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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 2007 August;31(2):61-9

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: Italian

Foot dysmorphism and anterior gonalgias

Pisani G.

Centro di Chirurgia del Piede “Prof. G. Pisani” Casa di Cura “Fornaca di Sessant”, Torino


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The concepts of torsion and rotation and talus bone of foot and talus bone of the leg are outlined; the clinical picture of talipes cavus valgus is described. Apparently flat because the medial border of foot rests on the ground and because of calcaneus valgus, it differs from true flat foot in its external concave profile. Unlike flat foot, in which the arch breaks down on the sagittal plane and loses its vaulted structure, in cavus valgus foot the arch is turned sideways, maintaining its vaulted structure. Since the talus bone of the leg is a weight-bearing bone (closed kinetic chain), its adduction, translates on the horizontal plane to intrarotation which deviates together with the lower extremity, as manifested by convergent deviation of the patella, resulting in femoropatellar dysfunction. When this condition persists through growth and development, it may lead to apparently primary dysmorphism of the tibial trochlear tuberosity owing to its gradual migration. Similarly, intrarotation of the limb diminishes, functionally compensating physiological hip anteversion, the mechanical component of the iliopsoas in correcting physiological anteversion. Transient gonalgias in adolescents may arise during peroneal growth, which continues into this period, and may later lead to heel deformity.

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