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High Stepping / Steppage Gait without neurologic component

Discussion in 'Biomechanics, Sports and Foot orthoses' started by pod87, Apr 8, 2015.

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  1. pod87

    pod87 Member


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    Hello Everyone,

    61yo male presents with bilateral partial tear plantar fasciae, only symptomatic on R
    planus foot type, mostly midfoot with marked navicular drift & drop
    Weak glutes bilateral
    No hallux limitus or ankle equinus
    No history of neurological condition/stroke

    In gait, he abducts his feet, lifts knees excessively and flexes hips to gain ground clearance. Also medially pushes off halluces due to MLA not resupinating.

    I have been trying to wrap my head around why he would use a steppage gait when there is no foot drop, no limitation at the 1st MTPJ or ankle.

    Any ideas? I am interested to see other people's thoughts on this case
     
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