%0 Journal Article %1 Cottalorda1997 %A Cottalorda, J. %A Gautheron, V. %A Charmet, E. %A Chavrier, Y. %D 1997 %J Rev Chir Orthop Reparatrice Appar Mot %K Achilles Tendon; Casts, Surgical; Cerebral Palsy; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Male; Muscle Spasticity; Muscular Atrophy, Spinal; Recurrence; Retrospective Studies %N 4 %P 368--371 %T Muscular lengthening of the triceps by successive casts in children with cerebral palsy %V 83 %X PURPOSE OF THE STUDY: Twenty children with cerebral palsy who underwent elongation of the triceps surae using successive plaster-casts (28 short triceps) were reviewed. This study was retrospective. MATERIAL AND METHODS: Among the eighteen children, 10 were hemiplegic, 8 were diplegic and 2 were spastic quadriparetic. All of them except one were ambulatory children. The authors describe their elongation technique by plaster-casts and the treatment they lead. The mean age at time of elongation was 4 years and 6 months (range 2 years 4 months to 8 years). The passive dorsiflexion of the foot before elongation was of 0 degree (range -20 degrees to +10 degrees) knee in extension, and of 5 degrees (range -15 degrees to +15 degrees) knee in flexion. RESULTS: The passive dorsiflexion of the foot after elongation was of 23 degrees (range +10 degrees to +30 degrees) knee in extension, and of 27 degrees (range +10 degrees to +35 degrees) knee in flexion. One major complication was noted: the persistence of a varus foot in child after elongation. 24 elongations were reviewed with a mean follow-up of 21 months (range 12 months to 30 months). The passive dorsiflexion of the foot was of 10 degrees (range 0 degree to +20 degrees) knee in extension and of 17 degrees (range -5 degrees to +25 degrees) knee in flexion. DISCUSSION: Compared to different procedures (surgical lengthening, botulinum-A toxin) elongation by successive plaster-casts is a quick, safe, complication-free, and simple technique, whose results are equivalent. Even if recurrence of equinus is probable, a surgical procedure of lengthening could be made on an operative-free tendon. CONCLUSION: Elongation of the triceps surae muscle by successive plaster-casts constitutes a safe alternative technique compared to surgical procedure.

@article{Cottalorda1997, abstract = {PURPOSE OF THE STUDY: Twenty children with cerebral palsy who underwent elongation of the triceps surae using successive plaster-casts (28 short triceps) were reviewed. This study was retrospective. MATERIAL AND METHODS: Among the eighteen children, 10 were hemiplegic, 8 were diplegic and 2 were spastic quadriparetic. All of them except one were ambulatory children. The authors describe their elongation technique by plaster-casts and the treatment they lead. The mean age at time of elongation was 4 years and 6 months (range 2 years 4 months to 8 years). The passive dorsiflexion of the foot before elongation was of 0 degree (range -20 degrees to +10 degrees) knee in extension, and of 5 degrees (range -15 degrees to +15 degrees) knee in flexion. RESULTS: The passive dorsiflexion of the foot after elongation was of 23 degrees (range +10 degrees to +30 degrees) knee in extension, and of 27 degrees (range +10 degrees to +35 degrees) knee in flexion. One major complication was noted: the persistence of a varus foot in child after elongation. 24 elongations were reviewed with a mean follow-up of 21 months (range 12 months to 30 months). The passive dorsiflexion of the foot was of 10 degrees (range 0 degree to +20 degrees) knee in extension and of 17 degrees (range -5 degrees to +25 degrees) knee in flexion. DISCUSSION: Compared to different procedures (surgical lengthening, botulinum-A toxin) elongation by successive plaster-casts is a quick, safe, complication-free, and simple technique, whose results are equivalent. Even if recurrence of equinus is probable, a surgical procedure of lengthening could be made on an operative-free tendon. CONCLUSION: Elongation of the triceps surae muscle by successive plaster-casts constitutes a safe alternative technique compared to surgical procedure.}, added-at = {2014-07-19T19:16:27.000+0200}, author = {Cottalorda, J. and Gautheron, V. and Charmet, E. and Chavrier, Y.}, biburl = {https://www.bibsonomy.org/bibtex/25bd1143950aa75a43246c007cd2ec1f2/ar0berts}, groups = {public}, interhash = {f7d1663a6f8b29d6ed90e59cf1cc58bf}, intrahash = {5bd1143950aa75a43246c007cd2ec1f2}, journal = {Rev Chir Orthop Reparatrice Appar Mot}, keywords = {Achilles Tendon; Casts, Surgical; Cerebral Palsy; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Male; Muscle Spasticity; Muscular Atrophy, Spinal; Recurrence; Retrospective Studies}, number = 4, pages = {368--371}, pii = {MDOI-RCO-07-1997-83-4-0035-1040-101019-ART98}, pmid = {9452811}, timestamp = {2014-07-19T19:16:27.000+0200}, title = {[Muscular lengthening of the triceps by successive casts in children with cerebral palsy]}, username = {ar0berts}, volume = 83, year = 1997 }