Luis A Rodriguez Anaya*, Robby Caballes, Yohandy Fuentes, Trusha Jariwala, Brian Jones and Thomas Merrill
Department of Podiatric Medicine, Barry University School of Podiatric Medicine, USAFulltext PDF
Congenital neuromuscular disorders pose a far more detrimental problem to patients not diagnosed at an early stage in their development. Therefore, a pre-emptive systematic assessment of the child will allow the diagnosing clinician to assemble a medical team specifically designed to better fit the child’s condition and better their prognosis in life. Some congenital presentations may be subtle at first but may have a significant impact on the patient’s long term goals such as ambulation. Deformities of the lower extremity are at the front line of these complications. Neurological evaluations should be sought out in addition to biomechanical evaluations in order to identify these issues before the physical manifestations arise. The increase in uneven pressure distribution on the foot as a result of such deformities puts patients at higher risk for ulcerations. Having an open wound is one of the major risk factor towards developing osteomyelitis or bone infection. In this review, the study patient suffered from Spina bifida and has, since childhood, presented with deformational complications of the foot that developed into a chain of events progressing from multiple lacerations to ulcer and inevitably to osteomyelitis. The prognosis of bone or even limb salvage with osteomyelitis is very poor unless detected early on. In retrospect, to identify the association between neurological deficit and deformity of the foot early on may provide a better prognosis for the patient during their lifespan.
Anaya LAR, Caballes R, Fuentes Y, Jariwala T, Jones B, Merrill T. A Case Report: Chronic Foot Deformities Secondary to Neurological Disorders. Clin Surg. 2017; 2: 1388.