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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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(62% combined with 55% = 83%) 83Example:% ImpainnentDescriptionof Great ToeAmputation at interphalangeal joint 75Metatarsophalangeal joint with 20°active dorsi-flexion from neutralposition (0°) 21Metatarsophalangeal joint with 20°active plantar-flexion from neutralposition (0°) 7(21% + 7% = 28% combinedwith 75% = 82%) 82Finally, consult Table 23 to determine impairment of the foot thatis contributed <strong>by</strong> the great toe; in these examples, the impairment of thefoot would be 15%.Distal Interphalangeal Joint of the Second Through Fifth Toes-Dorsi- and Plantar-flexionAbnorinal MotionAbnormal motion is not measurableAnkylosisPlace the goniometer base as if measuring the neutral position (Figure 57).Measure the deviation from the neutral position with the goniometer arm(Figure 58), and record the reading.Consult the Ankylosis Section of Table 24 to determine the impairment ofthe toe.AmputationAmputations distal to the distal interphalangeal joint are expressed as apercentage of 45%.

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