Multimodality imaging of the paediatric flatfoot.

Area of Science:

• Pediatric Orthopedics
• Radiology
• Medical Imaging

Background:

• Flatfoot is a common condition in children, with diverse clinical and radiological findings.
• It can be categorized as flexible or rigid, influencing diagnosis and treatment strategies.
• Imaging plays a vital role in evaluating paediatric flatfoot.

Purpose of the Study:

• To review and illustrate the multimodality imaging of paediatric flatfoot.
• To discuss both qualitative and quantitative radiographic assessments.
• To highlight the role of cross-sectional imaging in suspected structural abnormalities.

Main Methods:

• Review of established initial investigations: weight-bearing plain radiographs.
• Discussion of advanced imaging modalities: CT and MRI for symptomatic or structurally abnormal cases.
• Illustration of multimodality imaging appearances in paediatric flatfoot.

Main Results:

• Weight-bearing radiographs are standard initial imaging, but parameter significance in children needs clarification.
• CT and MRI are reserved for complex cases, particularly rigid flatfoot with suspected structural issues.
• Multimodality imaging provides comprehensive assessment of paediatric flatfoot.

Conclusions:

• Imaging is essential for differentiating flexible from rigid paediatric flatfoot.
• Advanced imaging like CT and MRI are valuable for complex and suspected structural abnormalities.
• A thorough understanding of multimodality imaging aids in accurate diagnosis and management of paediatric flatfoot.