1. SCOI Presents Clubfoot The Southern California Orthopedic Institute (SCOI) serving the Los Angeles and San Fernando Valley California in orthopedic surgery, sports medicine, http://www.scoi.com/clubfoot.htm

Birth deformities of the foot fall into two categories: positional deformities, and malformations. Positional deformities are “packaging defects” of the foot. Malformations are “manufacturing defects” in which the parts are incorrectly formed. A true clubfoot is a malformation . The bones, joints, muscles, and blood vessels of the limb are abnormal. The medical term for this is “talipes equinovarus” relating the shape of the foot to a horses hoof. Don’t ask why! Clubfoot can be recognized in the infant by examination. The foot is inturned, stiff and cannot be brought to a normal position. Children with the condition should be referred to an orthopedic surgeon for complete evaluation and treatment of the deformity. Clubfoot can be recognized in the infant by examination. The foot is inturned, stiff and cannot be brought to a normal position. Children with the condition should be referred to an orthopedic surgeon for complete evaluation and treatment of the deformity. This rear view of the clubfoot shows the heel retracted towards the leg (equinus). Note the medial (inner) crease and curved lateral (outer) border of the foot.

2. Clubfoot.co.uk Provides information and support, including treatment options, support groups, and a message board which includes sections for adults and children. http://www.clubfoot.co.uk

Information Message Board Contact Information ... Links When my daughter was born, we were told she had a little problem with her feet, called Talipes, which would simply require some physiotherapy. That was my introduction to this condition, and I knew very little about it. There was only limited information available, and so I began to develop the website you are now visiting. Bethany went on to require surgery when she was nine months old, which was thankfully very successful. For some, however, further treatment is needed, and problems can continue into adult life. This site has been designed to offer both information and support. It is not a medical reference site, but is built on my own experience, plus the experience of the many people I have been in contact with.

3. Orthoseek | Orthopedic Topics | Clubfoot Easy to understand information, and an orthopedic forum. http://www.orthoseek.com/articles/clubfoot.html

Clubfoot What is clubfoot? Clubfoot is a congenital deformity of the foot that occurs once per 1000 live births in the U.S. The foot has a typical appearance of pointing downwards and twisted inwards. Since the condition starts in the first trimester of pregnancy, the deformity is quite established at birth, and is often very rigid. What causes clubfoot? No one really knows what causes the deformity. It tends to be more common in boys, although girls are not exempt. There may be a positive family history. In rare instances a child born with myelomeningocele (spina bifida) or arthrogryposis may also have clubfeet. Beyond these observations, no actual cause is known. If your child has clubfoot, it is usually not due to anything you did or did not do during pregnancy. During development, the posterior and medial tendons and ligaments (in the back and inside) of the foot fail to keep pace with the development of the rest of the foot. As a result, these tendons and ligaments tether the posterior and medial parts of the foot down, causing the foot to point downwards and the twist inwards. The bones of the feet are therefore held in that abnormal position. Over time, if uncorrected, the bones will become mis-shapened. What are the symptoms of clubfoot?

4. Treating Clubfoot: Surgery At Younger Age Now Recommended: 2/4/97 An article in SouthCoastToday that recommends treatment at a younger age. http://www.s-t.com/daily/02-97/02-04-97/c02ho124.htm

Too wired? Get away, try a Treating clubfoot: Surgery at younger age now recommended By Dr. Andrew Price, For The Associated Press Recent changes in the treatment of clubfoot have given children with the condition the possibility of near-normal foot function. Clubfoot is a congenital malformation that is usually diagnosed at birth. The deformity is typified by a kidney-shaped foot with a downward tilt. In past years, physicians believed it best to wait until a child was at least 1 year old before surgically correcting clubfoot. Recent research, however, shows that surgery at 5 or 6 months of age improves the range of motion, shape and overall correction of the foot. The procedure generally releases tightness of the soft tissues, correctly repositioning the bones and ligaments and lengthening the tendons. Although clubfoot can occur when there is no prior record of the disorder, the incidence of the condition is slightly higher in families with a history of the problem. In most cases, weekly stretching and recasting of the foot over a three-month period is considered the first line of treatment for clubfoot. This is usually ineffective, however, because in the majority of cases the foot is fixed and rigid. Surgery is generally necessary to allow children near-normal function of the foot.

5. Children With Clubfoot Produced in conjunction with the MSN Community, to offer advice and support. http://www.angelfire.com/oh/clubfoot/

setAdGroup('67.18.104.18'); var cm_role = "live" var cm_host = "angelfire.lycos.com" var cm_taxid = "/memberembedded" Search: Lycos Angelfire Star Wars Share This Page Report Abuse Edit your Site ... Next I have made this Website in an attempt to educate and share my experience with others. If you have a story to share or maybe just a question or comment feel free to visit the Children With Clubfoot Web Community. © October 17, 1998 club_foot@hotmail.com

6. Clubfootclub.org clubfootclub.org is a place to learn about clubfeet, read personal stories, donate used orthotics, sponsor a child s treatment. http://www.clubfootclub.org/

Site Index HOME About Clubfoot Stories Evan's Story Evan's Photo Gallery Links Donate Orthotics Hall of Fame Kids Club Press Clippings Guestbook Welcome to the Clubfoot Club, the place to learn About Clubfoot ~ types of Clubfoot, treatment options, glossary of terms. There are personal clubfoot stories , helpful Clubfoot links to Clubfoot resources, parent support, and medical sites. Be sure to also check out our Kids Club space with foot riddles, colouring pages, and silly poems. My eldest son, Evan, was born with bilateral clubfeet and Amniotic Band Syndrome affecting his left hand. Evan is one of the lucky ones. He was born in Canada where he could receive world-class medical attention. Read Evan's story Please send me your clubfoot story to add to the site. Include information about the birth of your child, your thoughts/feelings, their clubfoot treatment, a photo or two.

7. Clubfoot - DrGreene.com Information about this deformity of the foot and calf, including available treatment options. http://www.drgreene.com/21_1048.html

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8. EMedicine - Clubfoot : Article By Minoo Patel, MD, MS, FRACS clubfoot clubfoot can be classified as (1) postural or positional or (2) fixed or rigid. Postural or positional clubfeet are not true clubfeet. http://www.emedicine.com/orthoped/topic598.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Orthopedic Surgery Foot And Ankle Clubfoot Last Updated: March 15, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: congenital talipes equinovarus, CTEV, rockerbottom foot, rockerbottom deformity, foot deformity, clubfeet, clubfoot surgery AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography Author: Minoo Patel, MD, MS, FRACS , Senior Lecturer, Monash University, Melbourne, Australia; Consulting Adult/Pediatric Orthopedic Surgeon, Department of Orthopedic Surgery, Monash Medical Center, Melbourne, Australia Coauthor(s): John Herzenberg, MD, FRCSC , Professor, Department of Orthopedic Surgery, Associate Professor, Department of Pediatrics, University of Maryland Medical School, Codirector of International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore Minoo Patel, MD, MS, FRACS, is a member of the following medical societies:

9. Clubfoot - Valuable Info For Parents With Babies Who Have Clubfoot clubfoot Infants with clubfoot. A valuable source of information about the Ponseti NON-SURGICAL method to correct clubfoot in infants, non-surgical http://www.clubfoot.co.za/

Practical Tips Clubfoot Links Ponseti checklist Foot Abduction Brace ... Dr Ponseti Welcome to our South African clubfoot website! This website is intended to provide information and support for parents of babies born with clubfoot, with particular emphasis on the non-surgical Ponseti Method of treatment. We are not medically qualified, but our baby had clubfoot and was successfully treated by Dr Ponseti. We hope to help other parents based on our experience. Please contact us with any queries or if you would like to make comments on, or corrections to, the information presented here. Web site author: Karen Moss non-surgical,non-surgical,non-surgical,non-surgical Ponseti Method,Ponseti Method,Ponseti Method,Ponseti Method,Ponseti Method Donate your used FAB's

10. Clubfoot Project A Rotary Club project in Uganda. http://www.rotary5040.org/projects/clubfoot1.html

11. Help For Patients With Clubfoot Information from the Houston Shriners Hospital. http://www.shrinershq.org/patientedu/clubfoot2.html

Home Shrine Shriners Hospitals Hospital Directory ... Next Children gain "firm footing" at Shriners Hospitals Help for patients with clubfoot This information was provided by the Houston Shriners Hospital 6977 Main St. Houston, TX 77030-3701 Telephone 713-797-1616 Fax 713-797-1029 Talipes equinovarus, or clubfoot, is a relatively common foot deformity, affecting one in 1,000 children each year. Clubfoot is readily identifiable at birth, making it easy to diagnose. Yet how to best treat clubfoot generates more controversy among physicians than almost any other orthopaedic condition. To date, there is no clear consensus on which type of surgery is better, when surgery should be performed or how to evaluate the results of treatment. At Shriners Hospitals, we specialize in the treatment of clubfoot. Below, you will read about the latest techniques, research, and recommendations related to the treatment of this condition. In referring a child for treatment of clubfoot, please remember these two basic rules: Treatment must begin immediately at birth, and

12. Clubfoot Information And Parental Support: Home Page Includes information on cuboid osteotomy, personal insights, and a prayer board. http://www.xprss.com/clubfoot

Home About Us Search Write Us Clubfoot Support Group Welcome! Welcome To Holland Tyler's Story - Pg 1 Tyler's Story - Pg2 ... More Links Clubfoot Information and Parental Support WAS YOUR CHILD BORN WITH CLUBFOOT (TALIPES)? IF SO, THE CLIPS WEBSITE IS FOR YOU! My name is Patti and my son Tyler was born (6/24/96) with severe bilateral clubfeet (talipes equinovarus). He was serial casted from 4 days old, followed by two corrective surgeries at 5 months of age. He is now a healthy happy 7 year old with two straight and functional feet which enable him to run, climb, participate in sports, and do all the things that boys do! IT IS IMPORTANT FOR YOU TO KNOW: You are not alone! Children with clubfoot do exceptionally well with treatment and lead normal lives. There is a wealth of information from reliable medical sources to assist you in learning about clubfoot and making informed decisions about your child. There are other parents who would like to hear your child’s story and share with you mutual support. I have created this site to share my experience, resources and support with other parents of children with clubfeet. Go to the "Welcome" page to learn what's available here and tips on navigating the CLIPS site!

13. Clubfoot (Talipes Equinovarus) Physiotherapy By Images Made by a physiotherapist and the team of Professor Seringe Saint Vincent de Paul hospital Paris. Includes pictures and a video that shows the french functionnal treatment of clubfeet. http://clubfootfrance.free.fr

Clubfoot (Talipes equinovarus) physiotherapy by images physiotherapist trainer Marie-Jo Clio-Assouvie physiotherapist from "Saint Vincent de Paul hospital "(Paris), Professeur Seringe 's team physiotherapist at Ris Orangis For 100 infants looked after by our hospital team (doctors, physiotherapists and our network of liberal physiotherapists), 80 are treated by a functional orthopedic processing, 10 undergo a tenotomy of the Achilles tendon and 10 are operated. Plates set-up Back splint set-up Bibliography Links ... Postures, stretching and muscular stimulations German version - English version - French version Thanks to all the children photographed for this web site. Balance Treatments C...'s from 1990 to1999 S... 's from 1991 to 2001 ... svp.kine@svp.ap-hop-paris.fr

14. Clubfootstory Personal account with photos. http://www.geocities.com/joannewalton2003/clubfootstory.html

Our Clubfoot Story Updated 3-05 Welcome to our page! Our daughter was born with a right clubfoot, the most common birth defect. (Approximately 100,000 children worldwide are born with clubfoot each year, which is about 1 in 1,000 births). Fortunately, we found an internet listserv (see link below) with over 600 families whose children have been through the same thing, so I was able to learn the ins and outs of what to expect from this treatment at each stage. Unfortunately, many doctors are not following the method as prescribed, including the new doctor. For example, our daughter wore the Foot Abduction Brace (FAB) (pictured below) full time for 5 months instead of the usual 3 and wanted to make changes to the bracing protocol, so we switched to a more experienced doctor (Dr. Herzenberg, see link below) further away although our daughter was nearly done with treatment. This is something many parents have had to do. She stopped wearing the shoes at 3 years, 3 months old. Her foot was very mild. (Most children use the bar until age 3 or 4. The majority of relapses occur between 2 and 2 1/2 years old because the child stops wearing the brace too soon). It has been so worth the journey to avoid extensive surgeries that do not always have a good long term outcome. NEW- Click here for a link to more recent pix of our daughter.

15. Clubfoot Treatment At Dupont Hospital: Our Baby's Story Journal of a negative experience, including photos. http://www.cseel.com/clubfoot/

Our Experience with Club Foot Treatment at A.I. DuPont Hospital in Wilmington Delaware Click Here for latest updates Before: After: Quick summary: In our opinion, you should not go to DuPont unless you want your child to be treated like a number, a widget in a factory, and have your baby receive no attention to their actual case or needs. In our experience, DuPont is not committed to the success of serial casting for club feet and they profit much more from surgical procedures, so that is where their interests lie. The insurance companies pay big bucks for surgical procedures, not for casting. If casting fails, they can get paid for both. Are we suggesting a conspiracy? There is no commitment to the success of this more gentle method for club foot correction. Parent-to-parent, we URGE you to consider the following about clubfoot treatment: Why are tenotomies being performed under general anesthesia? Why are babies crying and screaming during the casting process? Why is so much focus put on the plaster, instead of the foot? Why are they unwilling to seek further training in the Ponseti method for club foot treatment? This method is considered the most successful serial casting method for club foot treatment, worldwide.

16. Clubfoot Personal account with photos and treatment calendar. http://www.geocities.com/brunmat/clubfoot.html

The Bruner's Clubfoot Reference Page Clubfoot. We knew nothing about club foot. At our 19 week ultrasound we were expecting to find out if we were having a boy or a girl when we learned that our son was likely to have club foot, bilaterally. We were thinking, "No, this can't be." However, with today's ultrasound, diagnoses by a perinatologist are pretty accurate. Clubfeet are usually not evident and likely do not occur until somewhere between 18-20 weeks in utero. We went to God in prayer for the health of our baby and also began to research clubfoot. Here is what we found: Clubfoot is the most common congenital abnormality second only to cleft lip. It occurs somewhere between 1 in 750 and 1 in 1000 births. Clubfeet can be isolated but often present with other abnormalities such as congenital heart defects, hip dysplasia or spina bifida. In the hands of a knowledgable practioner, isolated club foot is easily treatable. Patients have an excellent prognosis with a strong likelihood they will be able to lead a normal, healthy life. Methods of treatment.

17. Ponseti Method Of Idiopathic Clubfoot Treatment: Currents: UI Health Care Article discussing early treatment, plus a 30 year follow up study. http://www.uihealthcare.com/news/currents/vol1issue1/clubfoot.html

This issue home CURRENTS Home Publishers Back Issues Send comments and questions to staff@uihealthcare.com University of Iowa, Iowa City, Iowa Currents: Winter 2000, Volume1, Number 1 Ponseti Method of Idiopathic Clubfoot Treatment Zlatko Anguelov (in collaboration with Fred Dietz, MD) XX History Treatment of idiopathic clubfoot is surgical or manipulative. Despite long-term experience in many centers, there still are outcome controversies surrounding both alternatives. Controversies persist because of lack of a) standards for evaluating functional outcomes, rendering comparisons between treatment groups problematic, and b) long-term follow-up studies of surgically treated clubfeet. The longest published follow-up is the 30-year follow-up of 45 patients (with 71 clubfeet; average age 34 years) treated with the Ponseti method of manipulation and casting at the University of Iowa Hospitals and Clinics between 1950 and 1967. Clubfoot is a complex congenital deformity consisting of equinus, varus, adductus, and cavus

18. Orthoseek Orthopedic Topics Clubfoot clubfoot What is clubfoot? What causes clubfoot? No one really knows what causes the deformity. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

19. What Is A Clubfoot? What is a clubfoot? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. Virtual Children's Hospital: Treatment Of Congenital Clubfoot The kinematics of clubfoot were clearly described by Farabeuf in 1892 6 The common errors in the treatment of the clubfoot and how to avoid them are http://www.vh.org/pediatric/provider/orthopaedics/Clubfoot/Clubfoot.html

Treatment of Congenital Clubfoot Ignacio Ponseti, M.D. Professor Department of Orthopaedic Surgery The University of Iowa Peer Review Status: Externally Peer Reviewed First Published: March 1996 Last Revised: May 2004 Table of Contents This site's Awards, Comments and Reviews Auf Deutsch Our treatment is easy to learn. An interested resident is proficient in the technique after correcting two or three clubfeet. The main stages of the correction are illustrated in Figs. 1 to 9 using a facsimile of a clubfoot made of plastic bones and elastic strings. First, the resident learns to identify by palpation the position of the main bones of the foot in relation to the malleoli and to the head of the talus. In the clubfoot the calcaneus, the navicular and the cuboid are rotated medially in relation to the talus, and are firmly held in adduction and inversion by very tight ligaments and tendons ( Fig. 1 ). Although the whole foot is in extreme supination, the forefoot is pronated in relation to the hindfoot and this causes the cavus, the first metatarsal being in more plantar flexion than the lateral metatarsals ( Fig. 2

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