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Table 2 Foot deformities and treatment

From: Orthopaedic Disorders in Myotonic Dystrophy Type 1: descriptive clinical study of 21 patients

Patient

Deformity right foot

Treatment

Deformity left foot

Treatment

1

Pes cavovarus

O

Pes cavovarus

O

  

A (7 years)

 

A, T, S (7 years)

  

A, T (12 years)

  

2

No deformity

 

No deformity

 

3

Pes planovalgus et adductus

O, L

Club foot

O, L

4

Lost dorsiflexion

L

Lost dorsiflexion

L

5

Lost dorsiflexion, hallux valgus, claw toes II, III

 

Lost dorsiflexion, hallux valgus, claw toes II, III

 

6

Pes cavovarus

I

Pes cavovarus

I

A, TS, P (12 years)

A, T, S, P (11 years)

7

Pes planivalgus

O

Pes planovalgus

O

8

Pes cavus

L

Pes cavus

L

9

Club foot, hallux valgus

O, L

Club foot, hallux valgus

O, L

  

A, E (2 years)

 

A, E (2years)

  

A, R (13 years)

 

A, R (13years)

10

Pes cavus

 

Pes cavus

 

11

Pes equinus

A (6years)

Pes equinus

A (6years)

12

Pes equinus

O,L

Pes equinus

O.L

  

A, S, E (1 year)

 

A, S, E (1year)

  

A, R (3 years)

  

13

Pes planovalgus

I,L

Pes planovalgus

I,L

14

Pes equinus

I

Pes equinus

I

15

Pes equinus et cavus claw toes IV,V

O,L

Pes equinus et cavus claw toes IV,V

O,L

  

A (1 year)

 

A (1 year)

  

A, T, S (3years)

 

A, T, S (3years)

16

Lost dorsifelxion

I

Pes equinus

I

17

Pes planovalgus

L

Pes planovalgus, lost dorsifelxion

L

18

Club foot, claw toes II-V

I

Club foot, claw toes toes II-V

I

  

A, T (18 years)

 

A, T (18years)

19

Pes equinus

L

Pes equinus

L

  

A, P, E (1 year)

 

A, P, E (1 year)

20

Limited dorsiflexion (5°)

 

Limited dorsiflexion (5°)

 

21

Pes varus, lost dorsifelxion

 

Pes varus, lost dorsifelxion

 
  1. Conservative treatment:
  2. O Orthopaedic custom-made shoes.
  3. L Lower leg orthoses.
  4. I Orthopaedic insoles.
  5. Surgical procedures.
  6. A Achillotenotomy.
  7. T Transfer of the tibialis posterior muscle to os cuneiforme laterale.
  8. S Splitting of the plantar fascia.
  9. P Transfer of peroneus longus muscle to peroneus brevis muscle.
  10. E Lengthening of the flexor hallucis longus muscle.
  11. R Release of the ankle joints’ dorsal capsule.