FOOT MUSCLE FORCES AND DEFORMITIES

Equinovarus foot
o most common deformity following stroke
 use AFO and physical therapy for at least 6 months to await for possible neuro recovery
 overactivity of the tibialis anterior, with contributions from the FHL, FDL, and tibialis posterior
o treatment
 nonoperative
 AFO fitting
 physical therapy
 Phenol or botox injections
 surgical
 split anterior tibial tendon transfer (SPLATT)
 flexor hallucis longus tendon transfer to the dorsum of the foot and release of the flexor digitorum
longus and brevis tendons at the base of each toe
 gastrocnemius or achilles lengthening