equinus deformity

Summary

Summary: Plantar declination of the foot.

Top Publications

  1. ncbi Pedobarometric evaluation of equinus foot disorder after injection of botulinum toxin A in children with cerebral palsy: a pilot study
    M Falso
    Section of Neurological Rehabilitation, Department of Neurological Sciences and Vision, University Hospital GB Rossi, Avenue A Scuro 37134, Verona, Italy
    Dev Med Child Neurol 47:396-402. 2005
  2. ncbi Recurrence of equinus foot deformity in cerebral palsy patients following surgery: a review
    L Andrew Koman
    Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157 1070, USA
    J South Orthop Assoc 12:125-33, quiz 134. 2003
  3. ncbi Treatment of spastic diplegia in patients with cerebral palsy: Part II
    Michael D Aiona
    Shriners Hospitals for Children, 3101 SW Sam Jackson Park Road, Portland, OR 97239, USA
    J Pediatr Orthop B 13:S13-38. 2004
  4. ncbi Botulinum toxin type A for the treatment of the spastic equinus foot in cerebral palsy
    Eduardo S Cardoso
    Neurology and Epidemiology Division, Federal University of Bahia, Salvador Bahia, Brazil
    Pediatr Neurol 34:106-9. 2006
  5. ncbi Comparison of three heel cord surgeries in children with cerebral palsy
    Jack R Engsberg
    Human Performance Lab, Dept of Neurological Surgery, Washington Univ, School of Medicine, St Louis, MO 63110, USA
    J Appl Biomech 21:322-33. 2005
  6. ncbi Mechanical work, energetic cost, and gait efficiency in children with cerebral palsy
    Adélaïde van den Hecke
    Department of Physical Medicine and Rehabilitation, Cliniques Universitaires Saint Luc, Brussels, Belgium
    J Pediatr Orthop 27:643-7. 2007
  7. ncbi Computerized static posturographic assessment after treatment of equinus deformity in children with cerebral palsy
    Sophie Bourelle
    Service de Chirurgie Pediatrique, CHU de Saint Etienne, Hopital Nord, Saint Etienne Cedex, France
    J Pediatr Orthop B 19:211-20. 2010
  8. ncbi Gait pattern categorization of stroke participants with equinus deformity of the foot
    Sharon Kinsella
    Department of Science and Health, School of Science, Institute of Technology, Carlow, Ireland
    Gait Posture 27:144-51. 2008
  9. ncbi Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus
    Lawrence A Lavery
    Diabetex Research Group, Baltimore, Maryland, USA
    J Am Podiatr Med Assoc 92:479-82. 2002
  10. ncbi A systematic review of the effects of casting on equinus in children with cerebral palsy: an evidence report of the AACPDM
    A M Blackmore
    The Centre for Cerebral Palsy, Mount Lawley, Western Australia, Australia
    Dev Med Child Neurol 49:781-90. 2007

Research Grants

Detail Information

Publications163 found, 100 shown here

  1. ncbi Pedobarometric evaluation of equinus foot disorder after injection of botulinum toxin A in children with cerebral palsy: a pilot study
    M Falso
    Section of Neurological Rehabilitation, Department of Neurological Sciences and Vision, University Hospital GB Rossi, Avenue A Scuro 37134, Verona, Italy
    Dev Med Child Neurol 47:396-402. 2005
    ..Pedobarometric evaluation can also be useful in quantifying clinical changes after treatment with BTX-A...
  2. ncbi Recurrence of equinus foot deformity in cerebral palsy patients following surgery: a review
    L Andrew Koman
    Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157 1070, USA
    J South Orthop Assoc 12:125-33, quiz 134. 2003
    Although equinus deformity in children with cerebral palsy is often corrected with surgery, postsurgical recurrence of the deformity is not uncommon...
  3. ncbi Treatment of spastic diplegia in patients with cerebral palsy: Part II
    Michael D Aiona
    Shriners Hospitals for Children, 3101 SW Sam Jackson Park Road, Portland, OR 97239, USA
    J Pediatr Orthop B 13:S13-38. 2004
    ..The static components are treated with bony procedures, including various osteotomies and arthrodesis, incorporating biomechanical principles...
  4. ncbi Botulinum toxin type A for the treatment of the spastic equinus foot in cerebral palsy
    Eduardo S Cardoso
    Neurology and Epidemiology Division, Federal University of Bahia, Salvador Bahia, Brazil
    Pediatr Neurol 34:106-9. 2006
    ..49, 95% confidence interval = 1.50-8.12). Adverse events were more frequently observed after the use of botulinum toxin type A, but they were considered mild and self-limited...
  5. ncbi Comparison of three heel cord surgeries in children with cerebral palsy
    Jack R Engsberg
    Human Performance Lab, Dept of Neurological Surgery, Washington Univ, School of Medicine, St Louis, MO 63110, USA
    J Appl Biomech 21:322-33. 2005
    ..Gait speed for the HCL-V and HCL-W groups was unchanged. The study was the first to directly compare three heel-cord-lengthening surgeries...
  6. ncbi Mechanical work, energetic cost, and gait efficiency in children with cerebral palsy
    Adélaïde van den Hecke
    Department of Physical Medicine and Rehabilitation, Cliniques Universitaires Saint Luc, Brussels, Belgium
    J Pediatr Orthop 27:643-7. 2007
    ..Twenty independently walking children with spastic, hemiplegic CP and a dynamic foot equinus deformity participated in the study...
  7. ncbi Computerized static posturographic assessment after treatment of equinus deformity in children with cerebral palsy
    Sophie Bourelle
    Service de Chirurgie Pediatrique, CHU de Saint Etienne, Hopital Nord, Saint Etienne Cedex, France
    J Pediatr Orthop B 19:211-20. 2010
    ..However, the prerequisite for walking is adequate postural control. We hypothesize that a treatment of an equinus deformity should improve postural control. Balance control was assessed by static posturography on the Balance Master...
  8. ncbi Gait pattern categorization of stroke participants with equinus deformity of the foot
    Sharon Kinsella
    Department of Science and Health, School of Science, Institute of Technology, Carlow, Ireland
    Gait Posture 27:144-51. 2008
    Following stroke an equinus deformity of the foot may develop, which may affect the gait pattern of patients differently...
  9. ncbi Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus
    Lawrence A Lavery
    Diabetex Research Group, Baltimore, Maryland, USA
    J Am Podiatr Med Assoc 92:479-82. 2002
    ..Having a high index of suspicion for this deformity and subsequently addressing it through conservative or surgical means may help to reduce the risk of foot ulceration and amputation...
  10. ncbi A systematic review of the effects of casting on equinus in children with cerebral palsy: an evidence report of the AACPDM
    A M Blackmore
    The Centre for Cerebral Palsy, Mount Lawley, Western Australia, Australia
    Dev Med Child Neurol 49:781-90. 2007
    ..Much of the evidence both for and against differences is weak, and results may be explained by methodological limitations. Future research needs to use adequate sample sizes, long-term follow-ups, and broader and more global measures...
  11. ncbi Botulinum toxin type A injections into the calf muscles for treatment of spastic equinus in cerebral palsy: a randomized trial comparing single and multiple injection sites
    Heli Sätilä
    Department of Paediatric Neurology, Tampere University Hospital, Tampere, Finland
    Am J Phys Med Rehabil 87:386-94. 2008
    ..To investigate the hypothesis that the multiple-site injection technique is associated with better outcomes than the single-point injection method in children with cerebral palsy and spastic equinus gait...
  12. ncbi An equinus deformity of the ankle accounts for only a small amount of the increased forefoot plantar pressure in patients with diabetes
    M S Orendurff
    Department of Orthopaedics and Sports Medicine, VA Puget Sound Health Care System, University of Washington, MS 151, 1660 South Columbian Way, Seattle, WA 98108, USA
    J Bone Joint Surg Br 88:65-8. 2006
    ..Our findings suggest caution in undertaking of tendon-lengthening procedures to reduce peak forefoot plantar pressures in diabetic subjects until clearer indications are established...
  13. ncbi Efficacy of botulinum toxin A, serial casting, and combined treatment for spastic equinus: a retrospective analysis
    Allan M Glanzman
    Department of Physical Therapy, Children s Seashore House of The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
    Dev Med Child Neurol 46:807-11. 2004
    ..37). There was no significant difference between casting with or without BTX-A, and both improved ROM to a greater degree than BTX-A alone. Casting demonstrated a significantly more robust impact on range of motion than BTX-A alone...
  14. ncbi Biomechanical characterization and clinical implications of artificially induced toe-walking: differences between pure soleus, pure gastrocnemius and combination of soleus and gastrocnemius contractures
    Zlatko Matjacic
    Research Unit, Institute for Rehabilitation, Republic of Slovenia, Linhartova 51, SI 1000 Ljubljana, Slovenia
    J Biomech 39:255-66. 2006
    ....
  15. ncbi Assessment protocol for serial casting after botulinum toxin a injections to treat equinus gait
    Barbara Kelly
    School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada
    Pediatr Phys Ther 20:233-41. 2008
    ..The purpose of this study was to investigate feasibility of an assessment protocol for a trial of post-Botox casting to treat equinus gait in cerebral palsy...
  16. ncbi Gastrocnemius and soleus lengths in cerebral palsy equinus gait--differences between children with and without static contracture and effects of gastrocnemius recession
    Tishya A L Wren
    Childrens Orthopaedic Center, Childrens Hospital Los Angeles, 4650 Sunset Blvd, No 69, Los Angeles, CA 90027, USA
    J Biomech 37:1321-7. 2004
    ..04). These results support the current clinical understanding of the role of calf "tightness" in equinus gait, including the appropriateness and effectiveness of gastrocnemius recession for children with equinus contracture...
  17. ncbi Fixed and dynamic equinus in cerebral palsy: evaluation of ankle function after multilevel surgery
    G Steinwender
    Department of Paediatric Orthopaedics, Karl Franzens University of Graz, Austria
    J Pediatr Orthop 21:102-7. 2001
    ..Patients were divided into two groups based on the presence of dynamic equinus (12 cases) and fixed equinus deformity (17 cases)...
  18. ncbi [The equino-varus foot deformity in patients with hemiplegia]
    J M Mazaux
    Groupe Handicap et cognition, EA 487, Université Victor Segalen Bordeaux II, 33076 Bordeaux Cedex, France
    Ann Readapt Med Phys 47:87-9. 2004
  19. ncbi Recurrence rates of burn contracture ankle equinus and other foot deformities in children treated with Ilizarov fixation
    Kelly D Carmichael
    Department of Orthopaedics and Rehabilitation, University of Texas Medical Branch, Galveston, Texas 77555 0353, USA
    J Pediatr Orthop 25:523-8. 2005
    ..In young children, the possibility of having additional surgeries, including repeat Ilizarov procedures, should be discussed. Even older children should expect additional surgeries to prevent recurrent deformities...
  20. ncbi Automated feature assessment in instrumented gait analysis
    Sebastian Wolf
    Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstr 200A, D 69118 Heidelberg, Germany
    Gait Posture 23:331-8. 2006
    ....
  21. ncbi Interest of peripheral anesthetic blocks as a diagnosis and prognosis tool in patients with spastic equinus foot: a clinical and electrophysiological study of the effects of block of nerve branches to the triceps surae muscle
    Kevin Buffenoir
    Service de Neurochirurgie, Hopital Henri Mondor, Assistance Publique Hopitaux de Paris, Creteil, France
    Clin Neurophysiol 116:1596-600. 2005
    ..To evaluate clinically and electrophysiologically the effects of selective anesthetic blocks of motor nerve branches to the triceps surae muscle on lower limb stretch reflex in patients with spastic equinus foot...
  22. ncbi [Botulinum toxin: a new dimension for spasticity]
    Gerhard Reichel
    Kompetenzzentrum für Bewegungsstörungen, Paracelsusklinik Zwickau
    MMW Fortschr Med 149:65-9. 2007
    ..Btx improves the ability to walk and stand of patients with spastic equinus deformity and hip and knee flexor spasticity...
  23. ncbi Associations between static and functional measures of joint function in the foot and ankle
    James S Wrobel
    Surgical Service, Veterans Affairs Medical and Regional Office Center, Surgical Service 122E, White River Junction, VT 05009, USA
    J Am Podiatr Med Assoc 94:535-41. 2004
    ..Pinch callus seems to be as predictive of functional gait alterations as static first metatarsophalangeal joint and ankle dorsiflexion...
  24. ncbi The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot
    Christopher W DiGiovanni
    Division of Foot and Ankle, Department of Orthopedic Surgery, Brown Medical School, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA
    Foot Ankle Clin 12:363-79, viii. 2007
    ....
  25. ncbi [Choice of operative procedures to correct equinus deformity in patients with cerebral palsy]
    G Cobeljic
    Institut za ortopedsko hirurske bolesti Banjica Beogtrad
    Acta Chir Iugosl 53:21-6. 2006
    b>Equinus deformity of the foot presents a great number of difficulties to ambulant patients with cerebral palsy. Non-operative treatment of the incorrectible - fixed equinus is not successful...
  26. ncbi Classification of equinus in ambulatory children with cerebral palsy-discrimination between dynamic tightness and fixed contracture
    Ernst B Zwick
    Department of Paediatric Surgery, Paediatric Orthopaedic Unit, Karl Franzens University, Auenbruggerplatz 34, A 8036 Graz, Austria
    Gait Posture 20:273-9. 2004
    ..a generalised dynamic neural network (GDNN) was designed to process gait analysis parameters to evaluate equinus deformity in ambulatory children with cerebral palsy...
  27. ncbi Spastic equinus foot: multicenter study of the long-term results of tibial neurotomy
    Kevin Buffenoir
    Service de Neurochirurgie, Hopital Henri Mondor, Assistance Publique Hopitaux de Paris, Creteil, France
    Neurosurgery 55:1130-7. 2004
    ..The primary objective of this prospective study was to provide an objective quantification of the long-term results of tibial neurotomy...
  28. ncbi Instrumented assessment of muscle overactivity and spasticity with dynamic polyelectromyographic and motion analysis for treatment planning
    Alberto Esquenazi
    Department of Physical Medicine and Rehabilitation, Moss Rehab, Philadelphia, Pennsylvania 19141, USA
    Am J Phys Med Rehabil 83:S19-29. 2004
  29. ncbi Management of long toe flexor spasticity in the equinus foot in cerebral palsy
    John E Handelsman
    Division of Pediatric Orthopaedic Surgery, Schneider Children s Hospital, New Hyde Park, New York, USA
    J Pediatr Orthop B 16:185-8. 2007
    ..Lengthening of the long toe flexors, in conjuction with tendoachilles lengthening, is an effective means of achieving a balanced foot in cerebral palsy...
  30. ncbi Correction of neglected idiopathic club foot by the Ponseti method
    A F Lourenco
    Department of Orthopaedics and Traumatology Federal University of São Paulo, Rua Napoleao de Barros, 715 04024 002 São Paulo, Brazil
    J Bone Joint Surg Br 89:378-81. 2007
    ..Failure was observed in five patients (8 feet) who required a posterior release for full correction of the equinus deformity. We conclude that the Ponseti method is a safe, effective and low-cost treatment for neglected idiopathic ..
  31. ncbi Posterior tibial tendon transfer: results of fixation to the dorsiflexors proximal to the ankle joint
    Frank Christiaan B M Wagenaar
    Department of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands
    Foot Ankle Int 28:1128-42. 2007
    ..The present study is the first to describe the results of posterior tibial tendon transfer through the interosseous membrane attaching only the posterior tibial tendon to the extensor tendons proximal to the ankle joint...
  32. ncbi Evaluation of botulinum toxin therapy of spastic equinus in paediatric patients with cerebral palsy
    Paolo Manganotti
    Department of Neurological Sciences and Vision Neurological Rehabilitation Section, Policlinico GB Rossi, Piazzale Scuro 10, University of Verona, Verona, Italy
    J Rehabil Med 39:115-20. 2007
    ..To develop a clinical and instrumental protocol to assess the postural and dynamic effects following treatment with botulinum neurotoxin A in children with cerebral palsy affected by spastic equinus...
  33. ncbi High recurrence after calf lengthening with the Ilizarov apparatus for treatment of spastic equinus foot deformity
    Rainer Biedermann
    Department of Orthopaedics, Innsbruck Medical University, Anichstrasse 35, A 6020 Innsbruck, Austria
    J Pediatr Orthop B 16:125-8. 2007
    ..The technique cannot be recommended for routine clinical use and may only be an alternative for selected cases...
  34. ncbi Botox: the poison that heals
    Sunali Khanna
    Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
    Int Dent J 56:356-8. 2006
    ..Novel uses for this unique substance will continue to permeate many medical and surgical specialties. Botulinum toxin delivered using more precise techniques may permit improved results without undesired consequences...
  35. ncbi The use of the analytic hierarchy process to aid decision making in acquired equinovarus deformity
    Janine A Van Til
    Roessingh Research and Development, Enschede, The Netherlands
    Arch Phys Med Rehabil 89:457-62. 2008
    ..To increase the transparency of decision making about treatment in patients with equinovarus deformity poststroke...
  36. ncbi Influence of equinus treatments on the vertical displacement of the body's centre of mass in children with cerebral palsy
    Firas Massaad
    Rehabilitation and Physical Medicine Unit, Universite Catholique de Louvain, Brussels, Belgium
    Dev Med Child Neurol 48:813-8. 2006
    ..In fact, TR remains a main gait determinant, reducing the vertical COM displacement after equinus gait treatment and influencing the general gait pattern...
  37. ncbi Efficacy of ankle-foot orthoses on gait of children with cerebral palsy: systematic review of literature
    Elyonara Mello Figueiredo
    Department of Physical Therapy, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Brazil
    Pediatr Phys Ther 20:207-23. 2008
    ..To perform a literature review evaluating the quality of current research on the influence of ankle-foot orthoses (AFOs) on gait in children with cerebral palsy (CP)...
  38. ncbi The surgical management of equinus in the adult acquired flatfoot
    Amanda Meszaros
    Private Practice Ashland Mansfield Foot and Ankle Specialists, 550 South Trimble Road, Mansfield, OH 44906, USA
    Clin Podiatr Med Surg 24:667-85, viii. 2007
    ..Whereas tendo-achilles lengthening is efficient and technically undemanding, and one may achieve large amounts of required length, final length is sometimes unpredictable and may markedly decrease posterior muscle group strength...
  39. ncbi Does fascicular neurotomy have long-lasting effects?
    Herve Collado
    Department of Physical and Rehabilitation Medicine, Faculte de Medecine, Universite de la Mediterranee, Assistance Publique Hopitaux de Marseille, University Hospital La Timone, Marseille, France
    J Rehabil Med 38:212-7. 2006
    ..To determine whether fascicular neurotomy has long-lasting effects on spasticity...
  40. pmc Medium-term follow-up of Achilles tendon lengthening in the treatment of ankle equinus in cerebral palsy
    Frederick R Dietz
    Department of Orthopaedics Surgery, University of Iowa Hospitals and Clinics Iowa City, IA 52242, USA
    Iowa Orthop J 26:27-32. 2006
    ..This study assessed the medium term follow-up results of treatment of spastic ankle equinus deformity in cerebral palsy using Hoke or coronal Z-lengthening of the Achilles tendon...
  41. ncbi Dynamic foot pressure measurements for assessing foot deformity in persons with spastic cerebral palsy
    Eun Sook Park
    Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, South Korea
    Arch Phys Med Rehabil 87:703-9. 2006
    ....
  42. ncbi Treatment of spastic equinus gait with botulinum toxin A: Does dose matter? Analysis of a clinical cohort
    H K Sätilä
    Department of Pediatric Neurology, Central Hospital of Kanta Hame, Hameenlinna, Finland
    Neuropediatrics 37:344-9. 2006
    ..This study reports the effects of various doses of BTX-A when treating equinus gait in cerebral palsy in a clinical setting at a tertiary hospital...
  43. ncbi A double-blind randomised placebo-controlled evaluation of three doses of botulinum toxin type A (Dysport) in the treatment of spastic equinovarus deformity after stroke
    S J Pittock
    Department of Neurology, Beaumont Hospital, Dublin, Ireland
    Cerebrovasc Dis 15:289-300. 2003
    ..Calf muscle hypertonicity following stroke may impair walking rehabilitation. The aim of this study was to assess botulinum toxin (Dysport) in post-stroke calf spasticity...
  44. ncbi Ankle-foot orthoses: effect on gait in children with cerebral palsy
    Erbil Dursun
    Kocaeli University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Turkey
    Disabil Rehabil 24:345-7. 2002
    ..In this study our aim was to evaluate the effectiveness of Ankle-Foot Orthoses (AFOs) on gait function in patients with spastic cerebral palsy for whom orthoses were indicated to control dynamic equines deformity...
  45. ncbi Functional outcome following Botulinum toxin A injection to reduce spastic equinus in adults with traumatic brain injury
    Jimy Fock
    Brighton Rehabilitation Centre, Victoria, Australia
    Brain Inj 18:57-63. 2004
    ..The aim of this study was to assess the effect of Botulinum toxin A in the management of spastic equinus resulting from traumatic brain injury...
  46. ncbi Length and force of the gastrocnemius and soleus during gait following tendo Achilles lengthenings in children with equinus
    Michael S Orendurff
    Motion Analysis Laboratory, Shriners Hospital for Children, Portland, OR, USA
    Gait Posture 15:130-5. 2002
    ..31 N/kg BW postop; P<0.01). Assessment of the force-length capacity of the triceps surae in candidates for tendo Achilles lengthenings may identify individuals at risk of residual weakness and iatrogenic crouch...
  47. ncbi Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy
    C Detrembleur
    Rehabilitation Unit, Universite Catholique de Louvain, Brussels, Belgium
    Mov Disord 17:162-9. 2002
    ..stimulation, as suggested in focal dystonia or in adult spastic patients, 12 children with dynamic foot equinus deformity were randomly assigned to two groups in a blinded, clinically controlled trial...
  48. ncbi Conservative management of dynamic equinus in diplegic children treated by gait improvement surgery
    V Saraph
    Paediatric Orthopaedic Unit, Department of Paediatric Surgery, Karl Franzens University, Auenbruggerplatz 34 A-8036 Graz, Austria
    J Pediatr Orthop B 10:287-92. 2001
    ..improvement was performed on twelve ambulatory children with diplegic type of cerebral palsy and dynamic equinus deformity. Dynamic equinus deformities were defined as those who had an equinus at initial contact during preoperative ..
  49. ncbi [Percutaneous lengthening of the Achilles tendon in children with cerebral palsy. Technique and results]
    P Boireau
    Service de Chirurgie Infantile, CHD Felix Guyon, 97405 Saint Denis, Ile de La Réunion, France
    Rev Chir Orthop Reparatrice Appar Mot 88:705-9. 2002
    We report a series of percutaneous lengthenings of the Achilles tendon in cerebral palsy children with equinus deformity in 25 patients due to retraction of the triceps surae. This technique has several advantages over open procedures...
  50. ncbi Safety of percutaneous tendoachilles tenotomy performed under general anesthesia on infants with idiopathic clubfoot
    Stephen A Parada
    Orthopaedic Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA
    J Pediatr Orthop 29:916-9. 2009
    Most patients with idiopathic clubfeet require a percutaneous tendoachilles tenotomy to correct residual equinus deformity. This procedure is typically performed with the child awake in an outpatient setting...
  51. ncbi [The effect of tibial lengthening on gastrosoleus muscle function: an electrophysiological study]
    Bartu Sarisozen
    Department of Orthopedics and Traumatology, Medicine Faculty of Uludag University, 16059Görükle, Bursa, Turkey
    Acta Orthop Traumatol Turc 43:277-82. 2009
    ..We evaluated the changes in electrophysiological characteristics of the contraction forces of the gastrosoleus complex due to stretching in experimental tibial lengthening...
  52. ncbi [Severe foot deformities in adolescents and adults--techniques after Imhäuser, Lelièvre und Lambrinudi]
    G Schwetlick
    Orthopädische Klinik der Pfeifferschen Stiftungen Magdeburg, Pfeifferstrasse 10, 39114 Magdeburg
    Orthopade 35:422-7. 2006
    ..and the cuboid bone, in addition to the removal of a bone wedge from the talus for correction of the talipes equinus deformity. Severe contraction talipes calvus can be straightened and capable of loading using Imhäuser's technique ..
  53. ncbi Ankle fusion for bone loss around the ankle joint using the Ilizarov technique
    C C Kovoor
    Eranakulam Medical Centre and Specialist Hospitals, Eranakulam Kochi, Kerala, India
    J Bone Joint Surg Br 91:361-6. 2009
    ..b>Equinus deformity of the ankle fusion occurred after a further fracture in one patient...
  54. ncbi Adult onset flatfoot associated with an intramuscular hemangioma of the posterior tibialis muscle
    Thomas John Kryzak
    Department of General Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
    Orthopedics 31:280. 2008
    ..Intermuscular hemangioma of the calf may cause acquired spasticity and equinus deformity of the foot...
  55. pmc Pedobarographic analysis following Ponseti treatment for congenital clubfoot
    Marc F Sinclair
    Orthopaedic Department, Medcare Hospital, PO Box 215565, Dubai, UAE
    Clin Orthop Relat Res 467:1223-30. 2009
    ..Despite the clinical outcomes, radiographic assessment suggests residual equinus deformity of the hindfoot...
  56. ncbi IIlizarov external fixator for bilateral severe flexion deformity of the knee in haemophilia: case report
    Ashok Kumar
    Department of Orthopaedics and Haematology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India
    Arch Orthop Trauma Surg 130:621-5. 2010
    ..Deformity correction by Illizarov method in haemophilic patients is a rare phenomenon...
  57. ncbi Effects of biofeedback treatment on gait in children with cerebral palsy
    Erbil Dursun
    Kocaeli University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kocaeli, Turkey
    Disabil Rehabil 26:116-20. 2004
    ..We evaluated the effectiveness of biofeedback treatment on gait function in children with cerebral palsy...
  58. ncbi Persistence of range of motion in dorsiflexion, when the triceps surae muscles weaken, worsens stance and gait in Charcot-Marie-Tooth disease. A case report
    P Vinci
    Unit of Rehabilitation of Charcot Marie Tooth Disease and other Neuromuscular Disorders, Specialized Rehabilitation, Hospital Spolverini, Ariccia, Rome, Italy
    Eura Medicophys 42:219-22. 2006
    ..On the contrary, the milder affected sister presents a slight equinus deformity well compensated by wearing shoes with a bit of heel...
  59. ncbi Mini-open technique for the achilles tenotomy in correction of idiopathic clubfoot: a report of 25 cases
    Ali Dogan
    Department of Orthopaedics and Traumatology, School of Medicine, Yuzuncu Yil University, Van, Turkey
    J Am Podiatr Med Assoc 98:414-7. 2008
    Achilles tenotomy is performed for the residual equinus deformity in the Ponseti method of clubfoot treatment...
  60. ncbi Posterior bone block for footdrop: a report of two cases
    Onder Kilicoglu
    Istanbul Medical Faculty, Department of Orthopaedics and Traumatology, Istanbul University, Topkapi, Istanbul, Turkey
    J Am Podiatr Med Assoc 97:160-4. 2007
    ..Two cases of acquired flail ankle with equinus deformity were treated using a new modification of the bone-block technique that does not interfere with subtalar ..
  61. ncbi Lower extremity compartment syndrome in an adolescent with spinal cord injury
    L C Vogel
    Shriners Hospital for Children and Rush Medical College, Chicago, Illinois, USA
    J Spinal Cord Med 24:278-83. 2001
    ..Describe the unusual complication of lower extremity compartment syndrome occurring in an adolescent with spinal cord injury (SCI)...
  62. ncbi Early mobilization after sliding achilles tendon lengthening in children with spastic cerebral palsy
    K Katz
    Department of Orthopedic Surgery, Schneider Children s Medical Center of Israel, Petah Tiqva
    Foot Ankle Int 21:1011-4. 2000
    b>Equinus deformity is a common finding in children with cerebral palsy and may be treated by Achilles tendon lengthening...
  63. ncbi Recommendations for the use of botulinum toxin type A in the management of cerebral palsy
    H K Graham
    Department of Orthopaedic Surgery, Royal Children s Hospital, Parkville, Flemington Road, Melbourne, Australia
    Gait Posture 11:67-79. 2000
    ..of spasticity, and also the recent licensing in a number of countries of a BTX-A preparation for treating equinus deformity in children, it would seem timely to establish a framework of guidelines for the safe and efficacious use of ..
  64. ncbi Fixator-assisted nailing and consecutive lengthening over an intramedullary nail for the correction of tibial deformity
    F E Bilen
    Istanbul University, Turkey
    J Bone Joint Surg Br 92:146-52. 2010
    ..8 days/cm (8.9 to 33.1) and the mean bone healing index was 38 days/cm (30 to 60). One patient developed an equinus deformity which responded to stretching and bracing...
  65. ncbi Botulinum toxin for treatment of spasticity in adults
    G Reichel
    Department of Neurology, Paracelsus Klinik Zwickau Werdauer Strasse 68 D 08060 Zwickau, Germany
    J Neurol 248:25-7. 2001
    ..1) Botulinum toxin improves motor functions (ability to walk and stand in the presence of spastic equinus deformity and knee flexor spasticity, upper-extremity movements)...
  66. ncbi The effect of hinged ankle-foot orthosis on gait and energy expenditure in spastic hemiplegic cerebral palsy
    Birol Balaban
    Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy and School of Medicine, Ankara, Turkey
    Disabil Rehabil 29:139-44. 2007
    ..To assess the effectiveness of a hinged ankle-foot orthoses on gait impairments and energy expenditure in children with hemiplegic cerebral palsy (CP) whom orthoses were indicated to control equines...
  67. ncbi Use of circular external fixation to maintain foot position during free tissue transfer to the foot and ankle
    David W Lowenberg
    Department of Orthopedic Surgery, California Pacific Medical Center, San Francisco, CA, USA
    Microsurgery 28:623-7. 2008
    ..When performing free tissue transfer about the ankle, temporary spanning with a circular fixator is effective in preventing equinus deformity and provides a stable mechanical construct protecting the flap.
  68. ncbi Application of a constrained external fixator frame for treatment of a fixed equinus contracture
    Robert W Mendicino
    Department of Surgery, The Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA
    J Foot Ankle Surg 47:468-75. 2008
    ..We present a case report of a patient with a post-traumatic fixed equinus deformity of 28 degrees at maximum dorsiflexion, treated successfully through gradual correction using a modified ..
  69. ncbi [Repetitive peripheral magnetic stimulation. Treatment option for spasticity?]
    H Marz-Loose
    Neurologisches Rehabilitationszentrum für Kinder und Jugendliche, HELIOS Klinik Hohenstücken, Brahmsstrasse 38, Brandenburg
    Nervenarzt 80:1489-95. 2009
    ..In an open study the effect of repetitive peripheral magnetic stimulation (RPMS) on the spastic talipes equinus of various origins, degree and duration was evaluated in 53 children and adolescents...
  70. ncbi Distal tibial physeal bridge: a complication from a tension band plate and screw construct. Report of a case
    Jon E Oda
    Department of Orthopaedic Surgery, Children s Hospital Central California, Madera, California, USA
    J Pediatr Orthop B 22:259-63. 2013
    ..tibia in an 9-year-old girl in an attempt to induce recurvatum of the ankle joint to correct a recalcitrant equinus deformity. With growth of the distal tibial physis, the epiphyseal screw was drawn through the physis into the distal ..
  71. ncbi Isolated ischaemic contracture of medial head of gastrocnemius
    Shradha Gupta
    Department of Trauma and Orthopaedics, Chelsea and Westminster NHS Hospital Trust, 369 Fulham Road, London, SW10 9NH, UK
    Knee Surg Sports Traumatol Arthrosc 20:2353-5. 2012
    A 47-year-old woman presented with a disabling fixed flexion deformity of the knee and an equinus deformity of the ankle following treatment in a cast for a minor flexion deformity following a tibial plateau fracture...
  72. ncbi [Spastic equinus foot]
    B Westhoff
    Klinik fur Orthopadie und Orthopadische Chirurgie, Universitatsklinikum Dusseldorf, Moorenstraße 5, 40225, Dusseldorf, Deutschland
    Orthopade 40:637-47. 2011
    ..Especially in bilateral spastic cerebral palsy, the increased risk of causing talipes calcaneovalgus and crouch gait has to be considered...
  73. ncbi Intramedullary screw fixation for balancing of the dysvascular foot following transmetatarsal amputation
    Monica H Schweinberger
    Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Podiatric Medical Student CORE Rotation Program, Madigan Army Medical Center, Tacoma, WA 98431, USA
    J Foot Ankle Surg 47:594-7. 2008
    ....
  74. ncbi Dynamic equinus with hindfoot valgus in children with hemiplegia
    Christophe Boulay
    Laboratoire de la Marche, Service de Chirurgie Orthopédique Pédiatrique, CHU Timone Enfants, Aix Marseille Univ, 13385 Marseille, France
    Gait Posture 36:108-12. 2012
    ..This study confirmed the overactivity of PL in hemiplegic children with equinovalgus...
  75. ncbi Long-term results after gastrocnemius-soleus intramuscular aponeurotic recession as a part of multilevel surgery in spastic diplegic cerebral palsy
    Thomas Dreher
    Department of Orthopaedic and Trauma Surgery, Paediatric Orthopaedics and Foot Surgery, Heidelberg University Clinics, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany
    J Bone Joint Surg Am 94:627-37. 2012
    ..However, there is no evidence for maintenance of equinus correction because of the small and heterogeneous case series and short follow-up time previously reported...
  76. ncbi Achilles lengthening procedures
    Lan Chen
    Department of Orthopedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH11 Center, New York, NY 10032, USA
    Foot Ankle Clin 14:627-37. 2009
    Contracture of the gastrocnemius-soleus complex with equinus deformity is a common hindfoot condition. In children, it is frequently associated with neuromuscular conditions such as cerebral palsy...
  77. ncbi Achilles tendon lengthening: friend or foe in the diabetic foot?
    Lawrence B Colen
    Norfolk Plastic Surgery, Department of General Surgery, Tidewater Foot and Ankle Center, Eastern Virginia Medical School, Norfolk, VA 23502, USA
    Plast Reconstr Surg 131:37e-43e. 2013
    ..of plantar ulcer recurrence in the forefoot and midfoot; however, the risk of heel ulceration or recurrent equinus deformity with new forefoot or midfoot wounds is not insignificant...
  78. ncbi Nils Silfverskiöld (1888-1957) and gastrocnemius contracture
    Dishan Singh
    Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, United Kingdom
    Foot Ankle Surg 19:135-8. 2013
    ....
  79. ncbi Operative correction of arch collapse with forefoot deformity: a retrospective analysis of outcomes
    Rohan Habbu
    Department of Orthopaedic Surgery, Michigan State University, College of Human Medicine, USA
    Foot Ankle Int 32:764-73. 2011
    ..Our objective was to review a specific surgical treatment plan for forefoot deformities classified by us as Type 2 arch collapse and evaluate the outcomes...
  80. pmc Altered transmission of HOX and apoptotic SNPs identify a potential common pathway for clubfoot
    Audrey R Ester
    Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX, USA
    Am J Med Genet A 149:2745-52. 2009
    Clubfoot is a common birth defect that affects 135,000 newborns each year worldwide. It is characterized by equinus deformity of one or both feet and hypoplastic calf muscles...
  81. ncbi Management of idiopathic clubfoot in toddlers by Ponseti's method
    Anand Verma
    Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
    J Pediatr Orthop B 21:79-84. 2012
    ..Seven patients (seven feet) developed recurrence of adduction, varus and equinus deformity whereas three patients (five feet) developed isolated recurrence of equinus deformity...
  82. ncbi The effect of injections of botulinum toxin type A combined with casting on the equinus gait of children with cerebral palsy
    S Hayek
    Department of Paediatric Orthopaedics, Dana Children s Hospital, Tel Aviv Medical Centre, 6 Weizmann Street, Tel Aviv 64239, Israel
    J Bone Joint Surg Br 92:1152-9. 2010
    ..We recommend the use of inhibitory casting whenever augmentation of the effect of treatment with BoNT-A is needed...
  83. ncbi Botulinum toxin a injection into calf muscles for treatment of spastic equinus in cerebral palsy: a controlled trial comparing sonography and electric stimulation-guided injection techniques: a preliminary report
    Jeong Yi Kwon
    Department of Physical and Rehabilitation Medicine, Sungkyunkwan University School of Medicine, IlWon Dong, Kangnam Gu, Seoul, Republic of Korea
    Am J Phys Med Rehabil 89:279-86. 2010
    ....
  84. ncbi Casting, taping or stretching after botulinum toxin type A for spastic equinus foot: a single-blind randomized trial on adult stroke patients
    Stefano Carda
    Physical and Rehabilitative Medicine, Azienda Ospedaliera Universitaria Maggiore Della Carità, Novara, Italy
    Clin Rehabil 25:1119-27. 2011
    ..To investigate the effect of different adjunctive treatments after botulinum toxin type A...
  85. ncbi Achilles tendon length and medial gastrocnemius architecture in children with cerebral palsy and equinus gait
    Tishya A L Wren
    Children s Orthopaedic Center, CA, USA
    J Pediatr Orthop 30:479-84. 2010
    ..We also examined a small number of children who had undergone prior surgical lengthening of the triceps surae to address equinus contracture...
  86. ncbi Determinants of responsiveness to botulinum toxin, casting, and bracing in the treatment of spastic equinus in children with cerebral palsy
    Rita Yap
    Shriners Hospitals for Children, Montreal, Quebec, Canada
    Dev Med Child Neurol 52:186-93. 2010
    ....
  87. ncbi [Tibiotalocalcaneal arthrodesis using a retrograde nail locked in the sagittal plane]
    R Vesely
    Urazová nemocnice Brno, Klinika traumatologie LF MU, Brno
    Acta Chir Orthop Traumatol Cech 75:129-33. 2008
    ..To evaluate our experience with the use of a retrograde nail locked in the sagittal plane for tibiotalocalcaneal arthrodesis indicated in severe post-traumatic arthritis of the ankle...
  88. ncbi Spastic diplegia in children with HIV encephalopathy: first description of gait and physical status
    Nelleke G Langerak
    Neurosurgery Division, Department of Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa Physiotherapy Division, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
    Dev Med Child Neurol 56:686-94. 2014
    ..The aim of this study was to explore the physical status and gait patterns of children with spastic diplegia secondary to human immunodeficiency virus encephalopathy (HIVE)...
  89. ncbi Treating spastic equinus foot from cerebral palsy with botulinum toxin type A: what factors influence the results?: an analysis of 189 consecutive cases
    Samuel Ignacio Pascual-Pascual
    Pediatrics, Universidad Autonoma de Madrid, Spain
    Am J Phys Med Rehabil 90:554-63. 2011
    ..The aim of this study was to determine the variables that improve spastic equinus foot caused by cerebral palsy when treated with botulinum toxin type A...
  90. ncbi Tetrafocal leg reconstruction using combined Ilizarov/TSF technique
    Francesco Sala
    Department of Orthopedic Surgery and Traumatology, Niguarda Hospital, Paolo Giovio 45, 20144 Milan, Italy
    Musculoskelet Surg 95:151-5. 2011
    ....
  91. ncbi Early use of Xeomin neurotoxin for local anti-spasticity therapy for pes equines after acquired brain injury (ABI)
    M Lippert-Grüner
    University of Cologne, Germany
    Brain Inj 25:1266-9. 2011
    ..The acute management of spasticity following ABI is challenging. Contractures can occur during the acute phases of illness. The joints most affected are the shoulders and the ankles...
  92. ncbi Soak the cast off
    Nooruddin Sadruddin
    Department of Trauma and Orthopaedics, Baqai Medical University, Karachi, Pakistan
    J Coll Physicians Surg Pak 17:380-1. 2007
    ..Our experience with this method was very encouraging. There were no failures. Most patients or parents of neonates were satisfied and happy to remove the plaster at home. Average time taken to remove the plaster was 25 minutes...
  93. ncbi Tonic dystonia: an uncommon complication of reflex sympathetic dystrophy syndrome. A review of five cases
    Aude Morelet
    Rheumatology Department, Sébastopol Teaching Hospital, 51100 Reims, France
    Joint Bone Spine 72:260-2. 2005
    ..Conclusion.- The five cases described here provide useful information on RSDS-associated tonic dystonia, a condition that runs a protracted course and remains difficult to manage...
  94. ncbi Correction of equinus in clubfoot: the contribution of arthrography
    Pierre Mary
    Hopital d Enfants Armand Trousseau, Paris, France
    J Pediatr Orthop 24:312-6. 2004
    The equinus deformity in clubfoot is twofold: talocrural and talocalcaneal. No study has been carried out on the link between these two elements and whether they are mutually dependent or independent...
  95. ncbi Tendon Achilles lengthening for the treatment of neuropathic ulcers causes a temporary reduction in forefoot pressure associated with changes in plantar flexor power rather than ankle motion during gait
    K S Maluf
    Department of Integrative Physiology, University of Colorado at Boulder, USA
    J Biomech 37:897-906. 2004
    ..and at 3 weeks and 8 months after treatment in two randomly assigned groups of subjects with diabetes, equinus deformity, and a neuropathic forefoot ulcer treated with TAL and total contact casting (TAL group, n=14), or total ..
  96. ncbi Achilles tendon lengthening for ankle equinus deformity in hemophiliacs: 23 patients followed for 1-24 years
    Thomas Wallny
    Department of Orthopedic Surgery, University of Bonn, Germany
    Acta Orthop 77:164-8. 2006
    Bleeding in the calf or ankle joint may lead to ankle equinus deformity, particularly in childhood and during adolescence...
  97. ncbi Extra-articular subtalar arthrodesis. A long-term follow-up in patients with cerebral palsy
    S Bourelle
    Medical School of Medicine, Saint Etienne, France
    J Bone Joint Surg Br 86:737-42. 2004
    ..No deformity of the talus or arthritis of adjacent joints was noted. The Grice procedure gives good long-term results in children with cerebral palsy...
  98. ncbi Endoscopic gastrocnemius recession for the treatment of gastrocnemius equinus
    Lawrence A DiDomenico
    Forum Health Western Reserve Care System, Beeghley Medical Center, Youngstown, OH 44512, USA
    J Am Podiatr Med Assoc 95:410-3. 2005
    ....
  99. ncbi Surgical anatomy of the gastrocnemius recession (Strayer procedure)
    Stephen J Pinney
    Department of Orthopaedic Surgery, University of California Davis, 4860 Y Street, Suite 3800, Sacramento, CA 95817, USA
    Foot Ankle Int 25:247-50. 2004
    ..The purpose of this study was to review the surgical anatomy of the Strayer procedure with specific reference to 1) the location of the sural nerve, and 2) the gastrocnemius tendon release point...
  100. pmc Soft tissue surgery for equinus deformity in spastic hemiplegic cerebral palsy: effects on kinematic and kinetic parameters
    Chang Il Park
    Rehabilitation Hospital, Yonsei University College of Medicine, 134 Shinchon dong, Seodaemun gu, Seoul 120 752, Korea
    Yonsei Med J 47:657-66. 2006
    The purpose of this study was to evaluate how soft tissue surgery for correcting equinus deformity affects the kinematic and kinetic parameters of the ankle and proximal joints...
  101. ncbi Tibialis anterior tendon shortening in combination with Achilles tendon lengthening in spastic equinus in cerebral palsy
    Erich Rutz
    Pediatric Orthopaedic Department, University Children s Hospital Basle UKBB, Switzerland
    Gait Posture 33:152-7. 2011
    ..For the treatment of spastic equinus in CP we recommend shortening of the elongated antagonist (TATS) in combination with lengthening of the short agonist (TAL) for achieving optimal postoperative function...

Research Grants5

  1. ACHILLES TENDON LENGTHENING ON PATIENTS WITH DIABETES
    Michael Mueller; Fiscal Year: 2002
    ..An equinus deformity (limited ankle dorsiflexion range-of-motion [ROM]) is associated with these recurrent ulcers...
  2. Mechanical Intervention in Children with Cerebral Palsy
    Tishya Wren; Fiscal Year: 2005
    ..This study will also provide insight into the potential role of muscle adaptation and bone turnover in increasing bone mass in response to this simple, non-invasive, non-pharmacalogical intervention. ..
  3. INTRAOPERATIVE MEASUREMENT IN CEREBRAL PALSY SURGERY
    Richard Lieber; Fiscal Year: 2003
    ..This device will then be used in a prospective clinical study which compares two methods for equinus deformity correction: tendoachilles lengthening (TAL) and gastrocnemius-soleus recession (GSR, "Strayer" procedure)...
  4. OUTCOMES OF HEEL CORD LENGTHENING IN CHILDREN WITH CP
    Jack Engsberg; Fiscal Year: 1999
    ..b>Equinus deformity is the most common problem in children with CP...
  5. Impact of Gait Analysis on Surgical Outcomes
    Tishya Wren; Fiscal Year: 2009
    ..The results will determine whether the use of gait analysis testing improves clinical outcomes in children who have walking problems due to cerebral palsy. ..