Surgical treatment of pes planovalgus in ambulatory children with cerebral palsy: Static and dynamic changes as characterized by multi-segment foot modeling, physical examination and radiographs

2020 ◽  
Vol 76 ◽  
pp. 168-174
Author(s):  
Nickolas J. Nahm ◽  
Sue S. Sohrweide ◽  
Roy A. Wervey ◽  
Michael H. Schwartz ◽  
Tom F. Novacheck
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Physical Examination ◽  
Pes Planovalgus ◽  
Dynamic Changes ◽  
Children With Cerebral Palsy

Radiographic and plantar pressure assessment of pes planovalgus severity in children with cerebral palsy

2021 ◽  
Vol 85 ◽  
pp. 105364
Author(s):  
Nicole Look ◽  
Patrick Autruong ◽  
Zhaoxing Pan ◽  
Frank M. Chang ◽  
James J. Carollo
Keyword(s):  
Cerebral Palsy ◽  
Plantar Pressure ◽  
Pes Planovalgus ◽  
Children With Cerebral Palsy

scholarly journals Vertical gastric plication versus Nissen fundoplication in the treatment of gastroesophageal reflux in children with cerebral palsy

2007 ◽  
Vol 125 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Antonio Paulo Durante ◽  
Sergio Tomaz Schettini ◽  
Djalma José Fagundes
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Gastroesophageal Reflux ◽  
Nissen Fundoplication ◽  
Length Of Hospital Stay ◽  
Signs And Symptoms ◽  
High Morbidity ◽  
Gastric Plication ◽  
Esophageal Ph ◽  
Children With Cerebral Palsy

CONTEXT AND OBJECTIVE: Association between neurological lesions and gastroesophageal reflux disease (GERD) in children is very common. When surgical treatment is indicated, the consensus favors the fundoplication technique recommended by Nissen, despite its high morbidity and relapse rates. Vertical gastric plication is a procedure that may have advantages over Nissen fundoplication, since it is less aggressive and more adequately meets anatomical principles. The authors proposed to compare the results from the Nissen and vertical gastric plication techniques. DESIGN AND SETTING: Randomized prospective study within the Postgraduate Surgery and Experimentation Program of Unifesp-EPM, at Hospital do Servidor Público Estadual (IAMSPE) and Hospital Municipal Infantil Menino Jesus. METHODS: Fourteen consecutive children with cerebral palsy attended between November 2003 and July 2004 were randomized into two groups for surgical treatment of GERD: NF, Nissen fundoplication (n = 7); and VGP, vertical gastric plication (n = 7). These were clinically assessed by scoring for signs and symptoms, evaluation of esophageal pH measurements, duration of the operation, intra and postoperative complications, mortality and length of hospital stay. RESULTS: The mean follow-up was 5.2 months; symptoms were reduced by 42.8% (NF) (p = 0.001) and 57.1% (VGP) (p = 0.006). The Boix-Ochoa score was favorable for both groups: NF (p < 0.001) and VGP (p < 0.042). The overall mortality was 14.28% in both groups and was due to causes unrelated to the surgical treatment. CONCLUSION: The two operative procedures were shown to be efficient and efficacious for the treatment of GERD in neuropathic patients, over the study period.

scholarly journals Pes planovalgus deformity surgical correction in ambulatory children with cerebral palsy

2012 ◽  
Vol 6 (3) ◽  
pp. 217-227 ◽  
Author(s):  
Muayad Kadhim ◽  
Laurens Holmes ◽  
Chris Church ◽  
John Henley ◽  
Freeman Miller
Keyword(s):  
Cerebral Palsy ◽  
Surgical Correction ◽  
Pes Planovalgus ◽  
Children With Cerebral Palsy

scholarly journals Calcaneal lengthening for the pes planovalgus foot deformity in children with cerebral palsy

2020 ◽  
Vol 11 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Aly Mohamed Aboelenein ◽  
Mohamed Lotfy Fahmy ◽  
Hassan Magdy Elbarbary ◽  
Abobakr Zein Mohamed ◽  
Sherif Galal
Keyword(s):  
Cerebral Palsy ◽  
Pes Planovalgus ◽  
Foot Deformity ◽  
Children With Cerebral Palsy ◽  
Calcaneal Lengthening

scholarly journals Correlation between physical examination and three-dimensional gait analysis in the assessment of rotational abnormalities in children with cerebral palsy

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Fernando Borge Teixeira ◽  
Amancio Ramalho Júnior ◽  
Mauro César de Morais Filho ◽  
Danielli Souza Speciali ◽  
Catia Miyuki Kawamura ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Examination ◽  
Three Dimensional ◽  
Correlation Coefficients ◽  
Angle Measurement ◽  
Transverse Plane ◽  
Significance Level ◽  
Children With Cerebral Palsy ◽  
Kinematic Measures ◽  
Hip Rotation

Abstract Objective To evaluate the correlation between physical examination data concerning hip rotation and tibial torsion with transverse plane kinematics in children with cerebral palsy; and to determine which time points and events of the gait cycle present higher correlation with physical examination findings. Methods A total of 195 children with cerebral palsy seen at two gait laboratories from 2008 and 2016 were included in this study. Physical examination measurements included internal hip rotation, external hip rotation, mid-point hip rotation and the transmalleolar axis angle. Six kinematic parameters were selected for each segment to assess hip rotation and shank-based foot rotation. Correlations between physical examination and kinematic measures were analyzed by Spearman correlation coefficients, and a significance level of 5% was considered. Results Comparing physical examination measurements of hip rotation and hip kinematics, we found moderate to strong correlations for all variables (p<0.001). The highest coefficients were seen between the mid-point hip rotation on physical examination and hip rotation kinematics (rho range: 0.48-0.61). Moderate correlations were also found between the transmalleolar axis angle measurement on physical examination and foot rotation kinematics (rho range 0.44-0.56; p<0.001). Conclusion These findings may have clinical implications in the assessment and management of transverse plane gait deviations in children with cerebral palsy.

scholarly journals TARSAL COALITIONS IN CHILDREN WITH CEREBRAL PALSY: CLINICAL OBSERVATION AND TREATMENT STRATEGY

2014 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Vladimir Markovich Kenis ◽  
Andrei Viktorovich Sapogovsky ◽  
Ruslan Khalilovich Husainov
Keyword(s):  
Computed Tomography ◽  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Clinical Observation ◽  
Foot Deformities ◽  
Foot Deformity ◽  
Tarsal Coalition ◽  
Children With Cerebral Palsy ◽  
Diagnostic Confusion

Tarsal coalition is a congenital anomaly of the foot, characterized by later appearance of the clinical and radiological signs, which become obvious in adolescents. Tarsal coalitions in children with cerebral palsy can lead to diagnostic confusion, as well as to complicate natural course of foot deformity and surgical treatment. The paper presents first experience with the systematized data for tarsal coalitions in children with cerebral palsy. Among 157 children operated for foot deformities this anomaly was identified in 4 patients (incidence - 2,5 % in our series). Clinical and radiological descriptions, surgical management, including complications, are presented for these cases, which demonstrate significance of tarsal coalitions for diagnostics, surgical management and prognosis. Information and caution, regarding tarsal coalitions in children with cerebral palsy, who undergo surgical treatment for foot deformities, as well as advanced methods of diagnostics (magnetic resonance and computed tomography), are required in order to avoid preventable complications.

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