Acetabulum pedis. Part II: Talocalcaneonavicular joint socket in clubfoot.

Abstract

Many pathoanatomic studies of clubfeet have been made. Bone changes and ligament and tendon alterations are among the different deformities reported in the literature. The socket of the talocalcaneonavicular joint is termed the acetabulum pedis (AP), and alterations of the joint have been reported previously as malformations associated with clubfoot. We report pathoanatomic observations of AP in three human clubfoot specimens. Anomalies in AP were observed and compared with those in normal feet. In such cases, AP volume is restricted. Surface area is reduced on the acetabular floor and medial wall. Changes occur in the osseous components as well as in the ligaments of the AP.