Abduction


A motion that pulls away from the midline of the body.




Achilles tendon (heel cord)


A tendon that connects muscle to bone and stretches from the bones of your heel to your calf muscles.




Adduction


A motion that pulls toward the midline of the body.




ADM


Abduction dorsiflexion mechanism.




ATTT


Anterior tibialus tendon transfer.




AFO


Ankle-foot orthosis.




Atypical/complex clubfoot


Having a short, fat, or swollen foot, rigid equinus, short and hyperextended (points up) first toe, a crease across the sole of the foot and a deep crease above the heel, heel area is rigidly tilted inward, foot rigidly flexed downward and the heel cord is very tight, wide and long, calf muscle is very small and bunched under the back of the knee.




BCF


Bilateral clubfoot.




Bilateral


Both feet are affected.




Botox


Botox may be injected in to the calf muscle to weaken the Achilles tendon so that full correction of the clubfoot can be achieved.




Cavus


Abnormally high or exaggerated arch of the foot.




CFO


Custom foot orthotics.




Congenital


Present at birth.




CTEV


Congenital Talipes Equinovarus (congenital-present at birth, Talipes-foot and ankle, Equino-foot pointing down, Varus-heel turning inward).




DAFO


Dynamic ankle-foot orthosis.




Dimeglio scale


Provides an additional method of assessing each component of the clubfoot deformity.




Dorsiflexion


Flexing the foot in an upward position.




Dorsi Ramp


Device used to help to stretch the Achilles tendon and calf muscles.




DTKAFO


Dynamic torsional knee ankle foot orthosis




Dr. Ignacio Ponseti


(1914-2009) Dr. Ponseti developed a non-surgical method of correcting clubfoot in infants through gentle manipulation of the feet.




Duoderm


A dressing used for the treatment of lightly to moderately draining pressure sores and wounds.




E-Stim


Neuromuscular Electrical Stimulation (NMES) involves the use of a device which transmits an electrical impulse to the skin by way of electrodes.




Equinus


Upward bending motion of the ankle joint is limited (foot pointing down).




External rotation


Turning outwardly or away from the midline of the body.




French Functional Method


Daily manipulation and stretching of the foot, stimulation of underactive muscles and strapping of the foot to hold it in position, all carried out by a physiotherapist.




Idiopathic


The exact cause is unknown.




Inversion


Toward the midline of the body.




KAFO


Knee-ankle foot orthosis.




LCF


Left clubfoot.




Manipulation


To stretch and loosen tight structures.




Miraclefeet


A non-profit organization based in North Carolina that helps to increase access to proper treatment for children born with clubfoot in developing countries. (www.miraclefeet.org)




Molefoam


Helps to prevent sores/friction, self-adhesive, cut to size, thicker than moleskin.




Moleskin


Helps prevent blisters, self-stick adhesive, can be cut to any size.




Muscle Atrophy


Decrease in the mass of the muscle.




Orthotist


Primary medical clinician responsible for the prescription, manufacture and management of orthoses.




OT


Occupational therapy.




Pediatric Orthopaedic Surgeon


Evaluate and treat musculoskeletal (bone, joint, or muscle) problems in a child.




PFS


Plantar flexion stop.




PIA


Ponseti International Association (www.ponseti.info).




Pirani scale


A tool used for assessing the severity of each of the components of a clubfoot.




Plantar Flexion


Flexing the foot downward.




PMR


Posteromedial release surgery.




Podiatrist


The study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle and lower extremity.




Pressure Saddles


“Pringles” they attach to the middle strap of the Mitchell boots to provide additional relief from pressure areas.




Pronation


Inward roll of the foot during normal motion.




PT


Physical therapy.




RCF


Right clubfoot.




Relapse


Reverting back to its original state.




Shriners Hospitals


Provide care to children with neuromusculoskeletal conditions, burn injuries and other special healthcare needs without regard to race, color, creed, sex or sect, disability, national origin or ability of a patient or family to pay.




SMO


Supra malleolar orthosis.




Supination


The outward roll of the foot during normal motion.




Talipes


The Latin word compounded from talus (ankle) + pes (foot).




Tenotomy


Tendon release, tendon lengthening, heel cord release, the division of the Achilles tendon.




Ponseti Method


A manipulative technique that corrects congenital clubfoot without invasive surgery.




UCF


Unilateral clubfoot.




Unilateral


One foot is affected.




Varus


Bent or twisted inward.




Vertical Talus


The talus bone has formed in the wrong position and other foot bones to the front of the talus have shifted on top of it. The front of the foot points up and may even rest against the front of the shin.





Clubfoot Glossary

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