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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2002 March;26(1):17-34
Childhood foot pathology. Statistic clinical report
Parino E., Pisani P. C., La Motta R.
Background. We report a descriptive epidemiological study carried out between April 1989 and December 2000 on foot pathologies in childhood.
Methods. A total of 1978 patients were examined and, in overall terms, a preliminary analysis revealed a slight predominance of males and a prevalent incidence in the 1st year of life and between 9-11 years old.
Results. The various pathologies were subdivided into large groups: malformations 22%, dysontomorphogenesis 60%, deformity 10%, misalignments 6%, osteochondrosis 1% and lastly miscellaneous pathologies 1% comprising individual case and rarer forms. Among these, there was a higher incidence of dysontomorphogenesis followed by malformations, deformitis, misalignments, miscellaneous forms and osteochondrosis. Congenital clubfoot was the most frequent pathology in the group of malformations, representing 60%; this was followed by toe malformation and tarsal synostosis, vertical astragalus and agenesis. Among the cases of dysontomorphogenesis, we included evolutive splayfoot (talipes calcaneovalgus, talipes cavovalgus, flatfoot), metatarsus varus, juvenile hallux valgus, macrosomia and, lastly, dysmetric tarsal flatfoot. With regard to deformities, namely acquired pathologies, these included: neurological foot, talipes talovalgus, toe deformities and lastly, deformities linked to ulcerotic amniotic disease. Another group was represented by morphofunctional misalignments of the foot in association with sovrasegmentary misalignment. The cases of osteochondrosis included forms affecting the calcaneus, astragalus and scaphoid and metatarsal bones. Lastly, but only in terms of the small number of cases, the miscellaneous group included rare pathologies or single cases: subastragalar instability, exostosis, tumours, tibio-tarsal instability, talipes calcaneovarus in the sequelae to rickets.
Conclusions. In each group and for each separate pathology, the incidence was examined for each age group and sex.