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105. Recurvatum gait

visual-inline rebuild1 extracted figuresspeaker notes XML22 study lines1 Q&A

Individual slide images have been cropped from the rendered slide and inserted beside the matching note section. The full slide remains below only for layout/audit.

Clean FRCS notes with inline figures

Recurvatum gait

Clinical photograph — Fig 1. Clinical photographtop left

•Midstance

•Knee recurvatum

•Ankle in plantarflexion

•Hip in flexion (move CG anterior to balance GRF)

•Contralateral crouch (pelvic obliquity)

•Causes

•Contracture of triceps surae

•<6yo/ spasticity

•Botox

•Stretching

•Solid AFO

•Contracture + >6yo → silverskiold

•Gastroc only → gastroc recession

•Gastroc + soleus → ETA

•Refer slide 108

•Strayer → gastroc release from soleus proximal to conjoint tendon → 1cm

•Vulpius → chevron at MST junction → 1.5 cm

•Baker → central fascial tongue

•(PETA = Percutaneus elongation of the Achilles tendon)

•White PETA → 1 med 1 lat → 2-4cm

•Hoker PETA → 2 med 1 lat → 4cm

Direct Q&A

Q1 What are the diagnostic findings and management points for Recurvatum gait?

Recurvatum gait

•Midstance

•Knee recurvatum

•Ankle in plantarflexion

•Hip in flexion (move CG anterior to balance GRF)

•Contralateral crouch (pelvic obliquity)

•Causes

•Contracture of triceps surae

•<6yo/ spasticity

•Botox

•Stretching

•Solid AFO

•Contracture + >6yo → silverskiold

•Gastroc only → gastroc recession

•Gastroc + soleus → ETA

•Refer slide 108

•Strayer → gastroc release from soleus proximal to conjoint tendon → 1cm

•Vulpius → chevron at MST junction → 1.5 cm

•Baker → central fascial tongue

•(PETA = Percutaneus elongation of the Achilles tendon)

•White PETA → 1 med 1 lat → 2-4cm

•Hoker PETA → 2 med 1 lat → 4cm

Raw speaker-note hierarchy audit

#	lvl	marL	indent	logical	original note line
1	0	None	None	0	Recurvatum gait
2	0	None	None	0	Midstance
3	0	171450	-171450	1	Knee recurvatum
4	0	171450	-171450	1	Ankle in plantarflexion
5	0	171450	-171450	1	Hip in flexion (move CG anterior to balance GRF)
6	0	171450	-171450	1	Contralateral crouch (pelvic obliquity)
7	0	0	0	0	Causes
8	0	171450	-171450	1	Contracture of triceps surae
9	1	628650	-171450	2	<6yo/ spasticity
10	2	1085850	-171450	3	Botox
11	2	1085850	-171450	3	Stretching
12	2	1085850	-171450	3	Solid AFO
13	1	628650	-171450	2	Contracture + >6yo → silverskiold
14	2	1085850	-171450	3	Gastroc only → gastroc recession
15	2	1085850	-171450	3	Gastroc + soleus → ETA
16	0	0	0	0	Refer slide 108
17	0	0	0	0	Strayer → gastroc release from soleus proximal to conjoint tendon → 1cm
18	0	0	0	0	Vulpius → chevron at MST junction → 1.5 cm
19	0	0	0	0	Baker → central fascial tongue
20	0	0	0	0	(PETA = Percutaneus elongation of the Achilles tendon)
21	0	0	0	0	White PETA → 1 med 1 lat → 2-4cm
22	0	0	0	0	Hoker PETA → 2 med 1 lat → 4cm

Improved semantic hierarchy used for the study notes

#	semantic level	section?	rewritten line
1	0		Recurvatum gait
2	1		Midstance
3	1		Knee recurvatum
4	1		Ankle in plantarflexion
5	1		Hip in flexion (move CG anterior to balance GRF)
6	1		Contralateral crouch (pelvic obliquity)
7	1		Causes
8	1		Contracture of triceps surae
9	2		<6yo/ spasticity
10	3		Botox
11	3		Stretching
12	3		Solid AFO
13	2		Contracture + >6yo → silverskiold
14	3		Gastroc only → gastroc recession
15	3		Gastroc + soleus → ETA
16	1		Refer slide 108
17	1		Strayer → gastroc release from soleus proximal to conjoint tendon → 1cm
18	1		Vulpius → chevron at MST junction → 1.5 cm
19	1		Baker → central fascial tongue
20	1		(PETA = Percutaneus elongation of the Achilles tendon)
21	1		White PETA → 1 med 1 lat → 2-4cm
22	1		Hoker PETA → 2 med 1 lat → 4cm

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