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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 2005 September;29(3):145-8

language: Italian

Peritaral destabilization syndrome

Pisani G.


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The subtalar and talo-navicular joints go to form a single talo-calcaneo-navicular (coxa pedis) joint complex that acts as modulator for foot trim reciprocity with the talar bone in the closing of the kinetic chain of the lower extremity; subtalar function cannot be separated from this and it is for this reason that I believe the concept should be reviewed form the terminological and pathogenetic viewpoints and looked at almost as a clinical entity, a pronator syndrome with reference to the subtalar joint itself. It is more precise to speak of peritalar destabilization syndrome with reference to a biomechanical moment that conditions the destabilization of the subtalar, possibly reflected in pathogenetic moments inherent in the coxa pedis such as a degenerative glenopathy, in addition obviously to the extrinsic causes that may intervene as peritalar destabilizing moments (skeletal, ligamentous, neuromuscular changes, suprasegmental destabilizations, etc.).

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