Radiographic Evaluation of Foot Deformities in Children with Cerebral Palsy.

, Song, Eun Beom; , Kim, Sei Joo

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(6):549-558.

¹Department of Rehabilitation Medicine, Samyook Rehabilitation Hospital, Korea. rehab@samyook.org
²Department of Rehabilitation Medicine, Korea University College of Medicine, Korea.

뇌성마비아 족부 변형의 방사선 평가

송은범, 김세주¹³

삼육재활병원 재활의학과, ¹고려대학교 의과대학 재활의학교실

Abstract

Objective
To evaluate whether 7 radiographic angles make a useful method for analysing foot deformities in children with cerebral palsy, and to assess with changes in angles after 2 years with orthoses or operations.
Method
The talocalcaneal, talus-first metatarsal, and calcaneus-fifth metatarsal angles on the AP radiographs and the talocalcaneal, tibiotalar, talus-first metatarsal, and talohorizontal angles on the lateral radiographs were measured in 183 cerebral palsied. Seven angles were analyzed according to the clinical types, spasticity, ambulation, and age. One hundred three feet were followed up for 2 years with application of orthoses or operations.
Results
The frequencies of higher range in AP talocalcanealangle were 24.4% in spastic diplegia. The increased frequencies for abnormal range increased as the grade of spasticity. Non-ambulator group had many frequencies of lower range in AP talocalcaneal angle. The age of 8∼9 years showed high peak in the frequency of abnormal range. After 2 years, the frequencies of normal range were increased in groups with orthoses or operations.
Conclusion
The radiographic angles were a useful method for observing feet of the children with cerebral palsy. If the appropriate interventions for feet were applied, the normal frequencies of radiographic angles were increased after 2 years. (J Korean Acad Rehab Med 2004; 28: 549-558)

Key Words: Foot deformities, Radiography, Cerebral palsy, Operations, Orthoses