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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 2012 December;36(3):155-60

language: Italian

Dysontomorphogenesis of the coxa pedis: three cases of talo-navicular congenital subluxation

Pisani P. C.

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


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Presentation of three cases of subluxation of the astragalus from congenital dysmorphism of the “coxa pedis”, encountered over ten years. The communication and discussion of the cases is of interest not only for any problems with treatment and therefore resolution, but more importantly with regard to the etiopathogenesis of the anomaly, which leads, in the opinion of A., to the possible dysontomorphogenesis of the talocalcaneonavicular joint, constituting the “coxa pedis”: this, in an (also pathological) analogy with the hip joint, can, during embryonic development, manifest extreme dysplasias (congenital clubfoot and, conversely, vertical astragalus foot) as well as intermediate dysplasias (infantile developmental valgus foot, differentiated as calcaneovalgus foot, flat-valgus foot and cavovalgus foot). The attribution of the cases under examination to dysplasias of the coxa pedis of intermediate relevance is likely, as they cannot be otherwise justified from the anamnestic-clinical point of view, being free of post-traumatic or segmental pathological moments as well as suprasegmental moments that are plausibly causal.

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