What is bilateral Equinus?
Equinus is a condition in which the upward bending motion of the ankle joint is limited. Someone with equinus lacks the flexibility to bring the top of the foot toward the front of the leg. Equinus can occur in one or both feet.
What is equinus cerebral palsy?
Equinus is a very common deformity in children with cerebral palsy . Equinus is defined as the inability to dorsiflex the foot above plantigrade, with the hindfoot in neutral and the knee extended .
What causes equinus contracture?
Causes. Equinus is often it is due to tightness in the Achilles tendon or calf muscles. For some, this may be congenital (present at birth) or an inherited trait. For others, this tightness is acquired and the result of being in a cast or on crutches, or frequently wearing high-heeled shoes.
What is acquired equinus deformity of both feet?
Equinus is a condition in which the upward bending motion of the ankle joint is limited. Someone with equinus lacks the flexibility to bring the top of the foot toward the front of the leg.
Is equinus deformity congenital?
Tightening of two major muscles (gastrocnemius and soleus) in the leg is a very common end pathway for equinus deformity. If these muscles are abnormally tight, individuals may be obligated to toe walk. This deformity is sometimes present at birth, and in that case, it is called a congenital equinus deformity.
Why is the Achilles tendon so prone to injury?
When the calf muscles flex, the Achilles tendon pulls on the heel. This movement allows us to stand on our toes when walking, running, or jumping. Despite its strength, the Achilles tendon is also vulnerable to injury, due to its limited blood supply and the high tensions placed on it.
What causes Equinus?
What is Equinus surgery for?
Tendo-Achilles lengthening procedures have emerged as an important treatment modality for the management of equinus contracture in such conditions as cerebral palsy, acquired foot deformities (pes planus or cavus), and diabetic foot ulcers.
What are the Associated conditions of equinus deformity?
EQUINUS: ASSOCIATED CONDITIONS Idiopathic Toe Walking Toe walking is also known as habitual toe walking or congenital short Achilles tendon. The diagnosis is made by excluding all neuromuscular pathologies, especially when Fig. 1.
What do you need to know about equinus contractures?
Equinus Contractures 1 Summary. Equinus contractures are the inability to bring the foot up to a neutral position (a right angle to the lower leg) due to either tightness of the muscles and/or 2 Clinical Presentation. The largest muscles within the calf are called the gastrocnemius and soleus. 3 Physical Examination. 4 Treatment.
What causes Crouch gait in children with spastic diplegia?
This pattern is part of the natural history of gait disorder in children with more severe diplegia and in the majority of children with spastic quadriplegia. Regrettably, the commonest cause of crouch gait in children with spastic diplegia is isolated lengthening of the heel cord in the younger child.
How are gait patterns classified in spastic hemiplegia?
The most widely accepted classification of gait in spastic hemiplegia is that reported by Winters et al (1987). They subdivided hemiplegia into four gait patterns based on sagittal plane kinematics. The classification has direct relevance to understanding the gait pattern and management.