14.1
Wind swept leg
- 1.
Clinical feature: One hip (right at the picture) flexed-internally rotated-adducted and the other one (left at the picture) flexed-externally rotated-abducted and bilateral knee flexed.
- 2.
Botulinum toxin injection: different target muscles depending on hip side (at the picture the hip is windswept to the left)
- a.
Target muscles for internally rotated-adducted hip (right hip at the picture): iliopsoas (6-1), tensor fascia lata (6-2), hip adductors (6-9 to 6-12), hamstrings (6-17 & 18)
- b.
Target muscles for externally rotated-abducted hip (left hip at the picture): iliopsoas (6-1), hamstrings (6-17 & 18) if hip flexion and knee flexion deformities are combined.
- a.
14.2
Knocked knee
- 1.
Clinical feature: Each knee crosses midline with hip adduction. More pronounced while standing and walking. Pes planovalgus deformity is usually combined.
- 2.
Botulinum toxin injection:
- a.
Primary target muscles: hip adductors (6-9 to 6-12)
- b.
Secondary target muscles: tensor fascia lata (6-2) and peroneus muscles (7-4 to 7-6) depending on how severely the hip is internal rotated and foot pronated.
- a.
14.3
Crouching
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