In this review of the examination of the foot and ankle in the cerebral palsy patient, we attempt to identify the findings important in orthopaedic decision making. This discussion is based upon personal experience of the authors and review of the literature. We stress the need for careful examination and observation in these often confusing patients.
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References
1.
BealsR. K.: Spastic paraplegia and diplegia. An evaluation of non-surgical and surgical factors influencing the prognosis for ambulation. J. Bone Joint Surg., 348A: 827–846, 1966.
BleckE. E.: Orthopaedic Management of Cerebral Palsy. Philadelphia, W. B. Saunders Co., 1979.
4.
CarpenterE. B.SeitzD. G.: An objective evaluation intramuscular alcohol as an aid in the management of the child with cerebral palsy—15-year review (abstract). Dev. Med. Child Neurol., 21:120, 1978.
5.
DargassiesS. S.: Neurodevelopmental symptoms during the first year of life. Part I: Essential landmarks for each key-age. Dev. Med. Child Neurol., 14: 235–246, 1972.
6.
DuncanW. R.: Tonic reflexes of the foot. Their orthopaedic significance in normal children and in children with cerebral palsy. J. Bone Joint Surg., 42A: 859–868, 1960.
7.
EggersG. W. N.: Personal communication.
8.
EggersG. W.EvansE. B.: Surgery in cerebral palsy. J. Bone Joint Surg., 45A: 1275–1305, 1963.
9.
GoldnerJ. L.: Upper extremity tendon transfers in cerebral palsy. Orthop. Clin. North Am., 5:389–414, 1974.
10.
HermanR.SchaumburgH.: Dynamic and static sensitivity of the stretch reflex in spastic cerebral palsy. Dev. Med. Child Neurol., 9:487–492, 1967.
11.
HotterM. M.ReiswigJ. A.GarrettA. M.PerryJ.: The split anterior tibial tendon transfer in the treatment of spastic varus hindfoot of childhood. Orthop. Clin. North Am., 5:31–38, 1974.
12.
HolsteinA.: Hallux valgus—an acquired deformity of the foot in cerebral palsy. Foot & Ankle1: 33–38, 1980.
13.
IllingworthR. S.: The diagnosis of cerebral palsy in the first year of life. Dev. Med. Child Neurol., 8: 178–194, 1966.
14.
InmanV. T.RalstonH. I.ToddF.: Human Walking. Baltimore, Williams & Wilkins, 1981.
15.
PerryJ.HotterM. M.GiovanP.AntonelliD.GreenbergA.: Gait analysis of the triceps surae in cerebral palsy. A preoperative and postoperative clinical and electromyographic study. J. Bone Joint Surg., 56A:511–520, 1974.
16.
RenshawT. S.SirkinR. B.DrennanJ. C.: Management of hallux valgus in cerebral palsy. Dev. Med. Child Neurol., 21:202–208, 1979.
17.
SimonS. R.DeutschS. D.NuzzoR. M.MansourM. J.JacksonJ. L.KoskinenM.RosenthalR. K.: Genu recurvatum in spastic cerebral palsy. J. Bone Joint Surg., 60A:882–894, 1978.
18.
TwitchellT. E.EhrenreichD. L.: The plantar response in infantile cerebral palsy. Dev. Med. Child Neurol., 4:602–611, 1962.