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Volume 16, Issue 1, Pages 1-2 (March 2010)

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About the pathogenesis of the so-called adult acquired pes planus

Pisani Giacomo (Libero Docente in Clinica Ortopedica Turin University, Director of the Centro di Chirurgia del Piede Fornaca di Sessant Clinic, Turin, Editor of the journal Chirurgia del Piede)Corresponding Author Informationemail address

Received 9 April 2009 published online 01 June 2009.

Abstract 

Even overlooking the scarcely significance nature of the term “flat”, in the pathogenesis of the adult acquired flat foot deformity, we must consider also the spring ligament degenerative pathology, that I called “degenerative glenopathy”, due to its reference to the glenoid, without a primitive posterior tibial tendon disease. The glenoid structure intervenes in the cotyloid structure (acetabulum) of the “coxa pedis”.

In many cases the aetiological moment must be clarified finding of the accessory navicular bone. Its position between the posterior tibial tendon and glenoid explains a possible direct microtraumatic lesional mechanism.

Centro di Chirurgia del Piede “Prof. G. Pisani” – Clinica “Fornaca di Sessant” - Corso Vittorio Emanuele II, 91-10128 Torino, Italy

Corresponding Author InformationTel.: +39 011 55 74 284; fax: +39 011 55 74 380.

PII: S1268-7731(09)00055-1

doi:10.1016/j.fas.2009.04.007

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