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A posterior leaf spring ankle-foot orthosis would be appropriate for which foot and ankle malalignment pattern in a child with spastic-type cerebral palsy?
Absent heel strike, excessive plantar flexion in the swing phase, and 5 degrees of passive ankle dorsiflexion
Excessive ankle dorsiflexion in midstance caused by incompetence of the ankle plantar flexors
Crouch gait pattern with excessive ankle dorsiflexion, increased knee flexion, and increased hip flexion in midstance
Excessive supination of the hindfoot during stance, which is passively correctable
Significant knee instability and weakness with stance in a child who is minimally ambulatory
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Video of a crouched gait in a quadriplegic spastic cerebral palsy patient
spastic diplegic cerebral palsy toe walking gait
HPI - 2yo girl presents with her mother following sudden onset of tip-toe gait 2 days ago.
This is her first episode of tip-toe gait; she was previously ambulating normally.
No history of trauma.
She has hit all relevant milestones; no delay in development.
Had a recent upper respiratory tract infection 1 week earlier, which has resolved.
What is the likely diagnosis?