Introduction Simple Deformities Deformity Strong Muscle Weak Muscle Equinus Gastroc-soleus complex Dorsiflexors Cavus Plantar fascia, intrinsics Dorsiflexors Varus Posterior tib, anteiror tib Peroneal brevis Supination Anterior tibialis Peroneus longus Flatfoot Peroneus brevis Posterior tibial tendon Complex Deformities Deformity Strong Muscle Weak Muscle Equinovarus + supination Gastroc-soleus complex, posterior tibialis, anterior tibialis Peroneus brevis & longus Equinovalgus Gastroc-soleus complex, peroneals Posterior tibialis, anterior tibialis Calcaneovalgus Foot dorsiflexors/evertors (L4 and L5) Plantar flexors /inverters (S1 and S2) Introduction Equinovarus foot most common deformity following stroke use AFO and physical therapy for at least 6 months to await for possible neuro recovery overactivity of the tibialis anterior, with contributions from the FHL, FDL, and tibialis posterior treatment nonoperative login to view 3 more bullets surgical login to view 3 more bullets Foot drop Inability to dorsiflex at the ankle and/or toes Commonly result from peroneal nerve palsy Multiple etiologies login to view 7 more bullets Presentation - variable depending on location of nerve injury Motor login to view 2 more bullets Sensory login to view 2 more bullets Treatment Nonoperative login to view 3 more bullets Operative login to view 5 more bullets Physical Exam Silfverskiöld test improved ankle dorsiflexion with knee flexed = gastrocnemius tightness equivalent ankle dorsiflexion with knee flexion and extension= achilles tightness