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Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
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Pediatric flexible flatfoot; clinical aspects and algorithmic approach.

Farzin Halabchi1, Reza Mazaheri, Maryam Mirshahi

  • 1Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran ; Department of Sports & Exercise Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Pediatrics
|June 25, 2013
PubMed
Summary

Pediatric flatfoot, a common cause of foot problems, can be flexible or rigid. This article presents a clinical algorithm to guide the diagnosis and management of flatfoot in children.

Keywords:
AlgorithmChildrenExerciseFlatfootHyperpronationOrthosisPes planus

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Area of Science:

  • Orthopedics
  • Pediatric Medicine
  • Podiatry

Background:

  • Flatfoot is a primary reason for pediatric foot clinic visits.
  • Prevalence and diagnosis of pediatric flatfoot remain subjects of debate.
  • Flatfoot presents as either flexible or rigid, impacting management strategies.

Purpose of the Study:

  • To introduce a clinical algorithmic approach for diagnosing and managing pediatric flatfoot.
  • To provide a structured framework for healthcare providers dealing with pediatric foot conditions.
  • To clarify the controversial aspects of pediatric flatfoot assessment and treatment.

Main Methods:

  • Review of common assessment tools: visual inspection, anthropometry, footprint analysis, and radiography.
  • Differentiation between flexible and rigid flatfoot types.
  • Outline of treatment pathways for symptomatic flexible flatfoot, including conservative and surgical options.

Main Results:

  • Most flexible flatfeet are physiological and asymptomatic, requiring no intervention.
  • Symptomatic flexible flatfoot necessitates treatment, starting with conservative measures.
  • Comorbidities like obesity and ligamentous laxity require concurrent management.

Conclusions:

  • A systematic algorithmic approach can aid in the diagnosis and management of pediatric flatfoot.
  • Conservative treatments are the first line for symptomatic flexible flatfoot.
  • Surgery is reserved for cases unresponsive to all non-surgical interventions.