TRICEPS SURAE SYNDROME IN CEREBRAL PALSY

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Abstract
THE PURPOSE of this paper is threefold: first, to stimulate interest and to reevaluate the over-all problem and the need of early surgery in the care of the cerebral palsied child; second, to discuss the various functional disturbances associated with the spastic or tense triceps surae muscle, and third, to describe a surgical procedure directed at restoring control of the function of this muscle and correction of some of the bizarre deformities resulting from its involvement. During the past decade or more, repeated emphasis on so-called conservative therapy has overshadowed the surgical needs of the patients afflicted with cerebral palsy. During this period, with the exception of McCarroll's instructional course papers,1there has been little written on surgery in these children, and no satisfactory operative procedures worthy of the name new has been described. This apparent lack of attention on the part of the orthopedists to a universal problem

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