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The Application Of Echo-Guided Injection Of Steroid And Botulinum Toxin Type A For Ankle Contracture In Traumatic Trans-Metatarsal Amputation: A Casereport, Ching Yu Wang, Simon F Tang, Yu Ting Hsieh

Rehabilitation Practice and Science

In this report we share 21 year-old young man with traumatic transmetatarsal amputation treated with multiple operations after few weeks of surgery. Foot equinovarus deformity was noted which leads to walking disability and affects daily activities. Patient was referred to us from orthopedic doctor because he hesitated to have another operation for Achilles tendon lengthening. During the physical examination, equinovarus foot with hip contracture were observed which may be caused by muscle imbalance or nerve injury. Nerve conduction velocity and electromyography tests (NCV/EMG) was arranged for differentiating between neurogenic contraction and myogenic contracture. Peroneal nerve injury was ruled outafter the …