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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 2006 August;30(2):93-104

language: Italian

Peritalar synostosis

Pisani G.

Centro di Chirurgia del Piede Casa di Cura “Fornaca di Sessant”, Torino


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Peritalar synostosis, understood as a malformation, plays a part in the pathology of “coxa pedis” as a talo-peritalar joint complex. With the common characteristic of onset of pain episodes in adolescence (12-14 years old) and with contractual eversion of the foot, medial talo-calcaneal synostoses are most frequent, followed by calcaneonavicular; talonavicular synostosis is exceptional. From a pathogenetic point of view synostosis may be interpreted either as a fault of differentiation or as a process of interposed accessory bone assimilation (sustentacular accessory bone and secondary calcaneal bone). Treatment is surgical: preferably arthrodesis of the subtalar with correction of heel valgus for the medial talocalcaneal synostoses in so far as the synostosis is articular; resection and interposition of silastic for calcaneonavicular synostoses in so far as the synostosis is extra-articular.

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