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Re: Pictures of Feet / casts tenotomy?

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Kathy,

There are some possible ones on page 11 of the Global Help booklet.

They show a foot that is corrected but without sufficient dorsiflexion.

HTH,

>

> Hi I'm trying to find a link to pictures of how the

> casts / feet should look like before a tenotomy is

> carried out for a friend who is using the Ponseti

> method.

>

> They are going to the hospital we left because our

> son's feet weren't properly corrected before a

> tenotomy was carried out. We are obviously anxious to

> help them ensure a tenotomy isn't carried out before

> the feet are in the correct posisiton. (The hospital

> has had further training since our son had problems

> there and they are in their first year of treating

> clubfoot using the Ponseti method)

>

> I do have pictures of our son's feet and I can picture

> how his feet looked once they were properly corrected

> and he was ready for his second tenotomy. However I'm

> not sure if these pictures / my memory is realistic as

> Ethan had more dorsiflexion the second time around

> than the first time round, due to the first tenotomy.

> (Does this waffle make sense?)

>

> If no one can think of any links is anyone willing to

> share their own pictures with me. I do belong to the

> cfpics site.

>

> Thanks

>

> Kathy :)

>

>

>

> ___________________________________________________________

> NEW Yahoo! Cars - sell your car and browse thousands of new and used

cars online! http://uk.cars.yahoo.com/

>

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Hi Kathy,

I was actually going to ask the same question and looked in the Global Help

Booklet after seeing 's response to your question (Thanks,

btw!).

Page 11 has some good info on how the foot should appear after the fourth

cast. Page 13 has a paragraph entitled " Decision to perform tenotomy " and

speaks quite technically about the characteristics that the foot should

possess before a tenotomy is performed.

My Dr. wants to do the tenotomy in a couple of weeks (after the fifth cast)

so I want to be sure to take this info with me. I would like to have him

show me that the anterior calcaneus can be abducted from underneath the

talus (this is the main thing that is discussed on pg 13). It says from the

Global book that " this abduction allows the foot to be safely dorsiflexed

without crushing the talus between the calcaneous and tibia. If the adequacy

of abduction is uncertain, apply another cast or two to be certain. "

I think it would be helpful for your friend to take this info to their

doctor and review it with him/her before they do the tenotomy.

It is great that you are looking out for your friend's child.

Take care,

Halley

Pictures of Feet / casts tenotomy?

Hi I'm trying to find a link to pictures of how the

casts / feet should look like before a tenotomy is

carried out for a friend who is using the Ponseti

method.

They are going to the hospital we left because our

son's feet weren't properly corrected before a

tenotomy was carried out. We are obviously anxious to

help them ensure a tenotomy isn't carried out before

the feet are in the correct posisiton. (The hospital

has had further training since our son had problems

there and they are in their first year of treating

clubfoot using the Ponseti method)

I do have pictures of our son's feet and I can picture

how his feet looked once they were properly corrected

and he was ready for his second tenotomy. However I'm

not sure if these pictures / my memory is realistic as

Ethan had more dorsiflexion the second time around

than the first time round, due to the first tenotomy.

(Does this waffle make sense?)

If no one can think of any links is anyone willing to

share their own pictures with me. I do belong to the

cfpics site.

Thanks

Kathy :)

___________________________________________________________

NEW Yahoo! Cars - sell your car and browse thousands of new and used cars

online! http://uk.cars.yahoo.com/

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Halley,

Just a little more info that may help you here, when the foot is fully

corrected (prior to the tenotomy) the calcaneous will have already

passed under the head of the talus and you your doctor should be able

to show you exactly where to place your fingers to feel these bones in

their proper positions.

>

> Hi Kathy,

>

> I was actually going to ask the same question and looked in the

Global Help

> Booklet after seeing 's response to your question (Thanks,

> btw!).

>

> Page 11 has some good info on how the foot should appear after the

fourth

> cast. Page 13 has a paragraph entitled " Decision to perform

tenotomy " and

> speaks quite technically about the characteristics that the foot should

> possess before a tenotomy is performed.

>

> My Dr. wants to do the tenotomy in a couple of weeks (after the

fifth cast)

> so I want to be sure to take this info with me. I would like to have him

> show me that the anterior calcaneus can be abducted from underneath the

> talus (this is the main thing that is discussed on pg 13). It says

from the

> Global book that " this abduction allows the foot to be safely

dorsiflexed

> without crushing the talus between the calcaneous and tibia. If the

adequacy

> of abduction is uncertain, apply another cast or two to be certain. "

>

> I think it would be helpful for your friend to take this info to their

> doctor and review it with him/her before they do the tenotomy.

>

> It is great that you are looking out for your friend's child.

>

> Take care,

>

> Halley

>

> Pictures of Feet / casts tenotomy?

>

> Hi I'm trying to find a link to pictures of how the

> casts / feet should look like before a tenotomy is

> carried out for a friend who is using the Ponseti

> method.

>

> They are going to the hospital we left because our

> son's feet weren't properly corrected before a

> tenotomy was carried out. We are obviously anxious to

> help them ensure a tenotomy isn't carried out before

> the feet are in the correct posisiton. (The hospital

> has had further training since our son had problems

> there and they are in their first year of treating

> clubfoot using the Ponseti method)

>

> I do have pictures of our son's feet and I can picture

> how his feet looked once they were properly corrected

> and he was ready for his second tenotomy. However I'm

> not sure if these pictures / my memory is realistic as

> Ethan had more dorsiflexion the second time around

> than the first time round, due to the first tenotomy.

> (Does this waffle make sense?)

>

> If no one can think of any links is anyone willing to

> share their own pictures with me. I do belong to the

> cfpics site.

>

> Thanks

>

> Kathy :)

>

>

>

> ___________________________________________________________

> NEW Yahoo! Cars - sell your car and browse thousands of new and used

cars

> online! http://uk.cars.yahoo.com/

>

>

>

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Hi ,

Thanks very much for the info. It's really nice to know the questions to ask

before the tenotomy. I will definitely ask him about this and have him show

me.

Thanks for your help!

Halley

Pictures of Feet / casts tenotomy?

>

> Hi I'm trying to find a link to pictures of how the

> casts / feet should look like before a tenotomy is

> carried out for a friend who is using the Ponseti

> method.

>

> They are going to the hospital we left because our

> son's feet weren't properly corrected before a

> tenotomy was carried out. We are obviously anxious to

> help them ensure a tenotomy isn't carried out before

> the feet are in the correct posisiton. (The hospital

> has had further training since our son had problems

> there and they are in their first year of treating

> clubfoot using the Ponseti method)

>

> I do have pictures of our son's feet and I can picture

> how his feet looked once they were properly corrected

> and he was ready for his second tenotomy. However I'm

> not sure if these pictures / my memory is realistic as

> Ethan had more dorsiflexion the second time around

> than the first time round, due to the first tenotomy.

> (Does this waffle make sense?)

>

> If no one can think of any links is anyone willing to

> share their own pictures with me. I do belong to the

> cfpics site.

>

> Thanks

>

> Kathy :)

>

>

>

> ___________________________________________________________

> NEW Yahoo! Cars - sell your car and browse thousands of new and used

cars

> online! http://uk.cars.yahoo.com/

>

>

>

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