A preliminary report of the use of botulinum toxin type A in infants with clubfoot: Four case studies

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

This report describes the use of botulinum toxin type A (BTX-A) in four infants with very severe clubfoot deformity. The gastrocnemius and posterior tibial muscles were injected with BTX-A after the patients reached a treatment plateau in physical therapy. Significant improvement in foot dorsiflexion and foot flexibility was seen in two patients, and surgery was not required. Surgical intervention was necessary in the remaining two patients, both of whom were ultimately diagnosed with a demyelinating neuropathy. The use of botulinum toxin as an adjunct to conservative care in infants with clubfoot is discussed.

Original languageEnglish (US)
Pages (from-to)533-538
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume20
Issue number4
DOIs
StatePublished - Jul 28 2000

Keywords

  • Botulinum toxin type A
  • Clubfoot
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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