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Lenox D. Baker, MD
Durham, NC

JAMA. 1966;196(12):1095.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor:—

The picture on the cover of the Feb 28 issue of THE JOURNAL "Le Pied-Bot" interests me, as one who has specialized in cerebral palsy. I have long contended that this child did not represent a classical clubfoot, but illustrated more a right hemiplegia, in which the internal rotators and flexors were more spastic than the external rotators and extensors. Although I use the word "spastic," this could be a tension athetoid hemiplegia. The factors favoring the hemiplegia include the facial asymmetry and the tooth markings so frequently seen in the patient with congenital cerebral palsy. Although the child's expression is one of cheerfulness, it is not necessarily one of intelligence. There is a possibility of a mild microcephaly; certainly the frontal lobes are not large. The most compelling feature of all is the fashion in which he carries his right upper extremity, internally rotated, dropped at . . . [Full Text PDF of this Article]

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