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    Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook94 pages35 minutes

    Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes the Club Foot, Diagnosis and Treatment and Related Diseases

    Clubfoot is a congenital medical disorder when the foot turns inward and downward.

    It is not clear exactly what causes clubfoot.

    In most cases, it is diagnosed by the typical appearance of a baby's foot after they are born.

    If a baby has clubfoot, their foot has a typical appearance.

    The foot points down at their ankle (doctors call this position equinus).

    The heel of their foot is turned inwards (doctors call this position varus).

    The middle section of their foot is also turned inwards and the foot seems quite wide and short.

    It is fixed in this position and cannot be moved into a normal foot position.

    The baby's foot is kept in this position because the Achilles tendon at the back of the baby's heel is very short and the inside tendons of their leg have also shortened.

    If nothing is done to treat the problem, as the baby forms and begins to stand, they will not be able to stand with the sole of their foot flat on the floor.

    Clubfoot is frequently broadly classified into two major groups:

    1. Isolated (idiopathic) clubfoot is the most frequent form of the abnormality and happens in children who do not have any medical disorders.

    2. Non-isolated clubfoot occurs in combination with other medical disorders or neuromuscular conditions such as arthrogryposis and spina bifida.

    Symptoms

    The physical shape of the foot may be different.

    One or both feet may be involved.

    1. The heel points downward, and the front half of the foot turns inward.
    2. The calf muscles on the affected side are smaller than on the normal side.
    3. The leg on the affected side is slightly shorter than on the other side.
    4. The foot itself is usually short and wide.
    5. The Achilles tendon is tight.
    6. The foot turns inward and downward at birth; the child is unable to place the foot correctly.

    Prenatal diagnosis

    The clubfoot of the baby can be diagnosed before birth with ultrasound.

    About 10 percent of clubfeet can be detected as early at 13 weeks in a pregnant woman.

    Diagnosis after birth

    Clubfoot is usually diagnosed after a baby is born.

    All babies are routinely examined and checked over by a doctor shortly after they are born.

    A foot x-ray may be done.

    Computerized tomography scan (CT or CAT scan) may help.

    There have been some changes to the treatment for clubfoot over recent years.

    Major surgery was often a frequent treatment used.

    The results of medical researches have indicated that other treatments without major surgery, especially a treatment known as the Ponseti method, appear to provide the best long-term treatment for most children.

    Most cases of clubfoot are successfully treated with non-surgical methods that may include a combination of stretching, casting, and bracing.

    Treatment usually begins shortly after birth.

    Ponseti method should be started as soon as possible after birth when it is proven to be the easiest time to reshape the foot.

    Gentle stretching and recasting is done weekly to normalize the position of the foot.

    Generally, five to 10 casts are needed.

    The final cast will stay in position for 3 weeks.

    Once the foot is correctly in position, the child will wear a special brace nearly full time for 3 months.

    The child will use the brace at night and during naps for up to 3 years.

    Frequently the problem is a short tight Achilles tendon and a simple surgery is needed to release it.

    Surgical Treatment

    Surgery may be needed to correct the ligaments, tendons, and joints in the foot and ankle.

    Even while many patients with clubfoot are successfully corrected with non-surgical methods, sometimes the deformity cannot be fully corrected or it returns, frequently because treatment program is difficult for parents

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJun 13, 2018
    ISBN9780463213278
    Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Clubfoot, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Clubfoot,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B., B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Club Foot, Diagnosis and Treatment and Related Diseases which are seen in some of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Conditions) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://ken-med.com.

      From which many free articles from the blog was taken and put together into 650 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Club Foot

      What is Club Foot?

      Clubfoot is a medical disorder when the foot turns inward and downward.

      It is a congenital condition, which means it is present at birth

      Club foot (talipes equinovarus) is a deformity of the foot and ankle that a baby can be born with.

      It is not clear exactly what causes clubfoot.

      In most cases, it is diagnosed by the typical appearance of a baby's foot after they are born.

      In about half of babies that are born with clubfoot, both feet are affected.

      Clubfoot means the ankle and foot while equinovarus means the position that the foot is in.

      If a baby has clubfoot, their foot has a typical appearance.

      The foot points down at their ankle (doctors call this position equinus).

      The heel of their foot is turned inwards (doctors call this position varus).

      The middle section of their foot is also turned inwards and the foot seems quite wide and short.

      It is fixed in this position and cannot be moved into a normal foot position.

      The baby's foot is kept in this position because the Achilles tendon at the back of the baby's heel is very short and the inside tendons of their leg have also shortened.

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