Management of the Adult, Spastic, Equinovarus Foot Deformity.
Publication/Presentation Date
6-1-1994
Abstract
Management of the persistent, acquired, neurogenic equinovarus foot may be a confounding rehabilitative dilemma. Victims of cerebrovascular accidents and traumatic brain injury commonly develop this neurogenic deformity. The plantarflexed and inverted foot position results from an imbalance of forces about the hindfoot due to exaggerated muscle tone and hyperactive stretch reflexes. Significant functional impairment may ensue if a plantigrade foot position cannot be achieved and maintained. Surgical correction may be necessary if conservative measures fail. Determination of the dynamic and static components contributing to the equinovarus deformity is difficult. Gait analysis and dynamic electromyographic studies are valuable adjuncts for operative planning. The wide-ranging goals of surgery vary from improving transfer and ambulation skills, to assisting wheelchair positioning, to facilitating use of braces and/or shoe wear.
Volume
15
Issue
6
First Page
340
Last Page
346
ISSN
1071-1007
Published In/Presented At
Lawrence, S. J., & Botte, M. J. (1994). Management of the adult, spastic, equinovarus foot deformity. Foot & Ankle International, 15(6), 340-346.
Disciplines
Medical Sciences | Medicine and Health Sciences | Orthopedics
PubMedID
8075766
Department(s)
Department of Medicine
Document Type
Article