Functional outcome after the nonsurgical treatment for adolescent spasmodic valgus foot

Journal of Orthopaedic Surgery
Ahmed Shawkat Rizk, Mahmoud Ibrahim Kandil

Abstract

Adolescent spasmodic valgus foot is usually associated with resistant pain and deformity. It shows controversy regarding its incidence, etiology, and treatment. Our study aimed to evaluate the functional outcome after the nonsurgical treatment for such condition. This study included 50 planovalgus feet secondary to peroneal or peroneo-extensor spasm in 33 adolescents with a mean age of 14 ± 2.8 years. The procedure included foot manipulation under general anesthesia, sinus tarsi injection with corticosteroids, and a walking cast in the neutral position. Patients were evaluated functionally (using the American Orthopedic Foot and Ankle Society (AOFAS)) and radiologically before the procedure, after cast removal, and 3, 9, and 18 months later with special attention given for recurrence during the follow-up period with a mean duration of 22.5 ± 3.5 months. Once general anesthesia had been conducted, the deformity was corrected without any manipulation, and full passive inversion could be easily obtained in 26 feet, the deformity was corrected only after manipulation, and full passive inversion had been obtained in 14 feet, while 10 feet remained stiff even after manipulation. The mean AOFAS score was significantly improved ( p < 0...Continue Reading

References

Mar 10, 2000·Foot & Ankle International·S J LuhmannP L Schoenecker
Aug 31, 2000·Foot & Ankle International·K E Varner, J D Michelson
Feb 15, 2001·Current Opinion in Pediatrics·W H Bohne
May 1, 1955·The Journal of Bone and Joint Surgery. British Volume·N J BLOCKEY
Dec 18, 2004·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Edwin J HarrisUNKNOWN Clinical Practice Guideline Pediatric Flatfoot Panel of the American College of Foot and Ankle Surgeons
Apr 14, 2012·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·P A ButterworthH B Menz

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