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Wheeless' Textbook of Orthopaedics

CMT: Type II



- See: CMT Menu:

- Discussion:
    - autosomal dominant inheritance;
    - type II is the neuronal form of CMT disease and is seen infrequently;
    - onset is delayed until the second or third decade of life;
    - sensory and motor nerve-conduction times that are only mildly abnormal,
            and a variable inheritance pattern;

- Clinical Manifestations:
    - characterized by persistently normal reflexes;
    - there is more profound distal lower extremity weakness than encountered
            in Type I;
    - characteristic stork leg appearance frequently is seen caused by atrophy
            of the distal third or the quadriceps and hamstrings;
    - flail foot develops a calcaneovarus (? valgus) deformity;
    - fixed bony deformity is better managed by a combination of calcaneal
            and metatarsal osteotomies and may require the use of AFO's;
            - posterior displacement calcaneal osteotomy is effective in correcting
                    calcaneocavus deformity of the type II neuropathy;




Original Text by Clifford R. Wheeless, III, MD.