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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 2005 March;29(1):35-8
Severe pes planovalgus due to failed sub-talar migration of the calcaneous with localised fibrolipomatous macrosomatia: a case report
Pisani P. C., D'Arrigo A.
A clinical case of severe pes planovalgus due to failed sub-talar migration of the calcaneus is reported along with the treatment. The case is paradigmatic for recognising a serious evolutionary defect in the interskeletal relations of coxa pedis constituents, the pathogenesis of a dysontomorphogenetic pes planovalgus in its most striking expression. Unlike evolutive pes valgus in infancy of which, among cases of dysplasia of coxa pedis, it is certainly an intermediate expression, the case in question, albeit extremely rare, reveals the possibility of evolutive arrest in the early embryonal phase: the moment, already reported by Leboucq and later by Bardeen in which calcaneus and astragalus are located one alongside the other coplanar on the frontal plane, in relation respectively to the fibula and tibia. In the case in question the skeletal malformation is associated with fibrolipomatous macrosomatia of the foot.