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Ponseti Method
The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the University of Iowa Hospitals and Clinics, USA in the 1950s, and was repopularized in 2000 by John Herzenberg in the US and Europe and in Africa by NHS surgeon Steve Mannion. It is a standard treatment for clubfoot. Description Ponseti treatment was introduced in UK in the late 1990s and widely popularized around the country by NHS physiotherapist Steve Wildon. The manipulative treatment of club foot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of the deformity. The ligaments, joint capsules, and tendons are stretched under gentle manipulations. A plaster cast is applied after each manipulation to retain the degree of correction and soften the ligaments. The displaced bones are thus gradually brought int ...
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Clubfoot
Clubfoot is a birth defect where one or both feet are rotated inward and downward. Congenital clubfoot is the most common congenital malformation of the foot with an incidence of 1 per 1000 births. In approximately 50% of cases, clubfoot affects both feet, but it can present unilaterally causing one leg or foot to be shorter than the other. Most of the time, it is not associated with other problems. Without appropriate treatment, the foot deformity will persist and lead to pain and impaired ability to walk, which can have a dramatic impact on the quality of life. The exact cause is usually not identified. Both genetic and environmental factors are believed to be involved. There are two main types of congenital clubfoot: idiopathic (80% of cases) and secondary clubfoot (20% of cases). The idiopathic congenital clubfoot is a multifactorial condition that includes environmental, vascular, positional, and genetic factors. There appears to be hereditary component for this birth d ...
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Ignacio Ponseti
Ignacio Ponseti (3 June 1914 – 18 October 2009) was a Spanish-American physician, specializing in orthopedics. He was born on 3 June 1914 in Menorca, part of the Balearic Islands, Spain, Ponseti was the son of a watchmaker and spent his childhood helping repair watches. This skill was said to eventually contribute to his abilities as an orthopedist. He served three years as a medic during the Spanish Civil War treating orthopedic injuries of wounded soldiers. He left Spain shortly after the end of the war and became a faculty member and practicing physician at the University of Iowa, where he developed his ground-breaking, non-surgical treatment for the clubfoot defect - the Ponseti Method. Biography In the 1950s, Ignacio Ponseti developed the Ponseti method (also known as the Ponseti technique), a non-surgical technique that uses a series of casts, followed by an abduction brace, to correct congenital clubfoot. The condition causes a baby's feet to turn inward and downwa ...
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University Of Iowa Hospitals And Clinics
University of Iowa Hospitals and Clinics (UIHC) is an 811-bed public teaching hospital and level 1 trauma center affiliated with the University of Iowa. UI Hospitals and Clinics is part of University of Iowa Health Care, a partnership that includes the University of Iowa Roy J. and Lucille A. Carver College of Medicine and the University of Iowa Physicians group practice. It is located on the university campus in Iowa City, Iowa at Melrose Avenue and Hawkins Drive near Kinnick Stadium. At times during televised Hawkeye football games, the hospital can be seen in the background. The hospital is one of three in Iowa City, the others being Mercy Hospital and the Iowa City VA Health Care System, a VA medical center. UI Hospitals and Clinics employs over 7,100 people and is overseen by the Iowa Board of Regents. It is Iowa's only comprehensive, tertiary-level center and also its premier medical facility. In addition to taking care of local patients, people throughout the state and ...
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CURE International
CURE International (also known as CURE, formerly Crippled Children's United Rehabilitation Effort or CCURE or C²URE) is a Christian nonprofit organization based in Grand Rapids, Michigan. CURE's efforts are focused on providing medical care to children suffering primarily from orthopedic and neurological conditions. The organization's stated mission is "healing the sick and proclaiming the kingdom of God." The organization operates hospitals in Ethiopia, Kenya, Malawi, Niger, the Philippines, Uganda, Zambia and Zimbabwe. CURE also operates a pediatric specialty training program called CURE Neuro helping children with hydrocephalus and spina bifida survive and thrive through global partnerships. Since its inception, CURE Neuro has trained 41 surgeons from 23 low- and middle-income countries. History The organization was founded in 1996 in central Pennsylvania, near Harrisburg, by Dr. C. Scott Harrison and his wife, Sally. Ten years earlier, Harrison had traveled to Malawi, Afric ...
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Calcaneal
In humans and many other primates, the calcaneus (; from the Latin ''calcaneus'' or ''calcaneum'', meaning heel) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock. Structure In humans, the calcaneus is the largest of the tarsal bones and the largest bone of the foot. Its long axis is pointed forwards and laterally. The talus bone, calcaneus, and navicular bone are considered the proximal row of tarsal bones. In the calcaneus, several important structures can be distinguished:Platzer (2004), p 216 There is a large calcaneal tuberosity located posteriorly on plantar surface with medial and lateral tubercles on its surface. Besides, there is another peroneal tubecle on its lateral surface. On its lower edge on either side are its lateral and medial processes (serving as the origins of the abductor hallucis and abductor digiti minimi). The Achilles tendon is inserted into a roughened area on its superior ...
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Plantar
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatomy ...
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Talus Bone
The talus (; Latin for ankle or ankle bone), talus bone, astragalus (), or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot.Platzer (2004), p 216 The talus has joints with the two bones of the lower leg, the tibia and thinner fibula. These leg bones have two prominences (the lateral and medial malleoli) that articulate with the talus. At the foot end, within the tarsus, the talus articulates with the calcaneus (heel bone) below, and with the curved navicular bone in front; together, these foot articulations form the ball-and-socket-shaped talocalcaneonavicular joint. The talus is the second largest of the tarsal bones; it is also one of the bones in the human body with the highest percentage of its surface area covered by articular cartilage. It is also unusual in that it has a retrograde blood supply, i.e. arterial blood enters the ...
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Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with ''mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior bo ...
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Calcaneocuboid
The calcaneocuboid joint is the joint between the calcaneus and the cuboid bone. Structure The calcaneocuboid joint is a type of saddle joint between the calcaneus and the cuboid bone. Ligaments There are five ligaments connecting the calcaneus and the cuboid bone, forming parts of the articular capsule: * the dorsal calcaneocuboid ligament. * part of the bifurcated ligament. * the long plantar ligament. * and the plantar calcaneocuboid ligament. Function The calcaneocuboid joint is conventionally described as among the least mobile joints in the human foot. The articular surfaces of the two bones are relatively flat with some irregular undulations, which seem to suggest movement limited to a single rotation and some translation. However, the cuboid rotates as much as 25° about an oblique axis during inversion- eversion in a movement that could be called involution. Clinical significance The calcaneocuboid joint may be affected by a calcaneal fracture. This may be a sig ...
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Metatarsal
The metatarsal bones, or metatarsus, are a group of five long bones in the foot, located between the tarsal bones of the hind- and mid-foot and the phalanges of the toes. Lacking individual names, the metatarsal bones are numbered from the medial side (the side of the great toe): the first, second, third, fourth, and fifth metatarsal (often depicted with Roman numerals). The metatarsals are analogous to the metacarpal bones of the hand. The lengths of the metatarsal bones in humans are, in descending order, second, third, fourth, fifth, and first. Structure The five metatarsals are dorsal convex long bones consisting of a shaft or body, a base (proximally), and a head (distally).Platzer 2004, p. 220 The body is prismoid in form, tapers gradually from the tarsal to the phalangeal extremity, and is curved longitudinally, so as to be concave below, slightly convex above. The base or posterior extremity is wedge-shaped, articulating proximally with the tarsal bones, and by it ...
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Denis Browne Bar
The Denis Browne bar, also known as the Denis Browne splint or foot abduction orthosis, is a medical device used in the treatment of club foot. The device is named after Sir Denis Browne (1892-1967), an Australian-born surgeon at Great Ormond Street Hospital in London who was considered the father of pediatric surgery in the United Kingdom. Browne first described the device in 1934. The bar may be used as part of the Ponseti method, a series of nonsurgical techniques to address club foot. See also *Orthotics Orthotics ( el, Ορθός, translit=ortho, lit=to straighten, to align) is a medical specialty that focuses on the design and application of orthoses, or braces. An is "an externally applied device used to influence the structural and functio ... References Congenital disorders Medical equipment Orthopedic treatment Pediatrics {{Pediatrics-stub ...
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Congenital Disorders
A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can range from mild to severe. Birth defects are divided into two main types: structural disorders in which problems are seen with the shape of a body part and functional disorders in which problems exist with how a body part works. Functional disorders include metabolic and degenerative disorders. Some birth defects include both structural and functional disorders. Birth defects may result from genetic or chromosomal disorders, exposure to certain medications or chemicals, or certain infections during pregnancy. Risk factors include folate deficiency, drinking alcohol or smoking during pregnancy, poorly controlled diabetes, and a mother over the age of 35 years old. Many are believed to involve multiple factors. Birth defects may be vi ...
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