The mechanism of formation and clinical course of pronation foot deformity in children with the cerebral palsy [Text] / O. A. Danylov [et al.] // Хірургія України. - 2016. - N 4. - P18-23 MeSH-главная: ЦЕРЕБРАЛЬНЫЙ ПАРАЛИЧ -- CEREBRAL PALSY (осложнения) СТОПЫ ДЕФОРМАЦИИ -- FOOT DEFORMITIES (осложнения, патофизиология, этиология) ВОЗРАСТНЫЕ ФАКТОРЫ -- AGE FACTORS ДЕТИ -- CHILD Аннотация: The aim — definition of the main mechanisms of formation and clinical course of pronation foot deformity in different age groups at the children with a cerebral palsy. Materials and methods. The data obtained from treatment of 68 patients aged from 2 till 16 years were analyzed. In all cases deformation of foot was noted bilateral pronation foot deformity. Clinical methods included definition of a position of a calcaneal bone (valgus, an equines deformity in degrees), the pronation of foot and forefoot abduction, a condition of the longitudinal arch at loading and in a prone position. Degree of mobility of foot was determined by coefficient. Results and discussion. Depending on nature of changes of foot shape has been allocated three variants of pronation foot deformity. Equines plano-valgus deformity — a combination of an equines deformity of a calcaneal bone (displacement of its rear in a proximal direction) with the pronation of foot and forefoot abduction. Plano-valgus deformity — the pronation of foot is combined with forefoot abduction and a valgus abduction of a calcaneal bone. At the third variant the main component of deformation is the pronation of foot in talocrural and subtalar joints. Abduction of the forefoot is not present or poorly expressed at loading. Conclusions. Plano-valgus deformity of foot is a heavy complication of cerebral spastic infantile paralysis that causes violation of a statics and locomotion walk, increases motive insufficiency. Depending on the character of a muscular imbalance, a condition of the ligaments, speed of progressing of deformation allocate three variants of its development. Clinical course pronation foot deformity is caused by the age of patients, body weight and physical activity. Доп.точки доступа: Danylov, O. A. Shulga, O. V. Gorelik, V. V. Abdalbari, J. Свободных экз. нет