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Varismo del retropiede — supinazione o inversione dell’avampiede

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L’arto inferiore nella paralisi cerebrale infantile

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Riassunto

Contatto anticipato dell’avampiede per inversione dello schema del passo; accentuazione dell’arco longitudinale; carico sul quinto raggio maggiore che sul primo; spesso varismo dell’avampiede (Fig. 4.1). Può essere associato a retrazione del tricipite surale (equino mascherato). Svolge un ruolo importante nel provocare l’intrarotazione del piede e dell’intero arto, con chiusura dell’angolo del passo. Non ha alcun significato clinico nella fase di oscillazione, eccetto alla fine di questa (terminal swing), in quanto determina la posizione del piede al contatto iniziale. Può essere associato a tensione del tibiale posteriore, che può arrivare a scavalcare il malleolo mediale, oppure a iperattività del tibiale anteriore e/o dell’estensore lungo dell’alluce, non adeguatamente bilanciate da dorsiflessori-eversori quali l’estensore comune delle dita e il peroneo terzo.

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Authors and Affiliations

  1. Medicina Fisica e Riabilitazione Facoltà di Medicina e Chirurgia, Università di Modena e Reggio Emilia SC Riabilitazione Infantile (UDGEE) IRCCS Arcispedale Santa Maria Nuova, Reggio Emilia, Italy

    Adriano Ferrari

  2. IRCCS Arcispedale Santa Maria Nuova, Reggio Emilia, Italy

    Sandro Reverberi (Già Responsabile SS di Chirurgia Funzionale)

  3. SC Medicina Fisica e Riabilitazione, Istituto Ortopedico Rizzoli, Bologna, Italy

    Maria Grazia Benedetti

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  1. Adriano Ferrari
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  2. Sandro Reverberi
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  3. Maria Grazia Benedetti
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Ferrari, A., Reverberi, S., Benedetti, M.G. (2013). Varismo del retropiede — supinazione o inversione dell’avampiede. In: L’arto inferiore nella paralisi cerebrale infantile. Springer, Milano. https://doi.org/10.1007/978-88-470-2814-2_4

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  • DOI: https://doi.org/10.1007/978-88-470-2814-2_4

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2813-5

  • Online ISBN: 978-88-470-2814-2

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