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Updated: Apr 18, 2026

Evaluating the Function of the Foot Core System in the Elderly
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Adult flatfoot.

E Toullec1

  • 1Polyclinique de Bordeaux-Tondu, 151, rue du Tondu, 33082 Bordeaux, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|January 18, 2015
PubMed
Summary
This summary is machine-generated.

Adult flatfoot, a condition involving medial arch flattening, is often diagnosed and treated late. Early intervention is key to managing this complex foot deformity and preventing further complications.

Keywords:
Calcaneal osteotomyFlatfootPosterior tibialis tendon

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Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanics

Background:

  • Adult flatfoot is characterized by medial arch flattening and impaired gait.
  • It involves lesions at talonavicular, tibiotarsal, and midfoot joints, affecting the subtalar joint.
  • Posterior tibialis tendon and spring ligament degeneration are common findings.

Purpose of the Study:

  • To define adult flatfoot and outline its diagnostic and management strategies.
  • To emphasize the importance of timely diagnosis and treatment.
  • To detail various surgical and medical interventions for different types of flatfoot deformities.

Main Methods:

  • Clinical examination to assess deformity, reducibility, and muscle/tendon deficits.
  • Weight-bearing radiographic examination (3 incidences) to identify the primary level of deformity.
  • MRI or ultrasound for tendon and ligamentous lesions; CT for fixed deformities and 3D reconstruction for surgical planning.

Main Results:

  • Diagnosis and management of adult flatfoot are frequently delayed.
  • Delayed treatment leads to ankle complications.
  • Various surgical options exist for both supple and fixed deformities, often involving osteotomies and fusions.

Conclusions:

  • Adult flatfoot requires prompt diagnosis and management to prevent secondary ankle issues.
  • Treatment strategies vary based on deformity type, ranging from conservative measures to complex surgical reconstructions.
  • The management of adult flatfoot, particularly its impact on the ankle, remains complex and requires further codification.