This is the second round of our Journal Club, inspired by the American model.

Pronator syndrome is the subject we chose and discussed on the evening. It was examined and evaluated from various points of view, analyzing the different levels of deformity and related complications.

It’s always nice to see young doctors, although tired after the long working days, ready and excited for our monthly appointment.

As at the previous meeting, this time too we chose to start from facts.
It was Claudia the first to provide the parameters for the assessment of individual cases, showing the angular measurements from literature and putting her focus on this article in particular: “The reliability and validity of radiographic measurements for determining the three-dimensional position of the talus in varus and valgus osteoarthritic ankles“. This study helped us to contextualize the deformities and allowed us to classify them according to their severity.

Riccardo was given the task to summarize the contributions from orthopedic medical literature on the subject of treatment of pediatric flatfoot. He did so and referred to an article that I myself wrote a few years ago: “The Calcaneo-Stop Procedures” in which, starting from an overview of the most common techniques used since 1952 to date, I focused on the high achievements and improvements reached by this procedure, whose top standard nowadays is the “calcaneo stop” and even more the “tarsal sinus endorthesis”.

Miriam explained the famous classification by Mark Myerson and Eric Bluman on flat feet in adults: “Posterior Tibial Tendon Rupture: a refined Classification System“. To this day, this is still the most relevant and updated classification of this important and widespread pathology. The basis of knowledge for any foot and ankle orthopedist.

As the Journal Club is based on the exchange of ideas and opinions, supported by bibliographic sources, it is crucial to encourage discussion. No one should be afraid to make mistakes, to express their arguments even if they might seem a bit rash or off-topic. The best ideas arise from discussion; something that I always try to encourage, provoking curiosity and the desire to observe.
For this precise reason Luigi Manzi, who has been having a training experience with Beat Hintermann (one of my most important teachers), discussed one of his favorite subjects: the Joint-Preserving Surgery of Asymmetric Ankle Osteoarthritis with Peritalar Instability. An article in which deformities of the foot are compared and related to those of the ankle.
Camilla also made a contribution on this issue, providing data from this equally significant article by Hintermann: “Peritalar Instability After Tibiotalar Fusion for Valgus Unstable Ankle in Stage IV Adult Acquired Flatfoot Deformity: Case Series“.

I wanted to provoke the same curiosity and many questions that this great teacher provoked in me, so I entrusted Andrea, my new fellow, with the task of exposing in detail one of the surgical procedures for the correction of Grade II flat feet, using as a reference the article: “Contribution of Lateral Column Lengthening to Correction of Forefoot Abduction in Stage IIb Adult Acquired Flatfoot Deformity Reconstruction“.

To end in style, we asked Indino to join us and talk, once again, about the close relationship between foot and ankle. The source was the article “Does the Subtalar Joint Compensate for Ankle Malalignment in End-stage Ankle Arthritis?“.

After this second meeting, on my way home, I realized that our Journal Meeting was no longer an experiment but a real source of inspiration that we should cultivate and promote.
So soon you will find more information about date and subject of the next meeting.

Stay tuned, keep following us and, of course, last one buys the round.