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Published on: March 11, 2022
Flatfoot in children
Zoran S Vukasinović1, Dusko V Spasovski, Dragana D Matanović
1School of Medicine, University of Belgrade, Belgrade, Serbia.
Acta Chirurgica Iugoslavica
|February 29, 2012
Summary
Flatfoot is normal in toddlers but can indicate deformity in older children, requiring diagnosis. Treatment varies from supportive care for flexible flatfoot to surgery for rigid types.
Area of Science:
- Orthopedics and Biomechanics
- Pediatric Podiatry
Background:
- Foot arches, crucial for support, are formed by bones and soft tissues.
- Flatfoot (pes planus) is a common disorder, presenting differently in children and adults.
- Understanding arch development is key to diagnosing and managing foot deformities.
Purpose of the Study:
- To differentiate normal pediatric flatfoot from pathological conditions.
- To outline diagnostic criteria for flexible versus rigid flatfoot.
- To review current treatment strategies for various types of flatfoot.
Main Methods:
- Review of anatomical structures and biomechanics of the foot arches.
- Analysis of developmental changes in foot arch morphology.
- Classification of flatfoot based on etiology, flexibility, and associated symptoms.
Main Results:
- Flatfoot is physiological in children under two years old.
- Flexible flatfoot, often due to laxity, is typically managed with conservative measures.
- Rigid flatfoot, linked to bone abnormalities or neuromuscular conditions, often requires surgical intervention.
Conclusions:
- Early diagnosis is crucial for effective flatfoot management.
- Treatment should be tailored to the type and cause of flatfoot.
- Distinguishing between flexible and rigid flatfoot guides therapeutic decisions.
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