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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2009, Number 1

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Rev Mex Ortop Ped 2009; 11 (1)

Flatfoot in infants and adolescents Current concepts review

Martínez LAG

Language: Spanish
References: 32
Page: 5-13
PDF size: 447.62 Kb.


ABSTRACT

Flexible Flatfeet are common in childhood; about 15% of adults have flexible flatfeet. It is consider a normal variant and frequently improves spontaneously, without pain or any functional disability, thus most patients do not require any kind of treatment. It is frequently associated with ligamentous laxity. It must be differentiated from Rigid and Painful Flatfeet, which imply pain and functional disability. These are usually secondary to Tendo Achilles shortening or spasticity (which may or may not be associated to Neuromuscular diseases), Tarsal Coalition, Congenital Vertical Talus and any other pathology that affects subtalar motion. Multiple studies have demonstrated that shoe modifications (inserts, shoe wedges, or orthopedic shoes) are unnecessary, uncomfortable, expensive and make the family and patient uncomfortable. Only the rare cases that are painful, produce limited function, or are very severe require radiographic evaluation and treatment tailored to the specific etiology. Treatment may vary from shoe inserts to relieve pain (and not to produce an arch), physical therapy, immobilization, NSAIDs and even surgery in selected cases. Level of evidence: V (case series).


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