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Verfasst von:Horsch, Axel [VerfasserIn]   i
 Götze, Marco [VerfasserIn]   i
 Geisbüsch, Andreas [VerfasserIn]   i
 Beckmann, Nicholas A. [VerfasserIn]   i
 Tsitlakidis, Stefanos [VerfasserIn]   i
 Berrsche, Gregor [VerfasserIn]   i
 Klotz, Matthias C. M. [VerfasserIn]   i
Titel:Prevalence and classification of equinus foot in bilateral spastic cerebral palsy
Verf.angabe:Axel Horsch, Marco Götze, Andreas Geisbüsch, Nicholas Beckmann, Stefanos Tsitlakidis, Gregor Berrsche, Matthias Klotz
E-Jahr:2019
Jahr:04 March 2019
Umfang:5 S.
Fussnoten:Gesehen am 11.09.2019
Titel Quelle:Enthalten in: World journal of pediatrics
Ort Quelle:Hangzhou : Children's Hospital, Zhejiang University School of Medicine, 2008
Jahr Quelle:2019
Band/Heft Quelle:15(2019), 3, Seite 276-280
ISSN Quelle:1867-0687
Abstract:Background: Equinus is a common deformity in children with bilateral spastic cerebral palsy (BSCP). While dynamic equinus usually is treated by conservative therapy, fixed contractures need surgical correction. To choose the appropriate surgical method, it is important to discriminate between isolated gastrocnemius shortening and combined gastrosoleus complex contracture.MethodsIn a retrospective study 938 patients with BSCP were studied. Patients underwent gait analysis and clinical examination. 248 patients (496 limbs) met the inclusion criteria. Data from motion analysis and clinical examination were used to calculate the prevalence and to further classify fixed equinus foot.ResultsThe prevalence of equinus was 83.3%. During clinical exam 246 (59.6%) limbs showed combined gastrosoleus complex contracture and 167 (40.4%) isolated gastrocnemius contracture. Max. DF at stance and mean DF at initial contact were significantly reduced in combined contracture, while max. ROM was increased (P < 0.05).Conclusions: Corroborating the results of previous studies, in this study there was a high prevalence of fixed equinus in patients with BSCP. The prevalence of equinus correlated with increasing age. As half of the patients with fixed equinus show a different involvement of gastrocnemius and soleus muscle, we recommend to apply Silfverskiöld’s test to discriminate between those two types to choose the appropriate surgical therapy.
DOI:doi:10.1007/s12519-019-00238-2
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1007/s12519-019-00238-2
 Volltext: https://doi.org/10.1007/s12519-019-00238-2
 DOI: https://doi.org/10.1007/s12519-019-00238-2
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Cerebral palsy
 Classification
 Equinus foot
 Equinus prevalence
 Gait analysis
K10plus-PPN:1676524754
Verknüpfungen:→ Zeitschrift

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