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Titre : | Surgical Management of Musculotendinous Balance in the Progressive Collapsing Foot Deformity: The Role of Peroneal and Gastrocnemius Contracture (2021) |
Auteurs : | Philip Kaiser ; Daniel Guss |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 26, n°3, September 2021) |
Article en page(s) : | p. 559-575 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Maladies vestibulaires ; Pied ; Pied plat |
Mots-clés: | Progressive collapsing foot deformity |
Résumé : |
Progressive collapsing foot deformity (PCFD) is a multiplanar foot deformity comprised of hindfoot valgus, forefoot abduction, forefoot varus, and collapse or hypermobility of the medial column
Clinical history and physical examination focused on hindfoot alignment, the variable degree of gastrocnemius contracture, medial column hypermobility, and possible pain generators (ie, torn posterior tibialis tendon and subfibular impingement) remain paramount to developing a focused and appropriate treatment plan. Weight-bearing radiographs and computed tomography can be helpful diagnostic tools to assess foot and hindfoot alignment, degenerative changes, and areas of bony impingement. In certain cases, magnetic resonance imaging can assess preoperative tendon quality and tearing. Surgical correction in cases of PCFD requires a tailored approach for each individual patient. Bony procedures, including osteotomies/realignments (calcaneal osteotomy, lateral column lengthening, and Cotton osteotomy) often are combined with tendon transfers (ie, flexor digitorum longus transfer to the medial navicular) to improve hindfoot alignment, arch height, dynamic inversion strength, and medial column stability. In select cases of PCDF, joint-sacrificing procedures, such as arthrodesis (midfoot/hindfoot), are combined with tendon rebalancing. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521000668 |