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a.. Neurogenic factors: Histochemical abnormalities have been found in

posteromedial and peroneal muscle groups of patients with clubfeet. This is

postulated to be due to innervation changes in intrauterine life secondary to a

neurological event, such as a stroke leading to mild hemiparesis or paraparesis.

This is further supported by a 35% incidence of varus and equinovarus deformity

in spina bifida.

http://www.emedicine.com/orthoped/topic598.htm

from what I've been reading tonight it sounds like your child would have other

issues if his case were truely neurogenic. I'd look heavily in to ruling all

those out. I'm just sitting here doing quick searches, you probably already

found all this. Doctors thought my nephew had cf for two years, later

discovering he had cerebal palsey that didn't show up till he tried to walk and

limped on one side as a toddler. Today he is 9 years old and you don't notice

his limp unless you look for it but he's an extremely active child who keeps his

own foot straight and limber by activity. He has an AFO but almost never wears

it. Just saying it hasn't decreased any quality of life for him.

s.

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