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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 23, No. 3, 2013, pp. 247-260
Bioline Code: pe13050
Full paper language: English
Document type: Special Article
Document available free of charge

Iranian Journal of Pediatrics, Vol. 23, No. 3, 2013, pp. 247-260

 en Pediatric Flexible Flatfoot; Clinical Aspects and Algorithmic Approach
Halabchi, Farzin; Mazaheri, Reza; Mirshahi, Maryam & Abbasian, Ladan

Abstract

Flatfoot constitutes the major cause of clinic visits for pediatric foot problems. The reported prevalence of flatfoot varies widely due to numerous factors. It can be divided into flexible and rigid flatfoot. Diagnosis and management of pediatric flatfoot has long been the matter of controversy. Common assessment tools include visual inspection, anthropometric values, footprint parameters and radiographic evaluation. Most flexible flatfeet are physiologic, asymptomatic, and require no treatment. Otherwise, the physician should treat symptomatic flexible flatfeet. Initial treatment options include activity modification, proper shoe and orthoses, exercises and medication. Furthermore, comorbidities such as obesity and ligamenous laxity should be identified and managed, if applicable. When all nonsurgical treatment options faile, surgery can be considered. Our purpose in this article is to present a clinical algorithmic approach to pediatric flatfoot.

Keywords
Flatfoot; Pes planus; Hyperpronation; Orthosis; Exercise; Algorithm; Children

 
© Copyright 2013 - Iranian Journal of Pediatrics
Alternative site location: http://diglib.tums.ac.ir/pub/

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