equinovarus

Definition

Deficiency of bony elements on lateral side of lower limb

- characterised by hypoplastic or aplastic fibula

Types

Terminal

- abnormal foot

Intercalary

- normal foot

Epidemiology

Most common congenital deformity of long bones

- M:F   2:1

Principles

Foot

A little equinus is better than calcaneus

A little valgus is better than varus

A little varus is better than severe valgus

TA lengthening is most over used operation in CP

Knee

A little knee flexion is better than recurvatum

Knees

Problems

Tight hamstrings