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Journal of the American Podiatric Medical Association, Vol 81, Issue 10 519-524, Copyright © 1991 by American Podiatric Medical Association

JOURNAL ARTICLE

Objective identification of ankle equinus deformity and resulting contracture

HJ Hillstrom, G Perlberg, S Siegler, WH Sanner, GA Hice, M Downey, J Stienstra, A Acello, MT Neary and F Kugler
Gait Study Center, Pennsylvania College of Podiatric Medicine, Philadelphia.

A quantitative diagnostic technique is described for identifying contracture at the ankle joint in patients with equinus deformity, hence addressing the shortcoming of the conventional clinical diagnostic procedure. To gain a better understanding of how contracture contributes to equinus deformity, a study was designed that compared the torque about the ankle joint before and after administering a tibial nerve block to equinus patients and to a control group. Functional equinus, manifested by walking and early heel rise, is defined as inadequate dorsiflexion for normal gait. The ability to accurately identify an equinus condition, and contracture as the contributing factor in equinus deformity, has important implications for the type of treatment prescribed and the evaluation of treatment effectiveness.


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[Abstract] [Full Text] [PDF]


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Copyright © 1991 by the American Podiatric Medical Association.