1/5. A preliminary report of the use of botulinum toxin type A in infants with clubfoot: four case studies.This report describes the use of botulinum toxin type A (BTX-A) in four infants with very severe clubfoot deformity. The gastrocnemius and posterior tibial muscles were injected with BTX-A after the patients reached a treatment plateau in physical therapy. Significant improvement in foot dorsiflexion and foot flexibility was seen in two patients, and surgery was not required. Surgical intervention was necessary in the remaining two patients, both of whom were ultimately diagnosed with a demyelinating neuropathy. The use of botulinum toxin as an adjunct to conservative care in infants with clubfoot is discussed.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. Rounds in podiatric dermatology.Dr. Port presents six cases, which he refers to as "zebras," with clinical descriptions and discussions that typify his excellent teaching style. He also alludes to the fact that podiatrists need to be thorough in their history and physical evaluations. After a lesion has been treated appropriately and does not respond, additional investigation is in order. These cases are interesting to read but, most importantly, any one of these atypical patients could be seen in our offices tomorrow.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/5. trisomy 6q25 to 6qter in a severely retarded 7-year-old boy with turricephaly, bow-shaped mouth, hypogenitalism and club feet.trisomy for a small terminal segment of chromosome 6q produces a characteristic syndrome of malformations and dysmorphic signs which, on the basis of comparison with a previously published case, may be suspected on clinical grounds. The present case concerns a 7-year-old boy, the son of a carrier mother t(6;14)(q25;qter). The main symptoms are: very severe physical and mental retardation, turricephaly, Cupid's bow mouth with narrow lips, almond-shaped eyes with narrow palpebral fissures and ptosis, micropenis with absence of scrotum, club feet, hammer toes, and extension contractures. In addition, there are a great many minor dysmorphic features.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. A newborn with bilateral hip flexion contractures and clubfeet.The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on the first page. The final clinical and roentgenographic differential diagnoses are presented on the following pages.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/5. guillain-barre syndrome. review and presentation of a case with pedal manifestations.Guillan-Barre syndrome is an acute, symmetrical polyneuropathy with distinctive features. The early clinical course involves painful paresthesia that is usually followed by proximal motor weakness. Albuminocytologic dissociation in the cerebrospinal fluid is considered diagnostically important. Therapy ranges from supportive measures including physical therapy to surgical intervention for residual deformities. A case with pedal manifestations is presented.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |