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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