Intrinsic toe XXXX following correction of spastic @entity85 in adults.

@entity1 @entity131 @entity64 @entity5109 @entity1347 @entity16 @entity15261 @entity158 @entity85 @entity1795
In the treatment of @entity5109 in adults with @entity16 , various surgical procedures are used including the @entity1347 lengthening. Release of the @entity1795 in the midfoot is routinely included with these procedures to correct or prevent toe curling. In follow-up, residual toe curling has been observed in some @entity1 despite release of the long toe flexor tendons. This study was undertaken to investigate this problem and its consequences, treatment, and treatment success. Forty-one feet in 34 consecutive @entity1 were examined for residual toe curling an average of 2.5 years postoperatively. Thirty-two feet (78%) were noted to have significant @entity85 . The residual toe curling caused @entity158 in 72% of the feet and was associated with @entity15261 on the dorsum of the toes in 59%. The incidence of residual toe curling secondary to spasticity of the flexor digitorum brevis and intrinsic muscles of the foot was similar in the @entity1 who had sustained @entity131 and in those who had suffered a @entity64 . Twelve of these feet (37%) underwent surgical release of the flexor digitorum brevis and intrinsic tendons to correct the toe curling. There were no complications of surgery and no recurrences of @entity85 following the surgery. A second surgical procedure to release the flexor digitorum brevis and intrinsic tendons to correct the toe curling was more commonly performed in the younger more active brain-injured @entity1 than in the older @entity64 @entity1 (44% versus 20%, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
