Case of the week - 20/12/98

from Univ. Clinic for Physical Medicine & Rehabiliation, Vienna General Hospital,

in cooperation with the Orthopaedic Hospital of Speising, Vienna

A case of Spastic Diplegia analysed pre & post-op

He had had no previous surgery.
 

R.O.M. (right) R.O.M. (left) Strength (R) Strength (L) pre post pre post pre post pre post hip flexors (supine) 4+ 5 4+ 5 hip flexors (seated) 5 5 5 4+ hip flexor (standing)   4 5 4 5- hip abduction (knee flexed) 45° 40 45° 40 hip abductors   4+ 5 4+ 5 rectus sign, active ++ ++ ++ + rectus sign, passive ++ ++ ++ ++ knee flexor sign, active ++ + ++ + knee flexor sign, passive + o + 0 knee extension deficit (hip  flexed to 90°) 45 45 45 30 tibial torsion 15° outside 10° outside femor anteversion 50° 50° triceps clonus ++ + ++ + plantarflexors   5 5 5 4+

Surgery performed:

Movies (PC users get the QuickTime plug-ins here - right mouse-click "Save Link as..." - Windows 95/NT and 3.1)

The movies will open in new browser windows so you can view them simultaneously with analysis.
 

	pre	post
movie format	QuickTime	QuickTime
	front view	front view
	rear view	rear view
	left view	left view
	right view	right view

Temporal-Distance Parameters

	left	joint kinematics pre & post	joint kinetics pre & post	trunk kinematics pre & post
	right	joint kinematics pre & post	joint kinetics pre & post	trunk kinematics pre & post

... points for discussion:

• Has the patient's improved?
• Why?
• Do you agree with the choice of surgery?
• What further surgery or interventions would you recommend?

Case prepared by Mag. Andreas Kranzl

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Maintained by DDr. Chris Kirtley, Andreas Kranzl
Last modified on Wednesday, 20-Dec. 1998.

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