Chapter 8 - Neuro-orthopaedics and Rehabilitation

Question 1

TBI - hindfoot varus deformity - treatment

Answer 1

split anterior tibial tendon transfer (one half the tendon is transferred to the cuboid)
ehl overactivity - transfer to dorsum of foot
tib post overactivity - lengthen

Question 2

TBI - limb scissoring, cause and best surgical option

Answer 2

overactive hip adductors
if no fixed hip flexion contracture - anterior branch of the obturator nerve transection
if hip flexion contracture - adductor tenotomy

Question 3

TBI - shoulder internal rotation/adduction contracture

Answer 3

cause: overactive pec major, subscap, latissimus dorsi and teres major
treatment: surgical release of overactive tendon in anterior deltopec approach

Question 4

TBI - stiff knee gait - cause and surgical treatment

Answer 4

inappropriate rectus femoris activity during preswing thru terminal swing
transfer of the rectus femoris to the gracilis

Question 5

TBI Hip and Knee flexion contractures - treatment

Answer 5

surgical release of the Iliopsoas off the lesser troch, adductor longus release, pectineus release, hamstring tenotomy