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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 June;29(2):73-8
Foot problems in Apert's syndrome
Germano M., Parino E.
Aim. We present the rare (1:160,000) Apert's syndrome, which forms part of the dysmorphic syndromes with skeletal abnormalities and, in particular, of those syndromes in which cranial and extremity abnormalities are associated. It is autosomal dominant and characterised by macrocephaly, syndactyly (webbing of hands and feet) and, occasionally, other malformations.
Methods. Between 1993 and 1999, 4 cases of Apert's syndrome were treated at the ''Centro di Chirurgia del piede, Prof. Pisani''. Average age of the patients was 10 (min. 3, max. 27). Here we present the cases and the treatment employed.
Results. Good painless plantar support was obtained in all patients. Lysis of the syndactyly was not obtained in any case.
Conclusion. Analysing the literature, most attention has been focused on correction of the craniofacial and hand deformities. However, at foot level, the treatment reported is generally designed to restore good posture to the heel area to permit painless support; generally speaking the problem is one of having to correct heel valgus, equinus and metatarsal procidentia. Foot deformities are progressive and require specific attention during growth. We agree with those who do not consider lysis of the syndactyly necessary.