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Chapter 10 - Foot and ankle clinical cases

from Section 3 - The clinicals

By
Paul A. Banaszkiewicz  and
Paul Patterson
Edited by
Paul A. Banaszkiewicz  and
Deiary F. Kader
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead, UK
Paul Patterson
Affiliation:
Queen Elizabeth Hospital, Gateshead, UK
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
Deiary F. Kader
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

Equinus

The majority of weight is borne by the forefoot, the hindfoot remaining off the ground. The equinus deformity may be compensatory for either quadriceps or gluteus maximus weakness, or because of shortening of the limb. The equinus deformity may also be caused by contracture of gastrocnemius, ankle contracture or post traumatic defornity.

Calcaneus

Here the weight is borne mainly by the hindfoot. The forefoot may have varying degrees of weightbearing, but definitely below normal.

Type
Chapter
Information
Postgraduate Orthopaedics
The Candidate's Guide to the FRCS (Tr and Orth) Examination
 , pp. 111 - 126
Publisher: Cambridge University Press
Print publication year: 2012

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References

Schon, LC 1998 Radiographic and clinical classification of acquired midtarsus deformitiesFoot & Ankle International 19 394CrossRefGoogle ScholarPubMed
Brodsky, J 1987 Patterns of breakdown, natural history, and treatment of the diabetic Charcot tarsusOrthopaedic Transactions 11 484Google Scholar
Jude, EBSelby, PLLilleystone, P 2001 Bisphosphonates in the treatment of Charcot neuroarthropathy: a double-blind randomised controlled trialDiabetologia 44 2032CrossRefGoogle ScholarPubMed
Guyton, GP 2006 Current concepts review: orthopaedic aspects of Charcot-Marie-Tooth DiseaseFoot and Ankle International 27 1003CrossRefGoogle ScholarPubMed
Alexander, IJFleissner, PR 1998 Pes cavusFoot and Ankle Clinics 3 723Google Scholar
Johnson, KAStrom, DE 1989 Tibialis posterior tendon dysfunctionClinical Orthopaedics 239 196Google Scholar
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Myerson, MS 1996 Adult acquired flat foot deformityJournal of Bone and Joint Surgery [Am] 78A 780CrossRefGoogle Scholar

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