The Orthobullets Podcast Foot & Ankle | Foot Muscle Forces & Deformities
Jan 5, 2026
Dive into the fascinating world of foot and ankle complexities! Discover basic and intricate deformities like equinus and cavovarus, along with their muscular implications. Learn about managing equinovarus after a stroke and the surgical options available. The podcast also tackles foot drop, unraveling its causes and treatment strategies. Plus, explore innovative techniques like the Coleman block test and tendon transfers for effective reconstructions. A comprehensive journey through the anatomy and rehabilitation of the foot awaits!
AI Snips
Chapters
Transcript
Episode notes
Simple Deformities Mirror Muscle Imbalances
- Different simple foot deformities map to predictable muscle strength/weakness patterns that guide treatment choices.
- For example, pes planus typically shows strong peroneus brevis and weak posterior tibialis affecting correction strategy.
Complex Deformities Combine Multiple Forces
- Complex deformities combine multiple muscle imbalances and require multifaceted corrections.
- Example: equinovarus plus supination shows overactive gastrocnemius-soleus, posterior and anterior tibialis with weak peroneals.
Delay Surgery For Poststroke Equinovarus
- Treat equinovarus after stroke initially with an AFO and physical therapy for at least six months to allow neurologic recovery.
- Consider phenol/Botox or surgical options like split anterior tibial transfer if conservative care fails.