Case 8 Equinus Deformity
Case 8
Equinus
Deformity
Look- Standing
Patient
Comment on
Footwears
Exposure upto umbilicus
Alignment - Front
– leg , foot and toes look normal with normal overlying skin
Side -
knee fully extended
Equinus
deformity
Arch
maintained
Back
– Calf symmetrical with normal overlying skin
heel has normal varus
Gait Foot
on Right side is in Equinus
Squating Heel high on
Right side
Check Lumbar region before lying down
the patients
Lie
down Patient
After lying down
check plantar surface of the feet.
Feel
Temperature
Superficial
Palpation – leg , ankle , hindfoot, forefoot
Deep Palpation – tibia, Medial Malleolus ,
Calcaneum,First Metatarsal , Phalanges , other Metatarsals , Navicle , Lateral
Malleolus, Fibula
Movement
Plantarflexion
/ Dorsiflexion – cup the heel during measurement
Inversion
/ Eversion- lock talus
LLD
Neurovascular Assessment
Sensory
Examination
Motor
Examination
Power
of the Muscles – TA
/ EHL /EDC ;
TP/ Gastrosoleus / FHL;
Peronei
Reflexes
Vascular
Examination – DPA / PTA
What changes
occur after a pronlonged Equinus deformity ?
Talus oblong, loss of uniform joint
space not like a normal x-ray.
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