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Related Experiment Videos

Planovalgus foot deformity. Current status.

L T Staheli1

  • 1Department of Orthopedics, University of Washington, Seattle, USA.

Journal of the American Podiatric Medical Association
|March 4, 1999
PubMed
Summary
This summary is machine-generated.

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Physiologic flatfoot is a common, normal variation that improves with time and does not require treatment. Interventions for physiologic flatfoot in children are ineffective and can negatively impact self-esteem.

Area of Science:

  • Orthopedics
  • Pediatrics
  • Podiatry

Background:

  • Flatfoot is a common condition that can be classified as either pathologic or physiologic.
  • Pathologic flatfoot involves foot stiffness, disability, and necessitates medical intervention.
  • Physiologic flatfoot represents a normal variation without associated disability, often resolving spontaneously.

Observation:

  • Physiologic flatfoot is frequently observed in children with hypermobility, obesity, or a history of early shoe wear.
  • This condition typically shows improvement over time without specific management.
  • Interventions such as orthoses or shoe modifications are commonly considered for flatfoot in children.

Findings:

  • Treatment of children with physiologic flatfoot using orthoses or shoe modifications yields no therapeutic benefit.

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  • These interventions can cause discomfort and embarrassment for the child.
  • Such treatments are linked to diminished self-esteem in adulthood.

    • Implications:

    • Current treatment approaches for physiologic flatfoot in children are unnecessary and potentially harmful.
    • Healthcare providers should avoid interventions for physiologic flatfoot, focusing instead on reassurance and monitoring.
    • Understanding the distinction between pathologic and physiologic flatfoot is crucial for appropriate clinical management and patient well-being.