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Pediatric flatfoot: evaluation and management

J A Sullivan1

  • 1Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma College of Medicine, Oklahoma City 73126-0307, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|January 23, 1999
PubMed
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Pediatric flatfoot is common and usually flexible, often requiring no treatment. Physicians must differentiate between flexible flatfoot and conditions like congenital vertical talus or tarsal coalition that need intervention.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Podiatry
  • Pediatric Foot Conditions

Background:

  • Flatfoot is a common finding in children, with most infants having minimal arches at birth.
  • A significant percentage of neonates present with calcaneovalgus deformity, which typically resolves without intervention.
  • Flexible flatfoot is the most frequent presentation in pediatric orthopedic evaluations and is usually asymptomatic.

Purpose of the Study:

  • To review the diagnosis and management of pediatric flatfoot.
  • To differentiate between common, benign flatfoot and conditions requiring treatment.
  • To outline treatment strategies for specific pediatric foot deformities.

Main Methods:

  • Review of common pediatric foot conditions, focusing on flatfoot.

Related Experiment Videos

  • Differential diagnosis of flexible flatfoot versus structural deformities.
  • Discussion of treatment options, including conservative and surgical approaches.

    • Main Results:

    • Most pediatric flatfoot cases are flexible and asymptomatic, not requiring treatment.
    • Congenital vertical talus, tarsal coalition, and skew-foot are conditions that necessitate specific interventions.
    • Surgical management is rarely indicated for true flexible flatfoot, and supports have not demonstrated efficacy in altering arch structure.

    Conclusions:

    • The majority of pediatric flatfoot cases are benign and resolve naturally, alleviating parental concerns.
    • Accurate diagnosis is crucial to identify and treat conditions requiring intervention.
    • Conservative management and reassurance are often the most effective approaches for pediatric flatfoot.