Wednesday, May 28, 2008

Tuberous Sclerosis - Bilateral AFO Wrap Arounds

RX: Tuberous sclerosis.

HISTORY: This 19-month-old male has no allergies, has not had any surgeries and currently takes phenobarbital. He receives physical therapy 2 to 3 times per month at home. The patient reports that he has a rotating therapy schedule with occupation and speech therapy also. The patient is cruising and pulling to stand. He has not had previous devices.

EVALUATION:The patient presents with pronated feet bilaterally. His heels are in valgus and his forefeet are abducted. This is exaggerated upon weightbearing. He has mild tone and no clonus. Range of motion at his ankles is to 90 degrees with his knees straight. His knees and hips are normal. He has no gait to evaluate.

LAB: Fabricate bilateral AFO-Wrap Arounds


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