Deformity of the Forefoot in Children With Unilateral Cerebral Palsy

Foot deformities are the most frequent musculo-skeletal deformities in children with Cerebral palsy. Pain starts in the foot, especially during gait in Cerebral Palsy Children (GMFCS I and II) and induce gait limitations, balance disorders, wounds, aesthetic disorders and difficulties to support shoes.

Metatarsus Adductus is the most common foot deformity in children with or without disorder, occuring on 1-2/1000 births. In 4 to 14% of the children, evolution is not favorable at 5 years. In that case, the diagnostic of Cerebral palsy have to be considered.

Inclusion criteria

• Child who benefit a standardised clinical evaluation before a 3D Gait Analysis with forefoot deformity measure
• Child age less than 18 years old
• Child with left or right unilateral cerebral palsy
• Walking child ( GMFCS score I, II or III)
• In case of several 3D Gait Analysis for the child: the 3D gait analysis was chosen first before any local spasticity treatment with botulinic toxin injection or the 3D gait evaluation the more far from local spastica treatment with botulinic toxin injection was chosen in second .

Exclusion criteria

• Hemiplegia due to another etiology
• History of lower limb or foot surgery before the clinical evaluation
• Local spasticy treatment with botulinic toxin injection less than 3 months before the clinical evaluation
• Participation refusal