angel-

> After reading the article on the link you provided I am still a

bit baffled. While the difference was never explained to me by our

Dr. or that there are different types or causes, I assumed all cases

were similar in natural. What your saying is that clubfoot is

either a symptom of other defects (called what?) or isolated called

idiopathic? (if no other defects are present). Therefore, it is less

likely to repeat or be genetic if, idiopathic? interesting..hmmm. I

did read that idiopathic clubfoot usually manifests itself

unilaterally. Do the children with bilateral clubfeet normally

suffer from other ailments? Sorry to pick your brain but you shed

some light on me. I did not realize the difference.

> Thank you.

> Stacie

[Guest guest]

Hi Stacey,

Here is another site with a very informative Ponseti article, it may

answer some of your questions...

http://www.biomech.com/showArticle.jhtml?articleID=171204060

HTH

& Grace

> > I just did a google search of " clubfoot, syndrome " and it comes

up

> > with lots of different sites.

> > I don't know of one site that lists clubfoot and it's related

> > defects probably because clubfoot is usually the " afterthought "

> > physical issue, not the main problem.

> > Here's a quote from the Korean Radiology Journal off that google

> > site:

> > Clubfoot

> > Where prenatal ultrasonography indicates that the lower leg

> bones

> > and sole of the foot are not perpendicular, clubfoot is

diagnosed.

> > The foot may be oriented in the same plane as the lower leg, or

> > parallel to and alongside it (Fig. 8). Laterally, the lower leg

and

> > the hind part of the foot may form a round-shaped continuum.

> > Clubfoot may occur in isolation or in association with numerous

> > other conditions, including general musculoskeletal disorders,

> > arthrogryposis and genetic syndromes, and CNS and karyotype

> > abnormalities. In 10 14% of cases it is associated with other

> > structural malformations, and in 6 22% of cases, there is also

> > significant risk of karyotype abnormality (3).

> >

> >

> > Is there something specific you're looking for?

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Hi Stacey,

Here is another site with a very informative Ponseti article, it may

answer some of your questions...

http://www.biomech.com/showArticle.jhtml?articleID=171204060

HTH

& Grace

> > I just did a google search of " clubfoot, syndrome " and it comes

up

> > with lots of different sites.

> > I don't know of one site that lists clubfoot and it's related

> > defects probably because clubfoot is usually the " afterthought "

> > physical issue, not the main problem.

> > Here's a quote from the Korean Radiology Journal off that google

> > site:

> > Clubfoot

> > Where prenatal ultrasonography indicates that the lower leg

> bones

> > and sole of the foot are not perpendicular, clubfoot is

diagnosed.

> > The foot may be oriented in the same plane as the lower leg, or

> > parallel to and alongside it (Fig. 8). Laterally, the lower leg

and

> > the hind part of the foot may form a round-shaped continuum.

> > Clubfoot may occur in isolation or in association with numerous

> > other conditions, including general musculoskeletal disorders,

> > arthrogryposis and genetic syndromes, and CNS and karyotype

> > abnormalities. In 10 14% of cases it is associated with other

> > structural malformations, and in 6 22% of cases, there is also

> > significant risk of karyotype abnormality (3).

> >

> >

> > Is there something specific you're looking for?

> >

> >

> >

> >

> >

> >

> >

> >