What is it about?
Identifying a simple clinical predictor of the likelihood of recurrence following correction of clubfoot with the Ponseti method. We have known for a while that recurrence in the child is associated with an over-active tibialis anterior - but what we have shown is that you can predict recurrence problem earlier in infancy by looking for the opposite problem namely poor evertor muscle activity.
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Why is it important?
Finding risk factors for recurrence of clubfoot can help in identifying potential candidates for early tendon transfer or electrical stimulation. It encourages you and/or reminds you to think laterally about a problem and increases awareness of potential etiological factors. .
Perspectives
Even Idiopathic clubfoot has a potential underlying neuromuscular contributing factor. Muscle imbalance identified early can be monitored more closely and addressed early if needed.
Dr Yael Gelfer
St Georges Hospital
Its always nice to be able to turn a problem on its head - so instead of looking at over-activity - we look at under activity .. and then we can ask ourselves why does this happen?
Ms Deborah M Eastwood
BJJ
Read the Original
This page is a summary of: Evertor muscle activity as a predictor of the mid-term outcome following treatment of the idiopathic and non-idiopathic clubfoot, The Bone & Joint Journal, September 2014, Bone & Joint,
DOI: 10.1302/0301-620x.96b9.33755.
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