Brunner R
Neuroorthopädie, Kinderorthopädische Universitätsklinik, Universitäts-Kinderspital beider Basel, Germany.
Orthopade. 1999 Mar;28(2):143-150. doi: 10.1007/PL00003591.
The lack of muscle control in neurological disorders often leads to deformities of the foot. The equinus (a contracture of the triceps surae muscle), the abduction and clubfoot deformity are the most common ones. The present paper describes the deformities and stresses the functional relevance for the patient. Therapeutic principles of the conservative orthopaedic means are described with special emphasis on the need of an adequate height of the aide and the foot position. Casting and the application of Botulinun toxine are described having a major side effect of muscle weakening. A combination of the different procedures, surgical interventions included, need to be selected for each patient offering the best management for each individual problem.
神经系统疾病中肌肉控制的缺乏常常导致足部畸形。马蹄足（小腿三头肌挛缩）、外展和畸形足是最常见的畸形。本文描述了这些畸形，并强调了其对患者的功能影响。阐述了保守矫形方法的治疗原则，特别强调了辅助器具的适当高度和足部位置的必要性。描述了石膏固定和肉毒杆菌毒素的应用，其主要副作用是肌肉无力。需要为每个患者选择包括手术干预在内的不同治疗方法的组合，以针对每个个体问题提供最佳治疗方案。
