SURGICAL MANAGEMENT OF PARALYTIC ANKLE VALGUS
Mostafa Hassan Aboul Fotoh ElSherbini;
Abstract
Paralytic hindfoot valgus used to be treated at the level of the subtalar only. It can also occur at the level of the ankle where the subtalar fusion will not correct the deformity but even make it worse. The aim of this study was to determine the protocol of treatment of paralytic ankle valgus secondary to poliomyelitis.
Twenty two cases of ankle valgus secondary to poliomyelitis were analysed clinically and radiologically. Ankle valgus is characterized clinically by having the medial malleolus as the most prominent medial bony prominence. There is a triade of deformity in the weight bearing X-ray of the ankle which are fibular shortening, lower tibial epiphyseal wedging, and talar tilt.
The study tried to analyze the pattern of muscle paralysis that accompanies paralytic ankle valgus. Both tibialis posterior and anterior were found to be paralyzed in all cases. Triceps surae was paralyzed in most cases. But cases differed in their peroneal muscle activity as there are two patterns of presentation.
The first pattern with peroneal paralysis and the second had active peroneii with muscle imbalance between evertors and invertors.
Twenty two cases of ankle valgus secondary to poliomyelitis were analysed clinically and radiologically. Ankle valgus is characterized clinically by having the medial malleolus as the most prominent medial bony prominence. There is a triade of deformity in the weight bearing X-ray of the ankle which are fibular shortening, lower tibial epiphyseal wedging, and talar tilt.
The study tried to analyze the pattern of muscle paralysis that accompanies paralytic ankle valgus. Both tibialis posterior and anterior were found to be paralyzed in all cases. Triceps surae was paralyzed in most cases. But cases differed in their peroneal muscle activity as there are two patterns of presentation.
The first pattern with peroneal paralysis and the second had active peroneii with muscle imbalance between evertors and invertors.
Other data
| Title | SURGICAL MANAGEMENT OF PARALYTIC ANKLE VALGUS | Other Titles | العلاج الجراحى للإعوجاج الوحشى لمفصل الكاحل نتجة شلل الأطعال | Authors | Mostafa Hassan Aboul Fotoh ElSherbini | Issue Date | 1996 |
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