{"id":4844,"date":"2016-01-28T15:50:49","date_gmt":"2016-01-28T15:50:49","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=4844"},"modified":"2016-03-10T15:53:35","modified_gmt":"2016-03-10T15:53:35","slug":"the-agenesis-in-the-lower-extremity","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/the-agenesis-in-the-lower-extremity\/","title":{"rendered":"The agenesis in the lower extremity"},"content":{"rendered":"

The agenesis is a partial or complete anomaly of the development of an organ during the embryonal growth or the embryogenesis.<\/p>\n

It is a kind of malformation which is not very usual and it appears because of a lack of embryonal tissue, showing of viral or chemical agents as well as the intake of several drugs during the fertilization period.<\/p>\n

The different kinds of agenesis which affect the extremities are:<\/p>\n

a) Phocomely: absence of the proximal segment of an organ.<\/p>\n

b) Hemimelia: there is an absence of the distal segment of the member with a congenital amputation.<\/p>\n

c) Amelia: complete absence of one or several extremities.<\/p>\n

d) Rhizomelia: shortening of the proximal segment of the member.<\/p>\n

e) Micromelia: shortening of the distal segment of the member.<\/p>\n

f) Mesomelia: shortening of the intermediate segment.<\/p>\n

g) Peromely: extremity mutilation with distal stump formation.<\/p>\n

h) Hypermelia: unilateral duplication of a member covered by the same skin.<\/p>\n

i) Melomelia: independent duplication of a member.<\/p>\n

The agenesis can cause to the patient problems of normal execution of motor skills and social or psychological problems. This malformation can be diagnosed during pregnancy through ultrasound scan.<\/p>\n

There are several treatments and always depending on each specific case. Such treatments will go directed to the making of prosthesis to substitute organs, orthopedic splints, surgery or physiotherapy.<\/p>\n

In this issue I have taken several photos of an example of agenesis of metatarsal radiums. The patient had in this extremity other morphologic disturbances like for instance, an adduct metatarsus, an echino-varus foot, an asymmetry of extremities and a reduction of the development of the extremity as a whole.<\/p>\n

The treatment which we designed was an orthopedic system that converges between the plantar support and the orthoprosthesis with the aim to offset the biomechanical alterations and to give a bigger function to the reduction of the organ.<\/p>\n\n\t\t