Botulinum Toxin Type A Injection Combined With Cast Immobilization for Treating Recurrent Peroneal Spastic Flatfoot Without Bone Coalitions: A Case Report and Review of the Literature.

Abstract

Peroneal spastic flatfoot is an uncommon condition. It often presents as a rigid and usually painful valgus deformity in the hindfoot with peroneal muscles spasms. Although tarsal coalition is an important cause, a few patients have not undergone bone coalitions. We describe a 27-year-old female who experienced recurrent peroneal spastic flatfoot after an injury. She was treated successfully with a combination of botulinum toxin type A and immobilization of the foot in a neutral position with a cast. After 3 years, the condition had not recurred, and she was pain free and walked normally, with no increase in muscle tone. This unique treatment could be of potential use to treat many patients with such conditions.

• Authors: Jian Xu, Hassan Muhammad, Xu Wang, Xin Ma
• Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons (J Foot Ankle Surg) 2015 Jul-Aug Vol. 54 Issue 4 Pg. 697-700 ISSN: 1542-2224 [Electronic] United States
• PMID: 24774990 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Chemical References

• Neuromuscular Agents
• Botulinum Toxins, Type A

Topics

• Adult
• Ankle Injuries (complications)
• Botulinum Toxins, Type A (therapeutic use)
• Casts, Surgical
• Female
• Flatfoot (therapy)
• Humans
• Immobilization
• Injections, Intramuscular
• Muscle Spasticity (therapy)
• Neuromuscular Agents (therapeutic use)
• Sprains and Strains (complications)