Clubfoot is one of the most common, non-life threatening, major birth defects among infants globally. Approximately one in every 1,000 newborns has clubfoot. Of those, one in three have both feet clubbed. The exact cause is unknown. Two out of three clubfoot babies are boys. Clubfoot is twice as likely to occur if one or both parents and/or a sibling has had it. Less severe infant foot problems are often incorrectly called clubfoot.. Clubfoot twists the heel and toes inward. It often appears like the top of the foot is on the bottom. Additionally, the clubfoot, calf, and leg are smaller and shorter than normal. When clubfoot is detected at birth, it is not painful and is correctable.. The goal of treating clubfoot is to make the infants clubfoot (or feet) functional, painless, and stable by the time he or she is ready to walk. Serial casting is the process used to slowly move the bones of a clubfoot into the proper alignment. The doctor starts by gently stretching the childs clubfoot toward ...

Objectives: This study aims to investigate whether resistive index (RI) and peak systolic velocity (PSV) are suitable parameters to determine if a clubfoot differs from feet of the normal population.. Patients and methods: Fifty-four feet of 27 clubfoot patients (22 males, 5 females; mean age 30.4±16.3 months; range, 5 to 72 months) were included in this retrospective study conducted between December 2017 and January 2019. Twenty-seven feet were conservatively treated, 19 had surgical treatment, and eight feet were healthy in patients with unilateral clubfoot. In addition, 22 feet of 11 normal controls (6 males, 5 females; mean age 33.4±15.3 months; range, 15 to 60 months) were studied. Color Doppler ultrasonography examinations were performed to evaluate the three major arteries of the leg and foot: dorsalis pedis (dp), tibialis posterior (tp), and popliteal (pop). Color filling, flow direction, spectral analysis, velocity, and RI were examined.. Results: With the exception of the dp artery ...

Passive movements to ankle and foot joints, and followed by gentle passive stretching to the posterolateral tight structures; if possible active movements should be encouraged during therapy. These are done three or four times a day for three to five minutes, with intervals for stroking and massaging the foot and leg. After each procedure the foot is immobilised by means of a soft bandage in the corrected position attained ...

WNT7A encodes a secreted protein that stimulates LMX-1 to confer dorsal patterning in the developing limb ectoderm [18]. The linkage findings of Dietz et al. [15] suggested WNT7A as a highly plausible candidate gene for CTEV. They used seven markers around WNT7A on chromosome 3 in a linkage study of a single large family. Marker D3S3608, about 0.16 Mb away from WNT7A, gave the highest LOD score of 2.18. We used one marker intragenic to WNT7A, one downstream, and one D3S2403 upstream of D3S3608 to ensure that the region surrounding D3S3608 was excluded. This marker also allowed us to exclude linkage to a gene upstream of WNT7A expressed in skeleton, FIBULIN 2. We found no evidence for linkage to any of these markers in this large study, and thus we have shown that variation in either WNT7A or FIBULIN 2 is very unlikely to be significant causes of familial CTEV.. Samples from the 91 families studied represented 168 affected, and 92 unaffected meioses. It is very unlikely that our ability to detect ...

Nonsurgical treatment. There are various methods of nonsurgical treatment for infants with clubfoot. These methods include serial manipulation and casting, taping, physical therapy and splinting, and use of a machine that provides continuous passive motion. A nonsurgical treatment should be the first type of treatment for clubfoot, regardless of how severe the deformity is.. According to the American Academy of Orthopaedic Surgeons (AAOS), the Ponseti method, which uses manipulation and casting, is the most frequently used method in the U.S. to treat clubfoot. Most cases of clubfoot in infants can be corrected within two to three months using this method. It is recommended that Ponseti method treatment be started as soon as clubfoot has been diagnosed, even as soon as one week of age. The AAOS states that infants with clubfoot occasionally have a deformity severe enough that manipulation and casting will not be effective.. Because clubfoot may recur, braces are worn for several years to prevent ...

Full text available only in PDF format. References. 1. Kite JH. Nonoperative treatment of congenital clubfoot. J Bone Joint Surg [Am] 1939;21-A:595-606.. 2. Richards BS, Faulks S, Rathjen KE, Karol LA, Johnston CE, Jones SA. A comparison of two nonoperative methods of idiopathic clubfoot correction: the Ponseti method and the French functional (physiotherapy) method. J Bone Joint Surg [Am] 2008;90-A:2313-21.. 3. Ponseti IV, Smoley EN. Congenital clubfoot. The results of treatment. J Bone Joint Surg [Am] 1963;45-A:261-344.. 4. Cooper DM, Dietz FR. Treatment of idiopathic clubfoot. A thirty-year follow-up note. J Bone Joint Surg [Am] 1995;77-A:1477-89.. ...

Mutations in human and/or mouse homologs are associated with this disease. Synonyms: congenital clubfoot; Congenital equinovarus; congenital talipes equinovarus; Equinovarus deformity of foot (finding)

Background: The aim of this study was to evaluate the idiopathic congenital clubfoot deformity treated by Ponseti method to determine the different factors such as radiological investigations that may have relations with the risk of failure and recurrence in mid-term follow-up of the patients. Methods: Since 2006 to 2011, 226 feet from 149 patients with idiopathic congenital clubfoot were treated with weekly castings by Ponseti method. Anteroposterior and lateral foot radiographies were performed at the final follow-up visit and the data from clinical and radiological outcomes were analysed. Results: In our patients, 191(84.9%) feet required percutaneous tenotomy. The successful correction rate was 92% indication no need for further surgical correction. No significant correlation was found between the remained deformity rate and the severity of the deformity and compliance of using the brace (P=0.108 and 0.207 respectively). The remained deformity rate had an inverse association with the beginning age

Treatment for congenital idiopathic clubfoot (CTEV) ranges from nonoperative serial casting to radical surgical procedures such as the triple arthrodesis. Most physicians agree that conservative...

Clubfoot (talipes equinovarus) is a common congenital deformity and often treated with the Ponseti method. To correct the adductus deformity, the orthopaedist applies manual pressure on the medial side of the first metatarsal with counter pressure on the lateral side of the talar neck, abducting the foot while aligning the talus with the calcaneus. This manipulation stretches the tissues on the medial side of the foot and is maintained for a week with a plaster cast. Most cases of clubfoot are corrected after five to six cast changes and, in many cases, a percutaneous Achilles tenotomy. After the casting period a foot abduction brace is used for four years to prevent relapse.. We have measured the applied forces on the clubfoot during the Ponseti method (Giesberts, et al. (2017) Quantifying the Ponseti method). Our main observation in this measurement were the great differences between practitioners. The measured pressure of the cast on the instrumented foot would probably cause skin problems in ...

Purpose:. The purpose of the study is to complete a cost analysis of the different methods used for clubfoot treatment.. Objectives:. Short-term objective: To explore the experience of British Columbia Childrens Hospital (BCCH) with costs and outcomes related to the various forms of clubfoot management since 1984 to present.. Long-term objective: To use the information gathered in this project and apply it to future studies in the clubfoot research program and to do a complete cost-benefit analysis.. Hypothesis: The hypothesis of the study is that the BCCH clubfoot treatment program has better outcomes in terms of reduced financial costs than the traditional surgical management. ...

This is the first study to report the probability of undergoing ATTT surgery as a function of age using survivorship analysis following Ponseti clubfoot treatment. Although the overall probability reached 29% at 6 years, this was significantly reduced by compliance with bracing. This information may be useful to the clinician when counseling families at the start of treatment.. How Many Patients Who Have a Clubfoot Treated Using the Ponseti Method are Likely to Undergo a Tendon Transfer?. Zionts, Lewis E. MD; Jew, Michael H. BS; Bauer, Kathryn L. MD; Ebramzadeh, Edward PhD; N. Sangiorgio, Sophia PhD. Journal of Pediatric Orthopaedics, July 2, 2016. doi: 10.1097/BPO.0000000000000828. A physiotherapy-led ponseti service versus a standard orthopaedic surgeon-led service: A prospective randomised trial This study presents the first prospective randomised series comparing a physiotherapy led Ponseti service with a standard orthopaedic surgeon led series. 16 infants with bilateral CTEV were randomised ...

TY - JOUR. T1 - Micro-magnetic resonance imaging and embryological analysis of wild-type and pma mutant mice with clubfoot. AU - Duce, Suzanne. AU - Madrigal, Londale. AU - Schmidt, Katy. AU - Cunningham, Craig. AU - Liu, Guoqing. AU - Barker, Simon. AU - Tennant, Gordon. AU - Tickle, Cheryll. AU - Chudek, Sandy. AU - Miedzybrodzka, Zofia Helena. PY - 2010/1. Y1 - 2010/1. N2 - Gross similarities between the external appearance of the hind limbs of the peroneal muscle atrophy (pma) mouse mutant and congenital talipes equinovarus (CTEV), a human disorder historically referred to as clubfoot, suggested that this mutant could be a useful model. We used micro-magnetic resonance imaging to visualize the detailed anatomy of the hind limb defect in mutant pma mice and performed 3D comparisons between mutant and wild-type hind limbs. We found that the pma foot demonstrates supination (i.e. adduction and inversion of the mid foot and fore foot together with plantar flexion of the ankle and toes) and ...

Clubfoot, or talipes equinovarus, refers to a developmental deformity of the foot in which one or both feet are excessively plantar flexed, with the forefoot swung medially and the sole facing inward (). It is a common congenital malformation, typica

State Center for Health Statistics Statistical Brief No. 31 - March 2007 N. C. Department of Health and Human Services 1 Division of Public Health Maternal Smoking During Pregnancy and the Risk for Clubfoot in Infants: North Carolina, 1999- 2003 by Kathryn C. Dickinson, Robert E. Meyer, and Jonathan B. Kotch* Statistical Brief No. 31 North Carolina Department of Health and Human Services Division of Public Health State Center for Health Statistics March 2007 Statistical Brief www. schs. state. nc. us/ SCHS/ * Kathryn Dickinson and Robert Meyer are with the North Carolina Birth Defects Monitoring Program, State Center for Health Statistics. Jonathan Kotch is with the Department of Maternal and Child Health, UNC School of Public Health. Introduction Talipes equinovarus, or clubfoot, is one of the most common major birth defects, with a preva-lence of approximately 1 per 1,000 live births. 1- 3 Clubfoot affects males about twice as often as females. 4- 5 Infants born with clubfoot have abnormal ...

The Dobbs Bar is a revolutionary new clubfoot brace. Dobbs clubfoot bar attaches to AFOs, Markell Shoes, and Ponseti boots for improved clubfoot treatment in children.

Background: Ponseti technique becomes a gold standard treatment for correction of idiopathic clubfoot and widely reports to provide reliable results. ..

|b|Peer review has expired on this program. It is the viewers responsibility to determine the educational value of this historical content.|br||/b||b|Peer review has expired on this program. It is the viewers responsibility to determine the educational value of this historical content.|br||/b||p|The Ponseti technique has been used successfully for the initial treatment of idiopathic clubfeet. The technique has drastically reduced the use of more aggressive surgical reconstructions of the foot. The majority of cases are corrected beyond recognition with serial casting with or without Achilles tenotomy. However, relapses do occur and the appropriate treatment of this is not well established, particularly as the patient ages. Ponseti described his case series of relapses and recommended maintaining his principles with an added element of overcorrection with the casts. In this video, we provide an overview of persistent/recurrent (relapsed) clubfoot. We also show the treatment of relapsed bilateral

The congenital clubfoot deformity (CCFD) is one of the most common foot deformities that may impede childs physical, emotional, economic and social development when not treated successfully or left untreated. When they grew up with deformed feet, the feet become painful, deformed, restrict their social life, economic wellbeing, and cause much frustration to the family.16 Clubfoot is a preventable deformity that just needs early non-operative intervention, which can be started at any age in childhood before it becomes a fixed bony deformity. Morcuende10 reported no increased difficulty in correcting the deformity in children up to the age of 2 years or in patients who previously had a non-surgical correction attempt. The Ponseti technique of serial manipulation, specific technique of cast application with a possible PCTAT, has been proved superior to other non-operative techniques. The method has been reported to have short-term success rates approaching 90%, and equally impressive long-term ...

By Katherine Gandee Ignacio Vives Ponseti developed a noninvasive method for treating congenital club foot in the US during the late 1940s. Congenital club foot is a birth deformity in which one or both of an infants feet are rotated inward beneath the ankle, making normal movement rigid and painful.. Created 2017-03-09. Modified 2 years ago. ...

Information on the non-surgical treatment for clubfoot, the Ponseti Method, including the standard clubfoot treatment procedures, effectiveness of the treatment and more. Contact the clubfoot treatment team for more information at 314-454-KIDS (5437).

Can Tetanus Infection Result In Acquired Talipes Equinovarus? A Case Report Auwal Abdullahi Neurological Rehabilitation Unit, Department of Physiotherapy,

Definition. Talipes deformity is a disorder of ankle and foot. It comes from the Latin words talus meaning ankle and pes meaning foot.. Incidence. Commonly called clubfoot, it is a congenital anomaly occurring at approximately 1 to 2 in every 1000 live births.. Male-female incidence ratio is 2:1.. Bilateral deformity involvement accounts 30%-50% of cases.. True Talipes Disorder. Talipes deformity could either be unilateral (affecting a single foot only) or bilateral (both feet are affected). Regardless of which extremity is affected, some newborns have developed a twisted foot appearance due to intrauterine position. However, with manipulation the foot can be brought into a straight position. This temporary abnormality is called a pseudo-talipes disorder. A true clubfoot cannot be aligned properly without further intervention.. Skeletal Anatomy of the Foot. Two essential functions of the foot:. ...

Club foot (clubfoot or inherent talipes equinovarus CTEV) is an innate deformation where one foot or both seem to have been pivoted inside at the lower leg. Without treatment, individuals with club feet regularly seem to stroll on their lower legs or on the sides of their feet. A male has the much risk of twice than females, born with clubfoot. And the percentage increases, if a parent who has the club foot since their birth, their children have a higher chance of having a child with the same condition. The hazard is higher if the two guardians have the condition ...

plantigrade definition: walking on the whole sole, as a human or bearOrigin of plantigradeFrench from Classical Latin planta, sole (see plant) + French -grade, -grade a plantigrade animal...

Hip surgery including replacement, paediatric orthopaedic surgery, developmental dysplasia of the hip, congenital talipes equinovarus, cerebral palsy, trauma surgery, knee replacement ...

The Ponseti method is a non-surgical method of treatment for clubfoot. It was developed by Dr. Ignacio V. Ponseti at the University of Iowa Hospitals and Clinics.

Buy the Paperback Book Congenital Club-foot, Its Nature And Treatment, With Special Reference To The Subcutaneous Division… by Robert W. (robert William) Parker at Indigo.ca, Canadas largest bookstore. + Get Free Shipping on History books over $25!

The Ponseti Method is a simple, and in skilled hands, very effective method of treating clubfeet. It requires only skill, patience and plaster. The Doctor takes the babys foot in his or her hands and stretches the medial ligaments slightly and holds the foot in place while an assistant applies a cast. After a week, the first cast is cut away. The ligaments are stretched further, and a second cast goes on. Another week, another cast. The cycle typically continues for about four weeks. Then, in most cases, comes a procedure called a tenotomy. The tough and recalcitrant Achilles Tendon is severed. That loosens the foot for positioning before the final cast, which stays on for three weeks to give the Achilles time to heal. The foot abduction brace is used only after the clubfoot has been completely corrected by manipulation, serial casting, and possibly a heel cord tenotomy. The foot abduction brace, which is the only successful method of preventing a relapse, when used consistently as described is ...

Orthopedic doctors at Hassenfeld Children's Hospital at Pelisyonkis Langone use the Ponseti method to treat infants diagnosed with clubfoot. Learn more.

Finding the causes of congenital clubfoot - the most common musculoskeletal birth defect - is of critical importance to provide counseling to the families, help in the understanding of the natural history of the deformity after correction and, eventually, in the development of treatments based on the basic molecular abnormality. This study demonstrates that in a small subset of patients (4 out of 66) with congenital clubfoot, a chromosomal abnormality is associated with the deformity. Interestingly, this genetic variation is also associated with other abnormalities including short stature, hip dysplasia, and subtle nail and bony deformities. This later finding separates these patients from the most common form of clubfoot, idiopathic clubfoot, and highlights the importance of careful clinical evaluation when ascertaining patients for genetic studies. In summary, this is an important study that adds to our current understanding of this common birth defect ...

Lateral radiograph of the right foot shows that the long axes of the talus and calcaneus are nearly parallel. The longitudinal arch is abnormally high. AP radiograph of the right foot shows abnormally narrow talocalcaneal angle, with severe adduc...

Providing information about clubfoot (talipes) and support for support for those affected. The message board includes a section especially for adults with clubfoot (talipes). Includes treatment options, links, guestbook and mailing lists. Also includes my daughters journal.

Parents may find adhering to the treatment process difficult. Many Ponseti treatment programmes have found that bracing is the most difficult phase of treatment for parents to adhere to. Non-adherence and drop-out rates can also be high in the manipulation and casting phases of treatment too. Failure to adhere means that recurrence of the clubfoot deformity is highly likely to occur; this is frustrating both for parents and clinicians. It also results in considerable waste of parents and service providers resources. A study in New Zealand showed that the Ponseti method is far less cost-effective when adherence rates are low; this is due to the expense of managing recurrences (43).. In programmes where adherence is particularly problematic the causes for this should be investigated. It is important to understand what the barriers to adherence are so that parents do not get blamed for lack of adherence as it can be due to circumstances outside their control. Previous studies have shown that most ...

Clubfoot is a congenital condition that affects newborn infants. The condition affects both feet in about half of the infants born with clubfoot.

Hi all, I just started a group specific to Clubfoot, if anyone is interested in joining. We recently found out our baby has bilateral clubfoot,...

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The JVL Researchers in close collaboration with orthopaedic surgeons, have conducted studies on the treatment and outcome of idiopathic clubfoot.

Table 2 Pirani scoring of clubfo. The high Pirani score, the more severe clubfoot, i.e. score of six means severe case, while zero is of a normal foot [8].. Neglected clubfoot. Although clubfoot is a major concern for the parents and the whole family as it is a major obvious crippling defect affecting the walking of the child, many cases especially in developing countries are neglected. This neglect might be due to difficulty to gain medical care, shortage in skilled surgeons or ignorance of the parents. In these cases, the children are forced to walk on the dorsolateral side of the foot. The affected cases are unable to wear the shoes in their feet aggravating the problem. Neglecting cases are associated with sequelae and complications [35]. The affected neglected foot is usually reduced in size. This is caused by tethering of the abnormal tight ligaments and tendons that tightly catch the foot impeding its further growth. The clubfoot is often associated with a limitation or even absence of ...

These treatments have been around for decades, but they hadnt received wide acceptance, says B. Stephens Richards, M.D., primary author of the study. Dr. Richards is assistant chief of staff and medical director of inpatient services at Texas Scottish Rite Hospital for Children and the current president of the Pediatric Orthopaedic Society of North America. Until about 15 years ago, the common treatment for clubfoot was still surgery. However, things began to change with the emergence of the Internet. Parents began researching treatment options for their children and found information about the Ponseti and French methods, so interest in these treatments began to spread, and we saw how successful they can be.. ...

I am looking for some advice or some similar stories, so I can try and make sense of what is happening to my body.. I was born with positional club foot, basically my feet were stuck in my mothers rib cage and ended up distorted to the point my big toe was pointing upwards and touching my leg. I was born in 1991. I had surgery at 6 weeks old and boots with the metal bar across, physiotherapy and a further 2 operations. You would never have guessed I had club feet. I now have a size 3 left foot and a size 5 right foot as I believe the surgeon removed some bone in the left foot.. My left leg is twisted, when I put my knee straight my foot turns inwards.. Approximately 4 months ago I had a lump appear on my Achilles tendon on my right ankle, I suspect an injury of some sort however Ive not done anything to it but Ive always had very tight Achilles tendons. All of a sudden last week I have had extremely bad pain in my left hip and lower back, at first I thought it was sciatica but it is not ...

Subjective and objective outcome in congenital clubfoot; a comparative study of 204 children. Chesney D, Barker S, Maffulli N. BMC Musculoskelet...

Ignacio Ponsetis work on congenital clubfoot will be remembered as one of the key contributions to paediatric orthopaedics and childhood deformity. He devised a carefully constructed sequence of plaster casts and braces for children with clubfoot, based on his anatomic and embryological studies of the condition. The World Health Organization estimates that 100 000 children are born with congenital clubfoot every year, with 80% occurring in the developing world. Ponsetis ingenious and inexpensive technique has spread to the furthest reaches of the developing world, enabling medical technicians to transform the lives of millions of children destined to severe deformity and suffering. It is also the treatment of choice in the developed world, with long term follow-up studies showing superior results to operative techniques. ...

Objectives: To assess the potential benefit of counseling parents expecting a child with clubfoot in ponseti clinic during the pre-natal period.. Methods: Parents of children with clubfeet who attended pre-natal counseling were identified from a prospectively maintained database. Between the 1st of January 2017 and 1st of November 2018 15 parents attended. The first author contacted parents and asked structured questions regarding their visit followed by a semi-structured qualitative interview about their search for information regarding clubfoot.. Results and conclusion: Of 15 parents 13 were contactable. 23% (n=3) knew what clubfoot was prior to diagnosis. 46% (n=6) were given information regarding clubfoot by other healthcare providers of which all felt ponseti clinic added to this information. 100% (n=13) of patients said the visit reduced their anxiety. When asked to score 1 (strongly disagree) to 5 (strongly agree) regarding the following statements mean scores were: I know more about ...

Sep 22, 2015 LinkedIn Post. Last week it was reported that developing world countries are now showing an increase in antibiotic resistance: http://www.bbc.com/news/health-34276557. As with any issue affecting the developing world, such a problem will potentially affect huge numbers of people, due simply to the scale of populations. Whilst in many ways its good that incomes are rising in the developing world, enabling more people access to health care, this also means that the sizeable challenge of antibiotic overuse and subsequent resistance is spreading in low income / high population countries.. Relevant then, is the use of the non-surgical Ponseti method of correction of congenital clubfoot, a condition affecting an estimated 200,000 newborns globally per annum, 80% of whom arrive in a developing country.. Uncorrected clubfoot deformity is a misery for the afflicted child, a burden and a grief for the family. The disabled child who cant walk easily, is disadvantaged physically, and a drain ...

PURPOSE: To report long-term results of total knee arthroplasty (TKA) for valgus knees.. METHODS: 34 women and 19 men aged 39 to 84 (mean, 74) years with valgus knees underwent primary TKA by a senior surgeon. Of the 78 knees, 43, 29, and 6 had type-I, type-II, and type-III valgus deformities, respectively. A preliminary lateral soft-tissue release was performed, and the tibia and femur were prepared. The tight lateral structures were released using the pie-crusting technique. In 92% of the knees, cruciate-retaining implants were used. In knees with severe deformity and medial collateral ligament insufficiency, the posterior cruciate ligament was sacrificed and constrained implants were used. The Hospital for Special Surgery (HSS) knee score was assessed, as were tibiofemoral alignment, range of motion, stability, and evidence of loosening or osteolysis.. RESULTS: Patients were followed up for 8 to 14 (mean, 10) years. All knees had a good patellar position and were clinically stable in both ...

TY - JOUR. T1 - Pedobarographic and kinematic analysis in the functional evaluation of two post-operative forefoot offloading shoes. AU - Caravaggi, Paolo. AU - Giangrande, Alessia. AU - Berti, Lisa. AU - Lullini, Giada. AU - Leardini, Alberto. PY - 2015/10/29. Y1 - 2015/10/29. N2 - Background: Forefoot offloading shoes are special orthopaedic footwear designed to protect and unload the injured part of the foot after surgery and for conservative treatments. The offloading action is often achieved by transferring plantar load to the rearfoot via rocker shoes with reduced contact area between shoe and ground. While these shoes are intended to be worn only for short periods, a compromise must be found between functionality and the risk of alterations in gait patterns at the lower limb joints. In this study, the pedobarographic, kinematic and kinetic effects of a traditional half-shoe and a double-rocker full-outsole shoe were compared to those of a comfortable shoe (control). Methods: Ten healthy ...

Clubfoot is a birth defect where one or both feet are rotated inwards and downwards. The affected foot, calf, and leg may be smaller than the other. In about half of those affected, both feet are involved. Most cases are not associated with other problems. Without treatment, people walk on the sides of their feet which causes issues with walking. The exact cause is usually unclear. A few cases are associated with distal arthrogryposis or myelomeningocele. If one identical twin is affected there is a 33% chance the other one will be as well. Diagnosis may occur at birth or before birth during an ultrasound exam. Initial treatment is most often with the Ponseti method. This involves moving the foot into an improved position followed by casting, which is repeated at weekly intervals. Once the inward bending is improved, the Achilles tendon is often cut and braces are worn until the age of four. Initially the brace is worn nearly continuously and then just at night. In about 20% of cases further ...

Mary Snyder found out at her 19-week ultrasound that her unborn baby had clubfoot. Both of the fetus's feet were completely turned inward, forming the

Congenital vertical talus (CVT), also known as rocker-bottom foot deformity, is a dislocation of the talonavicular joint characterized by vertical orientation of the talus with a rigid dorsal dislocation of the navicular, equinus deformity of the calcaneus, abduction deformity of the forefoot, and contracture of the soft tissues of the hind- and mid-foot. This condition is usually associated with multiple other congenital deformities and only rarely is an isolated deformity with familial occurrence (summary by {5:Levinsohn et al., 2004}). The condition is transmitted in an autosomal dominant pattern of inheritance, and sometimes shows incomplete penetrance and variable expressivity. There may be a broad spectrum of deformities, including flatfoot, talipes equinovarus (TEV or clubfoot), cavus foot, metatarsus adductus, and even hypoplasia of the tibia (summary by {1:Dobbs et al., 2006 ...

Diagnosis of foot pronation (clubfoot) at children (costs for program #158551) ✔ Hirslanden Clinique La Colline ✔ Department of Foot and Ankle Surgery ✔ BookingHealth.com

Clubfoot is a deformity of the foot. Its when one or both feet are turned inward. The condition affects the bones, muscles, tendons, and blood vessels.

Potomac Podiatry Group Offers A Variety Of Foot, Ankle, & Heel Related Treatments In Chantilly & Woodbridge, Va. Visit Our Clubfoot Page To Learn More!

Abstract We have compared the density of nerve fibres in the synovium in club foot with that of specimens obtained from the synovium of the hip at operations for developmental dysplasia. The study focused on the sensory neuropeptides substance P; calcitonin gene-related peptide; protein gene product 9.5, a general marker for mature peripheral nerve fibres; and growth associated protein 43, a neuronal marker for new or regenerating nerve fibres. In order to establish whether there might be any inherent difference we analysed the density of calcitonin gene-related peptide-positive nerve fibres in the hip and ankle joints in young rats. Semi-quantitative analysis showed a significant reduction in the number of sensory and mature nerve fibres in the synovium in club foot compared with the control hips. Calcitonin gene-related peptide (CGRP) positive fibres were reduced by 28%, substance P-positive fibres by 36% and protein gene product 9.5-positive fibres by 52% in club foot. The growth associated protein

back to top]. candidiasis - a fungal (yeast) infection, often in the mouth, called thrush, or in the diaper area.. caput - a severe swelling of the soft tissues of the babys scalp that develops as the baby travels through the birth canal.. cephalohematoma - an area of bleeding underneath one of the cranial bones that appears as raised lump on the babys head.. circumcision - a surgical procedure to remove the skin covering the end of the penis.. cleft lip - an abnormality in which the lip does not completely form. The degree of the cleft lip can vary greatly, from mild (notching of the lip) to severe (large opening from the lip up through the nose).. cleft palate - occurs when the roof of the mouth does not completely close, leaving an opening that can extend into the nasal cavity. The cleft may involve either side of the palate. It can extend from the front of the mouth (hard palate) to the throat (soft palate). The cleft may also include the lip.. clubfoot - also known as talipes equinovarus, ...

back to top]. candidiasis - a fungal (yeast) infection, often in the mouth, called thrush, or in the diaper area.. caput - a severe swelling of the soft tissues of the babys scalp that develops as the baby travels through the birth canal.. cephalohematoma - an area of bleeding underneath one of the cranial bones that appears as raised lump on the babys head.. circumcision - a surgical procedure to remove the skin covering the end of the penis.. cleft lip - an abnormality in which the lip does not completely form. The degree of the cleft lip can vary greatly, from mild (notching of the lip) to severe (large opening from the lip up through the nose).. cleft palate - occurs when the roof of the mouth does not completely close, leaving an opening that can extend into the nasal cavity. The cleft may involve either side of the palate. It can extend from the front of the mouth (hard palate) to the throat (soft palate). The cleft may also include the lip.. clubfoot - also known as talipes equinovarus, ...

Although not life-threatening, auricular deformities can cause undue distress for patients and their families. Compared with people with normally shaped ears, children and adults with deformed ears experience significantly more psychological distress, anxiety, self-consciousness, behavioral problems, and social avoidance.7 Clinicians can expect up to 30% of ear deformities to self-correct, but no reliable model exists for predicting those cases.5 If ear deformities are not corrected in the early neonatal period, surgical correction is often necessary and is typically completed after the child reaches age 5 or 6 years, when they have already been subjected to their peers scrutiny.1 Furthermore, otoplasty procedures are costly and carry the risk of significant complications including residual deformity, hematoma, cellulitis, and the need for additional surgeries.5 In fact, the reported residual deformity rate observed after surgical correction is up to 6 times higher than that of auricular ...

What is Gordons syndrome? Also known as pseudohypoaldosteronism type II or familial hyperkalaemic hypertension, this is an extremely rare condition caused by single mutations in any one of four currently identified genes. Learn more about the two principle treatments here.

Among the causes of these deaths were obstructed and prolonged labour which could be prevented by cost effective and affordable health interventions like the use of the partograph. Despite their common occurrence, keloids remain one of the most challenging dermatologic conditions to successfully treat. It has long been known that malT is under catabolite repression and thus under the control of the cAMP/CAP complex.. This pilot study aimed at further exploration of the prevalence of PCF among hospice and palliative care nurses, as well as the nature of its effects and any coping strategies that nurses adopt. When 51 patients with arthrogryposis multiplex congenita followed an average of 12 years were reviewed, talipes equinovarus was the most common foot and ankle deformity. In addition, improvements in WCST performance over an extended period of time in both those with and those without already existing cognitive flexibility deficits indicate potential practice effects. Controlling effect of ...

In this article, Dr. Elizabeth Forster introduces key concepts relating to newborn Congenital Hip Dysplasia and Talipes Equinovarus.

To evaluate the second trimester ultrasound findings of the fetuses with Down syndrome.We conducted a retrospective analysis of 781 patients who underwent prenatal invasive test between November 2011 and July 2015. Based on the patients medical records, the demographic data and second trimester ultrasound findings of the fetuses with Down syndrome were retrospectively analyzed.Trisomy 21 was detected in 26 (3.3%) patients. The median (min-max) maternal age of trisomy 21 cases was 31.9 (17 - 41) years. The karyotype indications were high risk in the combined test, triple test, quadruple test and pathologic findings on the ultrasound examination. One case in the ultrasound group had both of combined test and triple test in the low risk area. In this patient, ultrasound examination revealed talipes equinovarus and delayed chorioamniotic fusion at 27 weeks of gestation. Trisomy 21 was detected in four patients by chorion villus biopsy at the first trimester. Second trimester ultrasound was performed in 22

What is Clubfoot? Clubfoot is one of the most common non-life threatening major birth defects. It affects your childs foot… Read More. ...

My entire pregnancy with Laura was fraught with anxiety due to our two previous losses. While I felt slightly less anxious with each positive milestone that we passed, I never was really able to settle down. As my pregnancy drew closer to full-term, I began feeling increasing anxiety about labor and delivery. I was worried that my labor would go so fast that we wouldnt make it to the hospital in time, and that wed have an unplanned home birth or car birth (this fear stemmed from the fact that Peters birth as very nearly an unplanned car birth). I was worried that I wouldnt be able to handle he the pain of labor, despite having had five unmedicated births. I was worried that something would go wrong during labor -- hemorrhaging, or placental abruption, or a host of other maladies -- and we would lose the baby. And so on ...

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Institut gumanitarno-politicheskikh issledovanii. %; -- New York: New York of Moscow Independent Press Publishing Company. 132 transport vision.

Founded by parents of children born with clubfoot in the US, Miracle Feet has helped change the. lives of more than 13,000 children in 13 different countries. Miracle Feet started collaboration with. CIIT from the year 2012 supporting Maharashtra, Madhya Pradesh, North East India and Rajasthan.. In the year 2015 they added Odisha and later this year they took over Uttarakhand, and Uttar. Pradesh to support them.. ...

Retinoic Acid, Cell, Cell Adhesion, Cell Death, Cells, Death, Maintenance, Mice, Mouse, Neurons, Retinal, Sensory Neurons, Survival, Ankle, Clubfoot, Control Group, Deformities, Deformity, Equinus Deformity, Feet

Question - Am pregnant. Baby has bilateral talipes and echogenic bowel. Should I go for amnio now?. Ask a Doctor about Amniocentesis, Ask an OBGYN, Gynecologic Oncology

pseudohypoaldosteronism type II, chloride shunt syndrome) an autosomal dominant condition associated with increased chloride absorption in the distal tubule leading to a syndrome of mild volume expansion, hypertension, and metabolic acidosis with otherwise normal renal function. Plasma renin and aldosterone are suppressed as a result of the volume expansion. Other features can include short stature, intellectual impairment, muscle weakness, and renal stones. ...

Wednesday 18th April: Re-scan at UCLH, Fetal Medicine Unit.. This morning we visited the Fetal Medicine Unity in UCLH (University College London Hospital) for the re-scan of baby boy bumps feet - to confirm or exclude Talipes (Club Foot). Since my worrying Midwife appointment the other week, Ive thought about nothing other than the results we might find at the scan today. Not about his feet though, I was thinking about everything else that it could be linked to. Yesterday the panic set in again and I started googling all sorts, which we all know, is probably the worst thing you can do - ever! Based on the, err, google search findings, Id really worried myself about how his spine might be developing, as Talipes can be the result of other genetic disorders. This all combined with the Midwife appointment made me really really quite anxious in that waiting from this morning.. Appointment was for 9am, we arrived early, as always, at 8:30am. We went into see the FMU and Speciality Doctor who has ...

Wednesday 18th April: Re-scan at UCLH, Fetal Medicine Unit.. This morning we visited the Fetal Medicine Unity in UCLH (University College London Hospital) for the re-scan of baby boy bumps feet - to confirm or exclude Talipes (Club Foot). Since my worrying Midwife appointment the other week, Ive thought about nothing other than the results we might find at the scan today. Not about his feet though, I was thinking about everything else that it could be linked to. Yesterday the panic set in again and I started googling all sorts, which we all know, is probably the worst thing you can do - ever! Based on the, err, google search findings, Id really worried myself about how his spine might be developing, as Talipes can be the result of other genetic disorders. This all combined with the Midwife appointment made me really really quite anxious in that waiting from this morning.. Appointment was for 9am, we arrived early, as always, at 8:30am. We went into see the FMU and Speciality Doctor who has ...

The AOFAS members share new technologies with Vietnamese orthopaedic surgeons and in return are exposed to foot and ankle conditions that many have only read about as classic textbook cases, such as severe untreated clubfoot. In addition to the surgical component, the AOFAS co-sponsored an educational conference on Surgery of the Lower Extremity in Hanoi. The visiting surgeons participated in the educational exchange which was attended by more than 150 Vietnamese orthopaedic surgeons. This cultural and professional exchange further enhances the experience for both AOFAS members and Vietnamese orthopaedic surgeons, while the service and educational components of the mission create opportunities for local surgeons to learn directly about new surgical advancements in the treatment of foot and ankle disease and deformities ...

The SRDC provided financial support to Li Guang for treating his deformity in Hong Kong. In August 2012, the boy arrived at the Duchess of Kent Childrens Hospital at Sandy Bay. In order to make his both feet plantigrade, or in contact to the ground, he received the medical procedure called bilateral triple arthrodesis. It is to fuse the three joints of his foot surgically. The surgery was a success and Li Guang stayed in the hospital for a month in the first phase.. ...

I was able to participate in the care of a variety of patients during my 2 weeks at the Garrahan Hospital. The spectrum of pathology was similar to that which we might see in the United States, though there was a bit of a dichotomy in the patients that I saw. On one hand there were the patients that had been appropriately referred through the free public health system, and were seen and evaluated in a timely manner. Unfortunately, access to appropriate care is still limited in some of the less developed parts of the country, as well as those referred in from neighboring countries. I saw several infants that were referred in from their primary care providers for clubfoot, and received treatment with the Ponsetti method just as they would have received here in the states (though their care was entirely free). On the other hand, I saw patients with late sequelae of osteomyelitis that was missed and went untreated for several months, with resultant bone loss and deformity. Their surgeons at the ...

Spondyloperipheral dysplasia is a disorder that impairs bone growth. This condition is characterized by flattened bones of the spine (platyspondyly) and unusually short fingers and toes (brachydactyly), with the exception of the first (big) toes. Other skeletal abnormalities associated with spondyloperipheral dysplasia include short stature, shortened long bones of the arms and legs, exaggerated curvature of the lower back (lordosis), and an inward- and upward-turning foot (clubfoot). Additionally, some affected individuals have nearsightedness (myopia), hearing loss, and intellectual disability.

TABLE 10 REVISED ESTIMATES OF ADMISSIONS AND HOSPITAL BED DAYS BY DIAGNOSIS PERSONS UNDE* AGE 21, LENGTH OF STAY UNDER 15 DAYS NORTH CAROLINA DIAGNOSIS TOTAL BED DAYS MEAN BED DAYS STANDARD DEVIATION VARIANCE NUMBER OF ADMISSIONS INFECT-PARASITIC CANCER OF BRAIN OTHER NEOPLASMS END.NJTfMETABHL BLOOD £ ORGANS CEREBRAL PALSY OTH CERE PARALY OTH NERVOUS SYS CIRCULATORY SYS RESPIRATORY SYS ARTHRIT IS £ RHEU OSTEOMYELITIS, ET SPINE CURVATURE OTH MUSCULOSKELE SPINA BIFIDA HYDROCEPHALUS CLUBFOOT OTH MUSCULO ANOM OTH ANOMALIES PERINATAL MORBID SYMPTOMS-ILL DEF SKULL SPINE FRAC UPPER LIMB FRAC LOWER LIMB FRAC DISLOCATIONS INTRACRANIAL IN J LACERATIONS BURNS NERVE INJURY MED & TOXIC EFF 25055 59 12558 8236 5402 690 624 37967 4392 111262 1524 7011 432 4521 556 688 629 3410 2101 16322 23537 7592 5954 7697 2894 1341 9732 2471 110 6650 4 5 4 6 4 4 6 3 5 3 6 6 5 3 6 5 4 5 4 6 3 4 3 5 5 4 4 6 3 2 3 5 3 3 3 3 4 2 3 2 3 3 3 2 4 3 2 3 3 3 2 3 2 3 3 4 i 4 1 3 7 22 8 11 7 8 13 5 12 4 11 8 12 6 14 12 5 9 10 12 5 10 ...

Supplementary MaterialsSuppl Fig. ovary (CHO) cells to measure sulfate uptake activity. Outcomes We discovered a hitherto undescribed mutation, T512K, homozygous in the affected topics and heterozygous in both parents and in the unaffected sister. T512K was after that defined as second pathogenic allele in the seven Finnish DTD topics. Expression tests confirmed pathogenicity. Conclusions DLCD is allelic towards the other disorders indeed. T512K is another uncommon Finnish mutation that leads to DLCD at homozygosity and in DTD when compounded using the milder, common Finnish mutation. In 1972, de la Chapelle described a grouped family members with two siblings suffering from a definite and previously unrecognised lethal skeletal dysplasia. The TAK-375 enzyme inhibitor scientific phenotype was characterised by serious micromelia, little thorax, cleft palate, and bilateral clubfoot; radiologically, the main features were short and bowed limb bones, unusually hypoplastic ulna and fibula, and spinal ...

Sensitive question, just wondering? 17 weeks and baby boy has DS (99% probability through Harmony blood test), clubfoot, and too much fluid pressin...

Except where otherwise noted, Astro Naythss blog photos, videos, and text are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License ...

I suffered a very serious football injury and ripped apart all the muscles and 3 tendons in my shoulder; after extensive surgery, I was told I would not be able to lift weights for 8 months! I was also supposed to keep it in a sling for 6 weeks.. Dont Be Reactive, Be Proactive!. When I got home I took what I knew about enzymes and started following Avenas Lifestyle 100%. I slammed Enzymes, I was doing 250 capsules every day. Within a couple days I was able to take the sling off, and start introducing small range of motions. In as little as 3 weeks I was doing Lat pull downs in the gym. Which I was not supposed to be able to do for 8 months.. Today I have full range of motion in that shoulder and every expert surgeon told me with the surgeries I had done, I should NEVER have that range of motion again. I believe in Avenas Enzymes, and the bodies ...

I think this depends on how severe your condition is. I was first diagnosed when I was 16. My orthopaedic doc at the time told me to hold off as long as I could if I could bear the pain because it was a very extensive surgery and involved a lot of healing time. I finally had a bone graft with screws and wires done when I was 18 to repair (Im 34 now). I played a lot of sports and had really bad pain, to a point where I could barely move my arm. When I got this done, it was the longest recovery from surgery that Ive ever had (I should also mention that by the time I got this done I had 4 knee surgeries). I was unable to drive for a month - drs orders, but it was also painful to move my arm to turn the wheel. I couldnt wear a bra or wash my hair and had trouble performing simple daily tasks. Your doctor should have explained the recovery and risks if (s)he suggested surgery. Best of luck to you!. ...

In May 1999, my youngest sister Elaine was rushed to the emergency room at our local hospital complaining of abdominal pain. Later that evening she underwent urgent surgery to have her colon resected. She unfortunately had advanced colon cancer. Sadly, just one year later, on May 18, 2000, she died, at the young age of 44 years old.. The tragic loss of my youngest sister could have been avoided if she had been screened for colon cancer.. A few years later, when I was 55, a colonoscopy revealed that I too had colon cancer and I required extensive surgery. Thankfully, to date, the cancer has not reappeared.. I was so much luckier. However, having been present throughout my sisters painful battle with colon cancer, I still ask myself why I wasnt more proactive in getting screened long before I was diagnosed with the disease. I guess I felt that it was something that could only happen to someone else. Perhaps I was embarrassed at the thought of having a doctor examine me or perhaps I was ...

In May 1999, my youngest sister Elaine was rushed to the emergency room at our local hospital complaining of abdominal pain. Later that evening she underwent urgent surgery to have her colon resected. She unfortunately had advanced colon cancer. Sadly, just one year later, on May 18, 2000, she died, at the young age of 44 years old.. The tragic loss of my youngest sister could have been avoided if she had been screened for colon cancer.. A few years later, when I was 55, a colonoscopy revealed that I too had colon cancer and I required extensive surgery. Thankfully, to date, the cancer has not reappeared.. I was so much luckier. However, having been present throughout my sisters painful battle with colon cancer, I still ask myself why I wasnt more proactive in getting screened long before I was diagnosed with the disease. I guess I felt that it was something that could only happen to someone else. Perhaps I was embarrassed at the thought of having a doctor examine me or perhaps I was ...

Many people suffer from hip pain because their bones are misshapen, but their condition is often misdiagnosed, and when found, treatment has required extensive surgery - until now.

My business partner, mentor and best friend recently passed away from esophageal cancer after 14 months of chemo, radiation and surgeries. When first diagnosed, he was told he had 6 months. He had no family, no close friends in the Bay Area. He told us he was frightened to die alone(his wife had died of lung cancer 6mos. previously). We insisted he move to Sacramento and live with us. Another MD offered hope. Said chemo and radiation would shrink the tumor enough to be excised. Trouble was, Cal was unable to swallow because the tumor was blocking him. So, head had a feeding tube put in, and a stent to open his throat. We fed him the most caloric favorite foods to fatten him up in an effort to make him strong enough to tolerate the extensive surgery that might free him of the cancer. We got 21lbs on him. But it was too late. The cancer had spread to the lymph nodes, and would not be operable. Hospicare started(they were wonderful), and we did all we could to see Cal as comfortable as possible. I ...

Undeniably, heredity plays a role in varicose veins, those decidedly unattractive blue ropey knots (or squiggly red lines) youre certain are distracting everyone from your otherwise perfect legs. Although varicose veins are rarely a serious medical problem, they can be quite uncomfortable and even painful if inflamed. Conventional medicine now offers a variety of minimally invasive outpatient surgical procedures that have virtually eliminated the more extensive surgery required in the past. Prevention ...

Nene announced yesterday that Gregg was having an extensive surgery, presumably to remove cancerous tumor. Nene has been very tight-lipped with Greggs exact diagnosis. After asking for prayers (and receiving many) she promised to update us on how things went. I was a bit worried last night when we didnt hear anything. But today she […]. ...

Well its been a week since my dad has had his extensive surgery. He had alittle bit of jaundice which was caused by one of his antibiotics. He is doing very well for only being a week. They got him up in a chair today and he sat there watching t.v. for 2 hours. His appetite has gone down. He is depressed but who wouldnt be after all he has been thru. He is starting to get some pink back in his cheeks. The Dr. changed his dressing Friday and he said that it looked very good. Nic and pink and no more infection or odor. Tomorrow he is getting a wound vac to help heal it and keep it clean. I wish he could come home but i am trying to be patient. Thank you all for the prayers and thoughts. ...

A Las Vegas domestic abuse survivor who is still recovering after nearly losing both hands when she was attacked with a machete by her ex-boyfriend is now undergoing extensive surgery and treatments for uterine cancer.

to promote weight gain after weight loss following extensive surgery, chronic infections, or severe trauma; for the relief of bone ...

After a soccer injury revealed a malignant tumor on the spinal cord of a 12-year-old boy from China, he required extensive surgery at Peking University Thi

Ex-skinhead gets extensive surgery to remove racist face tattoos Meet Bryon Widner. He used to be a white supremacist. When […]

Battaglia, M., Ahmed, S., Anderson, M. S., Atkinson, M. A., Becker, D., Bingley, P. J., Bosi, E., Brusko, T. M., DiMeglio, L. A., Evans-Molina, C., Gitelman, S. E., Greenbaum, C. J., Gottlieb, P. A., Herold, K. C., Hessner, M. J., Knip, M., Jacobsen, L., Krischer, J. P., Alice Long, S., Lundgren, M. & 12 others, McKinney, E. F., Morgan, N. G., Oram, R. A., Pastinen, T., Peters, M. C., Petrelli, A., Qian, X., Redondo, M. J., Roep, B. O., Schatz, D., Skibinski, D. & Peakman, M., Jan 1 2020, In : Diabetes care. 43, 1, p. 5-12 8 p.. Research output: Contribution to journal › Review article ...

Vecchio, F., Lo Buono, N., Stabilini, A., Nigi, L., Dufort, M. J., Geyer, S., Rancoita, P. M., Cugnata, F., Mandelli, A., Valle, A., Leete, P., Mancarella, F., Linsley, P. S., Krogvold, L., Herold, K. C., Larsson, H. E., Richardson, S. J., Morgan, N. G., Dahl-Jørgensen, K., Sebastiani, G. & 82 others, Dotta, F., Bosi, E., Bianconi, E., Bonfanti, R., Bonura, C., De Pellegrin, M., Frontino, G., Grogan, P., Laurenzi, A., Meschi, F., Ragogna, F., Rigamonti, A., Greenbaum, C. J., Atkinson, M., Baidal, D., Becker, D., Bingley, P., Buckner, J., Clements, M., Colman, P., DiMeglio, L., Gitelman, S., Goland, R., Gottlieb, P., Knip, M., Krischer, J., Lernmark, A., Moore, W., Moran, A., Muir, A., Palmer, J., Peakman, M., Philipson, L., Raskin, P., Redondo, M., Rodriguez, H., Russell, W., Spain, L., Schatz, D. A., Sosenko, J., Wentworth, J., Wherrett, D., Wilson, D., Winter, W., Ziegler, A., Anderson, M., Antinozzi, P., Benoist, C., Blum, J., Bourcier, K., Chase, P., Clare-Salzler, M., Clynes, R., ...