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Figure 12 shows the radiograph of a 15-year-old boy with cerebral palsy who has pain at the first metatarsophalangeal joints. He is a community ambulator. Management consisting of accommodative shoes has failed to provide relief. What is the treatment of choice?
Custom-molded night orthotics
Double osteotomy of the first metatarsals
Crescentic osteotomy of the first metatarsals
Distal realignment (modified McBride)
First metatarsophalangeal joint arthrodeses
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Split posterior tibial tendon transfer is used in the treatment of children with cerebral palsy. Which of the following patients is considered the most appropriate candidate for this procedure?
A 6-year-old child with athetosis and a flexible equinovarus deformity of the foot
A 6-year-old child with spastic hemiplegia and a rigid equinovarus deformity of the foot
A 6-year-old child with spastic hemiplegia and a flexible equinovarus deformity of the foot
A 10-year-old child with spastic quadriplegia and rigid valgus deformities of the feet
A 15-year-old child with spastic diplegia and rigid equinovalgus deformities of the feet