Deformidad colapsante progresiva del pie
Barra lateral del artículo
Publicado:
abr 30, 2025
Palabras clave:
Pie plano, tendón tibial posterior, clasificación, deformidad colapsante
Contenido principal del artículo
Resumen
El pie plano del adulto es una entidad ortopédica compleja que ha sido objeto de una nomenclatura y clasificación nuevas publicadas en 2020. En este artículo, examinamos críticamente los nuevos conceptos introducidos, como la utilización de la tomografía computarizada con carga, analizando, en detalle, los cambios en la terminología y la categorización de la deformidad, así como su relevancia en la práctica clínica. Además, se revisan los estudios actuales que respaldan y refinan esta clasificación, y se identifican áreas para investigaciones futuras.
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Detalles del artículo
Cómo citar
Catá, E., Porta, J., & Toledo, I. (2025). Deformidad colapsante progresiva del pie. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(2), 177-184. https://doi.org/10.15417/issn.1852-7434.2025.90.2.1997
Sección
Actualización
Derechos de autor 2025 Revista de la Asociación Argentina de Ortopedia y Traumatología
La aceptación del manuscrito por parte de la revista implica la no presentación simultánea a otras revistas u órganos editoriales. La RAAOT se encuentra bajo la licencia Creative Commons 4.0. Atribución-NoComercial-CompartirIgual (http://creativecommons.org/licenses/by-nc-sa/4.0/deed.es). Se puede compartir, copiar, distribuir, alterar, transformar, generar una obra derivada, ejecutar y comunicar públicamente la obra, siempre que: a) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); b) no se usen para fines comerciales; c) se mantengan los mismos términos de la licencia.
En caso de que el manuscrito sea aprobado para su próxima publicación, los autores conservan los derechos de autor y cederán a la revista los derechos de la publicación, edición, reproducción, distribución, exhibición y comunicación a nivel nacional e internacional en las diferentes bases de datos, repositorios y portales.
Se deja constancia que el referido artículo es inédito y que no está en espera de impresión en alguna otra publicación nacional o extranjera.
Por la presente, acepta/n las modificaciones que sean necesarias, sugeridas en la revisión por los pares (referato), para adaptar el trabajo al estilo y modalidad de publicación de la Revista.
Citas
1. Lintz F, de Cesar Netto C. Is advanced imaging a must in the assessment of progressive collapsing foot deformity? Foot Ankle Clin 2021;26(3):427-42. https://doi.org/10.1016/j.fcl.2021.05.001
2. Barbachan Mansur NS, Lalevee M, Maly C, Dibbern K, Lee HY, Godoy-Santos AL, et al. Association between middle facet subluxation and foot and ankle offset in progressive collapsing foot deformity. Foot Ankle Int 2022;43(1):96-100. https://doi.org/10.1177/10711007211040820
3. de Cesar Netto C, Deland JT, Ellis SJ. Guest editorial: Expert consensus on adult-acquired flatfoot deformity. Foot Ankle Int 2020;41(10):1269-71. https://doi.org/10.1177/1071100720950715
4. Myerson MS, Thordarson DB, Johnson JE, Hintermann B, Sangeorzan BJ, Deland JT, et al. Classification and
nomenclature: progressive collapsing foot deformity. Foot Ankl Int 2020;41(10):1271-6. https://doi.org/10.1177/1071100720950722
5. Sangeorzan BJ, Hintermann B, de Cesar Netto C, Deland JT, Ellis SJ, Johnson JE, et al. Progressive collapsing foot
deformity: consensus on goals for operative correction. Foot Ankle Int 2020;41(10):1299-1302.
https://doi.org/10.1177/1071100720950759
6. Ellis SJ, Johnson JE, Day J, de Cesar Netto C, Deland JT, Hintermann B. et al. Titrating the amount of bony
correction in progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1292-5.
https://doi.org/10.1177/1071100720950741
7. de Cesar Netto C, Myerson MS, Day J, Ellis SJ, Hintermann B, Johnson JE, et al. Consensus for the use of
weightbearing CT in the assessment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1277-82.
https://doi.org/10.1177/1071100720950734
8. Schon LC, de Cesar Netto C, Day J, Deland JT, Hintermann B, Johnson J, et al. Consensus for the indication of a
medializing displacement calcaneal osteotomy in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1282-5. https://doi.org/10.1177/1071100720950747
9. Thordarson DB, Schon LC, de Cesar Netto C, Deland JT, Ellis SJ, Johnson JE, et al. Consensus for the indication of lateral column lengthening in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1286-8. https://doi.org/10.1177/1071100720950732
10. Johnson JE, Sangeorzan BJ, de Cesar Netto C, Deland JT, Hintermann V, Schon L, et al. Consensus on indications for medial cuneiform opening wedge (Cotton) osteotomy in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1289-91. https://doi.org/10.1177/1071100720950739
11. Hintermann B, Deland JT, de Cesar Netto C, Ellis SJ, Johnson JE, Myerson M, et al. Consensus on indications for
isolated subtalar joint fusion and naviculocuneiform fusions for progressive collapsing foot deformity. Foot Ankle
Int 2020;41(10):1295-8. https://doi.org/10.1177/1071100720950738
12. Deland JT, Ellis SJ, Day J, de Cesar Netto C, Hintermann B, Myerson M, et al. Indications for deltoid and spring
ligament reconstruction in progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1302-6.
https://doi.org/10.1177/1071100720950742
13. Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res 1989;(239):196-206.
PMID: 2912622
14. Myerson MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendón. Instr Course Lect 1997;46:393-405. PMID: 9143981
15. Bluman EM, Title CI, Myerson MS. Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin 2007;12(2):233-49, v. https://doi.org/101016/j.fcl.2007.03.003
16. Raikin SM, Winters BS, Daniel JN. The RAM classification: a novel, systematic approach to the adult-acquired
flatfoot. Foot Ankle Clin 2012;17(2):169-81. https://doi.org/10.1016/j.fcl.2012.03.002
17. Richter M, Zech S. Lengthening osteotomy of the calcaneus and flexor digitorum longus tendon transfer in flexible flatfoot deformity improves talo-1st metatarsal-Index, clinical outcome and pedographic parameter. Foot Ankle Surg 2013;19(1):56-61. https://doi.org/10.1016/j.fas.2012.10.006
18. Lee HY, Barcachan Mansur NS, Lalevee M, Dibbern KN, Myerson MS, Ellis SJ, et al. Intra-and interobserver
reliability of the new classification system of progressive collapsing foot deformity. Foot Ankle Int 2022;43(4):582-
9. https://doi.org/10.1177/10711007211058154
19. Li S, Zhu M Gu W, Hamati M, Hunt KJ, de Cesar Netto C, et al. Diagnostic accuracy of the progressive collapsing foot deformity classification. Foot Ankle Int 2022;43(6):800-9. https://doi.org/10.1177/10711007221078000
20. de Cesar NC, Godoy-Santos AL, Saito GH, Lintz F, Siegler S, O’Malley MJ, et al. Subluxation of the middle facet
of the subtalar joint as a marker of peritalar subluxation in adult acquired flatfoot deformity: a case-control study. J Bone Joint Surg Am 2019;101(20):1838-44. https://doi.org/10.2106/JBJS.19.00073
21. de Cesar NC, Silva T, Li S, Mansur NS, Auch E, Dibbern K, et al. Assessment of posterior and middle facet
subluxation of the subtalar joint in progressive flatfoot deformity. Foot Ankle Int 2020;41(10):1190-7.
https://doi.org/10.1177/1071100720936603
22. Monteagudo M, Martínez de Albornoz P. Progressive collapsing foot deformity. Is there really a Johnson and Strom Stage I? Foot Ankle Clin 2021;26(3):443-63. https://doi.org/10.1016/j.fcl.2021.05.002
23. Boakye LA, Uzosike AC, Bluman EM. Progressive collapsing foot deformity: should we have staging it differently? Foot Ankle Clin 2021;26(3):417-25. https://doi.org/10.1016/j.fcl.2021.06.002
2. Barbachan Mansur NS, Lalevee M, Maly C, Dibbern K, Lee HY, Godoy-Santos AL, et al. Association between middle facet subluxation and foot and ankle offset in progressive collapsing foot deformity. Foot Ankle Int 2022;43(1):96-100. https://doi.org/10.1177/10711007211040820
3. de Cesar Netto C, Deland JT, Ellis SJ. Guest editorial: Expert consensus on adult-acquired flatfoot deformity. Foot Ankle Int 2020;41(10):1269-71. https://doi.org/10.1177/1071100720950715
4. Myerson MS, Thordarson DB, Johnson JE, Hintermann B, Sangeorzan BJ, Deland JT, et al. Classification and
nomenclature: progressive collapsing foot deformity. Foot Ankl Int 2020;41(10):1271-6. https://doi.org/10.1177/1071100720950722
5. Sangeorzan BJ, Hintermann B, de Cesar Netto C, Deland JT, Ellis SJ, Johnson JE, et al. Progressive collapsing foot
deformity: consensus on goals for operative correction. Foot Ankle Int 2020;41(10):1299-1302.
https://doi.org/10.1177/1071100720950759
6. Ellis SJ, Johnson JE, Day J, de Cesar Netto C, Deland JT, Hintermann B. et al. Titrating the amount of bony
correction in progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1292-5.
https://doi.org/10.1177/1071100720950741
7. de Cesar Netto C, Myerson MS, Day J, Ellis SJ, Hintermann B, Johnson JE, et al. Consensus for the use of
weightbearing CT in the assessment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1277-82.
https://doi.org/10.1177/1071100720950734
8. Schon LC, de Cesar Netto C, Day J, Deland JT, Hintermann B, Johnson J, et al. Consensus for the indication of a
medializing displacement calcaneal osteotomy in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1282-5. https://doi.org/10.1177/1071100720950747
9. Thordarson DB, Schon LC, de Cesar Netto C, Deland JT, Ellis SJ, Johnson JE, et al. Consensus for the indication of lateral column lengthening in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1286-8. https://doi.org/10.1177/1071100720950732
10. Johnson JE, Sangeorzan BJ, de Cesar Netto C, Deland JT, Hintermann V, Schon L, et al. Consensus on indications for medial cuneiform opening wedge (Cotton) osteotomy in the treatment of progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1289-91. https://doi.org/10.1177/1071100720950739
11. Hintermann B, Deland JT, de Cesar Netto C, Ellis SJ, Johnson JE, Myerson M, et al. Consensus on indications for
isolated subtalar joint fusion and naviculocuneiform fusions for progressive collapsing foot deformity. Foot Ankle
Int 2020;41(10):1295-8. https://doi.org/10.1177/1071100720950738
12. Deland JT, Ellis SJ, Day J, de Cesar Netto C, Hintermann B, Myerson M, et al. Indications for deltoid and spring
ligament reconstruction in progressive collapsing foot deformity. Foot Ankle Int 2020;41(10):1302-6.
https://doi.org/10.1177/1071100720950742
13. Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res 1989;(239):196-206.
PMID: 2912622
14. Myerson MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendón. Instr Course Lect 1997;46:393-405. PMID: 9143981
15. Bluman EM, Title CI, Myerson MS. Posterior tibial tendon rupture: a refined classification system. Foot Ankle Clin 2007;12(2):233-49, v. https://doi.org/101016/j.fcl.2007.03.003
16. Raikin SM, Winters BS, Daniel JN. The RAM classification: a novel, systematic approach to the adult-acquired
flatfoot. Foot Ankle Clin 2012;17(2):169-81. https://doi.org/10.1016/j.fcl.2012.03.002
17. Richter M, Zech S. Lengthening osteotomy of the calcaneus and flexor digitorum longus tendon transfer in flexible flatfoot deformity improves talo-1st metatarsal-Index, clinical outcome and pedographic parameter. Foot Ankle Surg 2013;19(1):56-61. https://doi.org/10.1016/j.fas.2012.10.006
18. Lee HY, Barcachan Mansur NS, Lalevee M, Dibbern KN, Myerson MS, Ellis SJ, et al. Intra-and interobserver
reliability of the new classification system of progressive collapsing foot deformity. Foot Ankle Int 2022;43(4):582-
9. https://doi.org/10.1177/10711007211058154
19. Li S, Zhu M Gu W, Hamati M, Hunt KJ, de Cesar Netto C, et al. Diagnostic accuracy of the progressive collapsing foot deformity classification. Foot Ankle Int 2022;43(6):800-9. https://doi.org/10.1177/10711007221078000
20. de Cesar NC, Godoy-Santos AL, Saito GH, Lintz F, Siegler S, O’Malley MJ, et al. Subluxation of the middle facet
of the subtalar joint as a marker of peritalar subluxation in adult acquired flatfoot deformity: a case-control study. J Bone Joint Surg Am 2019;101(20):1838-44. https://doi.org/10.2106/JBJS.19.00073
21. de Cesar NC, Silva T, Li S, Mansur NS, Auch E, Dibbern K, et al. Assessment of posterior and middle facet
subluxation of the subtalar joint in progressive flatfoot deformity. Foot Ankle Int 2020;41(10):1190-7.
https://doi.org/10.1177/1071100720936603
22. Monteagudo M, Martínez de Albornoz P. Progressive collapsing foot deformity. Is there really a Johnson and Strom Stage I? Foot Ankle Clin 2021;26(3):443-63. https://doi.org/10.1016/j.fcl.2021.05.002
23. Boakye LA, Uzosike AC, Bluman EM. Progressive collapsing foot deformity: should we have staging it differently? Foot Ankle Clin 2021;26(3):417-25. https://doi.org/10.1016/j.fcl.2021.06.002