FRCS Paediatric Ortho — improved notes
FRCS Paediatric Ortho — visual inline notes

107. Stiff knee gait

visual-inline rebuild2 extracted figuresspeaker notes XML11 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

Stiff knee gait

Clinical photograph
Fig 1. Clinical photographtop left
Radiograph / imaging
Fig 2. Radiograph / imagingtop centre
•Decrease knee flexion in terminal stance and throughout swing phase
•Problem: spastic rectus femoris firing out of phase
•Young <6 yr
•Botox and stretching

Management

Rectus to pes transfer:

•Peak knee flexion <50
•Peak knee flexion later than 30% of swing
•Active rectus in mid 3/5 of swing
•Toe dragging

Direct Q&A

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

Stiff knee gait

•Decrease knee flexion in terminal stance and throughout swing phase
•Problem: spastic rectus femoris firing out of phase
•Young <6 yr
•Botox and stretching

Management

Rectus to pes transfer:

•Peak knee flexion <50
•Peak knee flexion later than 30% of swing
•Active rectus in mid 3/5 of swing
•Toe dragging

Raw speaker-note hierarchy audit

#lvlmarLindentlogicaloriginal note line
10NoneNone0Stiff knee gait
20NoneNone0Decrease knee flexion in terminal stance and throughout swing phase
30NoneNone0Problem: spastic rectus femoris firing out of phase
40NoneNone0Young <6 yr
50NoneNone0Botox and stretching
60NoneNone0Mx:
70NoneNone0Rectus to pes transfer:
80171450-1714501Peak knee flexion <50
90171450-1714501Peak knee flexion later than 30% of swing
100171450-1714501Active rectus in mid 3/5 of swing
110171450-1714501Toe dragging

Improved semantic hierarchy used for the study notes

#semantic levelsection?rewritten line
10Stiff knee gait
21Decrease knee flexion in terminal stance and throughout swing phase
31Problem: spastic rectus femoris firing out of phase
41Young <6 yr
51Botox and stretching
60yesManagement
70yesRectus to pes transfer:
81Peak knee flexion <50
91Peak knee flexion later than 30% of swing
101Active rectus in mid 3/5 of swing
111Toe dragging