El Síndrome de Dudley Mortonplan de tratamiento ortopodológico

Abstract

Pathomechanical disorders are infrequent pure conditions. In fact, they usually are the result of a load of little disorders that make the main pathology up. The disorders can be subdivided into two different groups: on one hand, those caused by the degeneration of the structures; and on the other hand, the disorders that have an intrinsic cause, it means, muscular or bone conditions that have repercussion on the normal foot function due to their morphostructural characteristics. Dudley Morton Syndrome is an example of the last ones. In order to understand the pathological procedure of this syndrome, it will be necessary to study separately the implication of all the little disorders that make the main pathology up. In 1927 Dudley Morton described the short first metatarsal bone as one of the causes of metatarsal pain. This type of foot was called atavicus foot. Some years later, he added to his description two components: hypermobile first metatarsal segment, which is observed as a separation between the first and the second cuneiform in an X- ray; and a posterior position of the sesmoids. The present study describes all the different conditions that are implicated in this syndrome which is characterized nowadays by a short first metatarsal bone, hypermobile first metatarsal segment, hypertrophied second metatarsal bone, intermetatarsal arthrosis and posterior located sesmoids. We expect to present a widespread summary to formulate the basis of the orthopodologic treatment of the Dudley Morton Syndrome. The revision of the different pathological components of this syndrome is made through the observation of more than one hundred patients with three or more disorders treated with plantar orthotics.