ROM Resist & New Zealand
The Case of the Very Unusual Case I know, single cases don't prove anything. Yes, but, we never said that we wish to prove anything. We seek a lack of current vision to widen our field of questioning! Probe. Explore. You can't ' boldly go ' where everybody already is. Odd cases take you into new fractals of questioning. This one is a dilly: In our CP clinic, a mother comes in from afar... some place called Hollywood. Her husband was one of those oddball camera operators – the ones that swoop on big metal arms to get the perfect perspective (sounds like us in a way). Relevant? Yes. He owned more cameras than I have teeth. His child from birth was 'shot' [poor word. Today we say videoed, but back then it was film] from birth to present. It was as tight and good a visual record as you will ever see. Ever. Mom had prearranged for us to have a projector to show the edited life of this child. It was a prime time edited sequence of events. The movie: Healthy looking preemie youngster evolves mild spastic diplegia over a two year span. He is running all over the place, but with an obvious mild medial rotation and mild crouch and does so on toe. His heels don't touch the ground when walking. I know – you are shouting cut the elastics! We didn't have that insight back then. Very functional kid, plays soccer (OK for age) and swims, pretty good at what we now call “T ball”; there was sleigh riding – everything. Somebody says he NEEDS surgery or in the future nasty whatever will happen. He had hamstring lengthening (Z lengthening of semitendinosus and semimembranosus) we read from the op note. Thankfully they stopped there. No 'Achilles' lengthening was done as was also planned as there was no contracture to lengthen. Odd, they thought.
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