Friday, July 16, 2010

Parallel Syndromes

Post-club feet can be characterized best, I believe, by chronic pain in and around prior surgical sites, whose intent was to "correct" talipes equino-varus deformity, but whose subsidiary effect was to create a steadily building cascade of arthritis and soft-tissue strain. I suspect, if anyone takes up the banner to more closely, and one would hope, scientifically study this syndrome, they will deepen and clarify said definition. Until then, it will have to do.

But I have recently had brought to my attention at least one other parallel syndrome, whose characteristics are remarkably similar to post-club foot syndrome - post-hip dysplasia. I am as far as I know adding the "post-" to the term, but it appears apt - this syndrome is experienced by adults who, as children (of course) were diagnosed with and treated for hip dysplasia. The similarity is what such adults have come to experience - early onset arthritic changes to their hip joints, with of course accompanying pain, and facing the prospect of the need for early total hip replacement. This is occurring in people as young as their early 30s. And it appears that, as in post-club feet, there is remarkably little in the way of studies, or searches for alternative solutions, and, sadly, no apparent feedback loops from the adult orthopedic doctors back to the pediatric orthopedists so that there would even be the possibility of seeking improved treatment options based on long-term outcomes.

You see what I mean by parallel?

No comments:

Post a Comment

Welcome to The Truth About Talipes! Your comments are welcome, and strongly encouraged. We with post-club feet are the best sources of information about the issues we face. Join in! (If your comment fails to appear, make a second attempt - Blogger is known to have "issues" with Comment upload from time to time.) And right now, it seems it does not want to display comments on the main page, but it will show them for individual posts, so don't give up yet!!!