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Flatfoot Updated 12/2006

Kris J. Alden, MD, PhD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • General Measures
  • Special Therapy
  • Medication (Drugs)
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
  • Patient Monitoring
The following is an excerpt....
BASICS
Description
  • Flatfoot, or pes planus, is a deformity of the foot in which the normal medial longitudinal arch of the foot has been lost (14).
  • It may present as an asymptomatic incidental finding or as a painful condition secondary to an associated anatomic abnormality or pathologic condition of the foot.
  • Classification:
    • Rigid versus flexible:
      • A flexible flatfoot lacks an arch only when patient is weightbearing, not when nonweightbearing or toe-standing.
      • A rigid flatfoot lacks an arch at all times.
    • Pediatric versus adult:
      • Onset may indicate underlying potential cause.
Epidemiology
Incidence
  • Congenital flexible flatfoot after infancy:
    • Is a trait that often runs in families, although the pattern of inheritance is not known
    • Is present in ∼15% of adults ...

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See Also
Images >
1
FIGURE 62.6 Common foot deformities. (A) Hammer toe. (B) Pes cavus (clawfoot). (C) Bunion (hallux valgus). (D) Site for Morton?s neuroma.Credit: From Smeltzer SC, Bare BG. Textbook of Medical-Surgical Nursing, 9th Ed. Philadelphia: Lippincott Williams & Wilkins, 2000.
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