[Hollow foot in adults]

Contrary to the general impression, the hollow foot is much more common than the flat foot. We distinguish three categories of hollow foot: varus hollow (clinical form I), valgus hollow (clinical form II), and pseudo-hollow (clinical form III). These three clinical forms have a common deviation dynamics, the consequence of shortening of the sural-Achilles-calcaneoplantar system. Metatarsalgia often precedes deformation of the front of the foot. Talalgia is linked to excess traction or to a conflict between the heel and the back of the shoe. Common therapy consists of plantar orthoses, eventually toe orthoses and orthopedic shoes. When surgery is used in the adult, it is generally not to correct excess cavus but to correct problems of the front of the foot such as hallux valgus, involvement of the second metatarsal bone (??), or toenails.