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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 2010 April;34(1):1-5

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: Italian

On foot deformities

Pisani G.

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


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Deformity refers to any morphofunctional deviation from normal shape or size of a body structure secondary to intrinsic or extrinsic causes. It is redundant to distinguish between acquired and congenital deformities as the latter refer strictly speaking to malformations. The focus of this article is degenerative disease of the plantar calcaneonavicular ligament or spring ligament (degenerative glenopathy) and the presence of accessory navicular bone as a potential pathogenetic component in adult acquired flatfoot caused by peritalar destabilization. The peritalar destabilization syndrome is proposed in relation to articular (subastragalar and astragaloscaphoid) myotendinous (posterior tibial) coxa pedis caused by degenerative glenopathy. Glenoid reconstruction can also be achieved by creating a tibioscaphoid neoligament with a band of posterior tibial tendons to the tibial malleolus. A discussion point is the concept of the pronator syndrome arising from abnormal pronation of the subastragalus, which is a secondary factor in peritalar destabilization, while keeping in mind that pronation and supination of the subastragalus result from opening and closing, respectively, of the kinetic chain in coxa pedis.

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