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Chirurgia del Piede 2012 April;36(1):7-35

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: Italian

Foot deformities in constitutional diseases of the skeleton

Canepa G. 1, Franchin F. 2, Stella M. 3, Formica M. 3, Bedeschi F. 4

1 Ospedale L. Mandic di Merate, Lecco, Italia; 2 Clinica Ortopedica dell’Università degli Studi di Genova, Genova, Italia; 3 U.O. Ortopedia e Traumatologia d’Urgenza, Ospedale San Martino, Genova, Italia; 4 Istituto Mangialli, Milano, Italia


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From an investigation on 400 constitutional diseases of the skeleton foot deformities occur with a frequency of 18%. The most common deformity is represented by congenital clubfoot (14.7%), syndactyly (14.50 %), brachydactyly (11%); follow the congenital flat foot (8.75%), polydactyly (6.25%) and oligo-ectrodactyly (4.50%); unusual finding of congenital metatarsus varus (3.75%), congenital hallux valgus (2.00%) and hammer toe (2%); rare congenital talipes (1.75%), congenital hollow foot (1.25%) and congenital hallux varus (1.25%); very rare macrodactily (0.75%) and clinodactyly of the fifth finger (0.75%). The majority of diseases that are the basis of the deformities of the foot above are of genetic origin; they recognize an autosomal recessive trans4ission in the 41.12% and dominant in the 31.67%; a dominant X-linked transmission in 4.72% and recessive X-linked in 1.45%; finally, they are transmitted in different ways with both dominant and recessive in the 7.88% of cases; forms of genetic origin are therefore 86.84% of all cases. 7% is represented by chromosome aberrations and the remaining by embryo-fetopathy or disease of unknown etiology

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