The inspection finding will be that of unilateral wasting of LL with the presence of Pes cavus and hand on thigh gait. Concern about polio.
- Inspect (wasting, pes cavus, recurvatum). Look for walking aid.
- Lift up shirt to check spine if pes cavus!
- Walk patient - gait. Expect foot drop, hand to thigh, gluteus maximus gait
- Offer Coleman block test to evaluate pes cavus -if asked to examine pes cavus, examine all 4 muscles
- Lie down
- Check sensory loss (dermatomal method) - will be normal in polio!
- Motor power (ant tibialis and quads)
- Examine vascular status
- Upper limb motor deltoid and opponens