equinus deformity

Summary

Summary: Plantar declination of the foot.

Top Publications

  1. ncbi Evolution of walking ability after soft tissue surgery in cerebral palsy patients: what can we expect?
    Martin Svehlik
    Orthopaedic Department for Children and Adults, Prague, Czech Republic
    J Pediatr Orthop B 17:107-13. 2008
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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

Research Grants

  1. ACHILLES TENDON LENGTHENING ON PATIENTS WITH DIABETES
    Michael Mueller; Fiscal Year: 2002
  2. Mechanical Intervention in Children with Cerebral Palsy
    Tishya Wren; Fiscal Year: 2005
  3. INTRAOPERATIVE MEASUREMENT IN CEREBRAL PALSY SURGERY
    Richard Lieber; Fiscal Year: 2003
  4. Impact of Gait Analysis on Surgical Outcomes
    Tishya Wren; Fiscal Year: 2009
  5. Impact of Gait Analysis on Surgical Outcomes
    Tishya Wren; Fiscal Year: 2007
  6. Risk Factors for Osteoporosis in Children & Adolescents with Myelomeningocele
    Tishya A L Wren; Fiscal Year: 2010
  7. CNS Demyelinating Autoimmunity Targeting Water Channel Complexes
    SEAN JOSEPH PITTOCK; Fiscal Year: 2010

Detail Information

Publications129 found, 100 shown here

  1. ncbi Evolution of walking ability after soft tissue surgery in cerebral palsy patients: what can we expect?
    Martin Svehlik
    Orthopaedic Department for Children and Adults, Prague, Czech Republic
    J Pediatr Orthop B 17:107-13. 2008
    ....
  2. 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...
  3. 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...
  4. 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...
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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)...
  12. 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...
  13. 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
    ..Additionally, assessment of parameters in foot contact patterns, PTIs, and COP path trajectories appears to be helpful in evaluating outcomes after corrective surgery...
  14. ncbi 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...
  15. 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...
  16. 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
    ....
  17. 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...
  18. 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
    ....
  19. 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, , , , France
    Clin Neurophysiol 116:1596-600. 2005
    ..The clinical and electrophysiological effects induced by anesthetic blocks may help to guide therapeutic interventions, such as neurotomy, neurolysis or botulinum toxin injection...
  20. 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...
  21. 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...
  22. ncbi Spastic equinus foot: multicenter study of the long-term results of tibial neurotomy
    Kevin Buffenoir
    Service de Neurochirurgie, , , , France
    Neurosurgery 55:1130-7. 2004
    ..CONCLUSION: Tibial neurotomy ensures long-term functional improvement of patients with spastic equinus foot. It provides a lasting response for these patients compared with other, more transient treatments...
  23. 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
  24. 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...
  25. 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...
  26. ncbi 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...
  27. 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...
  28. 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...
  29. 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)...
  30. 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...
  31. 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...
  32. 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...
  33. 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...
  34. 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...
  35. 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
    ....
  36. 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...
  37. 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...
  38. 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...
  39. 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 ..
  40. 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...
  41. 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...
  42. 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...
  43. 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...
  44. 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, , 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...
  45. 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...
  46. ncbi Botulinum toxin and short-term electrical stimulation in the treatment of equinus in cerebral palsy
    C Detrembleur
    Rehabilitation Unit, , 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...
  47. 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
    ..CONCLUSIONS: The findings suggest that Botulinum toxin A may be useful in the management of spastic equinus following traumatic brain injury...
  48. 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...
  49. 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 ..
  50. ncbi [The equino-varus foot deformity in patients with hemiplegia]
    J-M Mazaux
    Groupe Handicap et cognition, EA 487, , 33076 Bordeaux Cedex, France
    Ann Readapt Med Phys 47:87-9. 2004
  51. 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...
  52. 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...
  53. 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...
  54. 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...
  55. 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...
  56. 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 ..
  57. 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...
  58. 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...
  59. 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...
  60. ncbi 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...
  61. ncbi 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...
  62. 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...
  63. 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...
  64. 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...
  65. 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...
  66. 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)...
  67. 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 ..
  68. 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...
  69. 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...
  70. 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...
  71. 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 ..
  72. 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)...
  73. 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.
  74. 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...
  75. ncbi Tibial lengthening: extraarticular calcaneotibial screw to prevent ankle equinus
    Mohan V Belthur
    SPARSH Hospital, Bangalore, India
    Clin Orthop Relat Res 466:3003-10. 2008
    ..Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence...
  76. ncbi Genu recurvatum in cerebral palsy--part A: influence of dynamic and fixed equinus deformity on the timing of knee recurvatum in children with cerebral palsy
    Martin Svehlik
    Department of Paediatric Orthopaedics and Paediatric Surgery, Medical University of Graz, Auenbruggerplatz, Graz, Austria
    J Pediatr Orthop B 19:366-72. 2010
    The aim of the study was to confirm the hypothesis of the influence of the dynamic and fixed equinus deformity on the timing of knee recurvation (hyperextension)...
  77. ncbi Dynamic versus fixed equinus deformity in children with cerebral palsy: how does the triceps surae muscle work?
    Martin Svehlik
    Department of Paediatric Surgery, Medical University of Graz, Austria
    Arch Phys Med Rehabil 91:1897-903. 2010
    ....
  78. ncbi Effects of selective tibial nerve neurotomy as a treatment for adults presenting with spastic equinovarus foot: a systematic review
    Benjamin Bollens
    Universite Catholique de Louvain, Institute of Neuroscience, Brussels, Belgium
    J Rehabil Med 43:277-82. 2011
    ..We performed a systematic review of the literature to assess the efficacy of tibial nerve neurotomy as a treatment for adult patients presenting with spastic equinovarus foot...
  79. ncbi Preserving functional capacity as opposed to tissue preservation in the diabetic patient: a single institution experience
    Thomas S Roukis
    Madigan Army Medical Center, Tacoma, Washington, USA
    Foot Ankle Spec 3:177-83. 2010
    ....
  80. ncbi Baker's method in the management of equinus deformity in cerebral palsy
    N K Datta
    Department of Orthopaedic Surgery, Bangabandhu Sheik Mujib Medical University BSMMU, Shahbagh, Dhaka, Bangladesh
    Mymensingh Med J 19:533-8. 2010
    ..Total number of 20 patients with 37 feet of equinus deformity due to cerebral palsy was managed by Baker's method...
  81. ncbi Botulinum toxin type A injections for treatment of spastic equinus in cerebral palsy: a secondary analysis of factors predictive of favorable response
    Heli Sätilä
    From the Department of Paediatric Neurology, Tampere University Hospital, Tampere, Finland
    Am J Phys Med Rehabil 89:865-72. 2010
    ..To investigate markers predicting favorable botulinum toxin injection outcomes in treating spastic equinus gait in children with cerebral palsy...
  82. ncbi Does the treatment of spastic equinovarus deformity following stroke with botulinum toxin increase gait velocity? A systematic review and meta-analysis
    N Foley
    Aging, Rehabilitation and Geriatric Care Program, Lawson Health Research Institute, Parkwood Hospital Site, London, ON, Canada
    Eur J Neurol 17:1419-27. 2010
    ..033 to 0.353, P < 0.018) representing an increase of 0.044 meters/s. The use of BT-A for lower-limb post-stroke equinovarus because of spasticity was associated with a small, but statistically significant increase in gait velocity...
  83. ncbi Effect of shock wave stimulation on hypertonic plantar flexor muscles in patients with cerebral palsy: a placebo-controlled study
    Ernesto Amelio
    Shock Wave Unit, Hand Surgery Department, Verona University Hospital, Verona, Italy
    J Rehabil Med 42:339-43. 2010
    ..Extracorporeal shock wave therapy has been reported to be effective in reducing muscle hypertonia in adults...
  84. ncbi A hypothesis and model of reduced fetal movement as a common pathogenetic mechanism in clubfoot
    T W Hester
    Neuroscience Centre and Pathology Group, Institute of Cell and Molecular Sciences, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, The Royal London Hospital, Whitechapel, London E1 1BB, United Kingdom
    Med Hypotheses 73:986-8. 2009
    Clubfoot or Talipes equinovarus is characterised by an adducted forefoot, hindfoot varus, and ankle equinus deformity, varying in severity and ease of correction...
  85. ncbi New experiences in treating postburn talipes equinovarus associated with bone and joint pathologic changes
    Tianyi Liu
    Department of Plastic and Reconstructive Surgery, Shanghai 9th People s Hospital, 639 Zhi Zao Ju Road, Shanghai 200011, China
    Burns 35:852-6. 2009
    ..Incision wound healing and bone union is not exclusively a problem...
  86. ncbi Equinus deformity in the pediatric patient: causes, evaluation, and management
    Monique C Gourdine-Shaw
    Medical Service Corps, United States Navy, United States Naval Academy, Annapolis, MD 21402, USA
    Clin Podiatr Med Surg 27:25-42. 2010
    ..This article reviews the causes, clinical and radiographic evaluation, and treatment of pediatric equinus deformity. It discusses the conservative and surgical management of the different types of equinus and when these ..
  87. ncbi Reconstruction of the Achilles tendon and overlying soft tissue using an anteromedial thigh flap for a post-burn pes equinus deformity: a case report
    T Naganawa
    Department of Orthopaedic Surgery, Gifu University School of Medicine, Gifu, Japan
    J Orthop Surg (Hong Kong) 17:116-8. 2009
    We present a 36-year-old man with a severe pes equinus deformity of the ankle and an intractable ulcer over the Achilles tendon after a 4th-degree burn...
  88. ncbi Botulinum toxin type A with oral baclofen versus oral tizanidine: a nonrandomized pilot comparison in patients with cerebral palsy and spastic equinus foot deformity
    Alper I Dai
    Division of Pediatric Neurology, Department of Pediatrics, University of Gaziantep, Turkey
    J Child Neurol 23:1464-6. 2008
    ..This study suggests that combination of botulinum toxin type A with oral tizanidine is more effective with fewer side effects than combination of botulinum toxin type A and oral baclofen for spastic cerebral palsy...
  89. ncbi Gastrocnemius recession to treat isolated foot pain
    John D Maskill
    Orthopaedic Associates of Michigan, Foot and Ankle, 1111 Leffingwell Ave NE, Suite 100, Grand Rapids, MI 49525, USA
    Foot Ankle Int 31:19-23. 2010
    ..It has been proposed that this equinus deformity leads to excessive strain throughout the foot, thus causing pain...
  90. ncbi Botulinum toxin type A neuromuscular blockade in the treatment of lower extremity spasticity in cerebral palsy: a randomized, double-blind, placebo-controlled trial. BOTOX Study Group
    L A Koman
    Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1070, USA
    J Pediatr Orthop 20:108-15. 2000
    ..Patients in the BTX group demonstrated improved gait function and partial denervation of the injected muscle. No serious adverse events were reported...
  91. ncbi Recurrence after correction of acquired ankle equinus deformity in children using Ilizarov technique
    Khaled M Emara
    Department of Orthopedic Surgery, Ain Shams University Hospitals, 13 B Kornesh El Nile, Agha Khan, Cairo, Egypt
    Strategies Trauma Limb Reconstr 3:105-8. 2008
    To describe our Ilizarov technique for the treatment of acquired equinus deformity in children and to determine if compliance with continuous use of an ankle foot orthosis (after removal of the fixator and until skeletal maturity) can ..
  92. ncbi Complications associated with uni-portal endoscopic gastrocnemius recession in a diabetic patient population: an observational case series
    Thomas S Roukis
    Limb Preservation Service, Vascular Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA
    J Foot Ankle Surg 49:68-70. 2010
    ..Before surgery, the risk of delayed wound healing should be discussed with patients who have uncontrolled diabetes mellitus and in-patient management with tight glycemic control considered...
  93. ncbi Improvement of gait in a stroke patient. A 7-year longitudinal study
    Laurent Bensoussan
    Department of Physical and Rehabilitation Medicine, Faculty of Medicine, University of the Mediterranean, University Hospital La Timone, Marseille, France
    Disabil Rehabil 32:1705-11. 2010
    ....
  94. ncbi Management of long-term sequelae of compartment syndrome involving the foot and ankle
    Francois Lintz
    CHU de Nantes, France
    Foot Ankle Int 30:847-53. 2009
    ..Although these deformities have been reported in relation to compartment syndrome, they have rarely been discussed specifically in the light of a long term follow up...
  95. ncbi New tendon transfer for correction of drop-foot in common peroneal nerve palsy
    Adolfo Vigasio
    Istituto Clinico Città di Brescia Gruppo San Donato, 2 o Unità Operativa di Chirurgia della Mano e Microchirurgia Ortopedica, Via Gualla 15, 25123, Brescia, Italy
    Clin Orthop Relat Res 466:1454-66. 2008
    ..LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence...
  96. ncbi [Percutaneous aponeurotomy of the triceps surae muscle in cerebral palsy in children]
    J Poul
    Klinika detské chirurgie, ortopedie a traumatologie, Detská nemocnice, FN Brno
    Acta Chir Orthop Traumatol Cech 70:292-5. 2003
    ..To assess the short-term results of percutaneous aponeurotomy of gastrocnemius including the possible complications and effects of the treatment...
  97. ncbi Gradual closed correction of equinus contracture using the Ilizarov apparatus
    Hiroyuki Tsuchiya
    Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan
    J Orthop Sci 8:802-6. 2003
    ..However, particular care is needed during correction to avoid complications such as anterior subluxation of the talus and joint space narrowing. When complications do occur, intervention should be immediate...
  98. ncbi Assessment of an electronic goniometer designed to measure equinus contracture
    Mathieu Assal
    Rehabilitation Research and Development, Center of Excellence in Limb Loss Prevention and Prosthetic Engineering, Seattle VA Medical Center, WA 98108, USA
    J Rehabil Res Dev 40:235-9. 2003
    ..94 degrees, 95% confidence interval (0.79 degrees, 1.13 degrees). An upper standard deviation of 1.36 degrees is felt to be acceptable for clinical investigation...
  99. ncbi Ankle dorsiflexion in adolescent athletes
    Amol Saxena
    Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA 94301, USA
    J Am Podiatr Med Assoc 93:312-4. 2003
    ..There were no statistically significant differences between boys and girls. Ankle dorsiflexion in asymptomatic adolescent athletes is approximately 0 degrees with the knee extended and just less than 5 degrees with the knee flexed...
  100. ncbi Intramuscular distribution of nerves in the human triceps surae muscle: anatomical bases for treatment of spastic drop foot with botulinum toxin
    B Parratte
    Laboratoire d Anatomie, Faculte de Medecine, Place St Jacques, 25030 Besancon, France
    Surg Radiol Anat 24:91-6. 2002
    ..These zones were measured morphometrically and divided into segments which are expressed in percentages of a standard leg length. We maintain that these zones are the injection sites most likely to guarantee the best treatment efficacy...
  101. ncbi Roberts syndrome, normal cell division, and normal intelligence
    Kun Hwang
    Inha University Hospital, Inchon, Korea
    J Craniofac Surg 13:390-4. 2002
    ..This report supports the theory that normal intelligence can make social-personal adjustment possible even if all of the stigmata of Roberts syndrome is present...

Research Grants19

  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. 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. ..
  5. Impact of Gait Analysis on Surgical Outcomes
    Tishya Wren; Fiscal Year: 2007
    ..The results will determine whether the use of gait analysis testing improves clinical outcomes in children who have walking problems due to cerebral palsy. ..
  6. Risk Factors for Osteoporosis in Children & Adolescents with Myelomeningocele
    Tishya A L Wren; Fiscal Year: 2010
    ..A slight delay in the transition to wheelchair mobility may make a large difference in osteoporosis prevention. ..
  7. CNS Demyelinating Autoimmunity Targeting Water Channel Complexes
    SEAN JOSEPH PITTOCK; Fiscal Year: 2010
    ....