ABSTRACT

Children with spastic cerebral palsy (CP) are at risk for developing a mixture of foot deformities as they mature. Although CP is caused by a static encephalopathy, the associated musculoskeletal pathology is dynamic and influenced by a number of factors. Factors that may contribute to the deformities of the feet and ankles

include spasticity, muscle imbalance, contracture, bony torsion, joint instability, and disordered biomechanics during weight-bearing and ambulation.