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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2004 March;28(1):1-8

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: Italian

Notes on dysmorphic pathology: tarsal dysmetria

Pisani P. C.


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Growth dysharmonies (dysontomorphogenesis) of the astragalic and calcaneal foot can be documented radiographically by simple research into the tarsal metria index which is obtained by setting correct reference points on the dorso-plantar X-ray of the loaded foot. Tarsal dysmetria, which establishes itself prevalently lenghtwise along the skeletal line of the astragalic or calcaneal foot represents hypothetically the pathogenetic moment for a variety of conditions: club foot and vertical astragalus, being severe, extreme and opposing dysmetrias. As dysmetrias of lesser penetration, infant dysmetric flat foot, dysmetric hallux valgus, metatarsus varus; finally, as an expression of ''minimum' dysmetrias, rigid hallux, sesamoiditis, cuneo-metatarsal exostosis. The finding of a dysmetria in the differential diagnostic phase suggests corrective surgical solutions of a causal nature (metric rebalancing of astragalic and calcaneal structures).

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