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Cecilie Mølgaard Arildsen1, Andreas Balslev-Clausen2, Christian Wong1

  • 1Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Hvidovre Hospital.

Ugeskrift for Laeger
|January 13, 2023
PubMed
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Pes planovalgus (PV) is common in children and often resolves naturally. Painful cases may benefit from footwear or orthopaedic referral, especially for rigid PV indicating potential underlying issues.

Area of Science:

  • Pediatrics
  • Orthopedics
  • Podiatry

Background:

  • Pes planovalgus (PV), or flat feet, is a common condition in early childhood, frequently resolving spontaneously.
  • Parental concerns about pediatric flat feet often prompt medical consultations, necessitating clear diagnostic and management guidelines.

Approach:

  • This review synthesizes current knowledge on the various types of pes planovalgus.
  • It differentiates between flexible and rigid PV, highlighting the implications for treatment and the need for specialist referral.

Key Points:

  • Asymptomatic pes planovalgus typically requires no intervention.
  • Corrective footwear may be used for symptomatic or painful PV.
  • Orthopaedic referral is indicated when conservative measures fail or for rigid PV, which can signal underlying pathologies.

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Conclusions:

  • Distinguishing between flexible and rigid pes planovalgus is crucial for appropriate management.
  • Rigid PV warrants prompt orthopaedic evaluation due to potential associated pathologies.
  • Further research is needed to identify predictive factors for the development of painful pediatric flat feet.