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Titre : | Progressive Collapsing Foot Deformity. Is There Really a Johnson and Strom Stage I? (2021) |
Auteurs : | Manuel Monteagudo ; Pilar Martínez-de-Albornoz |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 26, n°3, September 2021) |
Article en page(s) : | p. 443-463 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte ; Imagerie par résonance magnétique ; Muscles squelettiques ; Pied plat ; Tendons ; Ténosynovite ; Tibia |
Mots-clés: | Progressive collapsing foot deformity |
Résumé : |
Johnson and Strom Stage I Progressive Collapsing Foot Deformity (PCFD) patients may have pain and swelling along the course of the posterior tibial tendon, but there is preserved function and no hindfoot deformity.
A group of experts have proposed a new PCFD classification scheme based on the flexibility and the type and location of deformity only, and therefore does not include Johnson and Strom stage I disease. Diagnosis of Johnson and Strom stage I is clinical, and magnetic resonance imaging is the gold standard image study. Pathomechanics explains the overloading of the tendon that may be worsened by a tight gastrocnemius. Systemic inflammatory disease may be responsible for a Johnson and Strom stage I condition without underlying mechanical abnormalities. Conservative treatment with medial heel wedged orthoses is effective in most patients. Surgical treatment usually consists of open/endoscopic tenosynovectomy. In cases of complete posterior tibialis tendon rupture, flexor digitorum longus to posterior tibialis tendon transfer or tendon reconstruction may be considered. Patients with a higher risk of progressioninflammatory conditions, excessive laxity, obesemay benefit from a prophylactic medializing calcaneal osteotomy. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521000577 |