Adult-Acquired Flatfoot Deformity

Henry, Jensen K.; Shakked, Rachel; Ellis, Scott J.

doi:10.1177/2473011418820847

Cited by 142 publications

(68 citation statements)

References 128 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In flexible flatfoot, changes of the foot shape result in overuse injuries of the back and lower extremity regions, as manifested by back pain [3], patellofemoral pain syndrome, and plantar fasciitis [4]. If left untreated, the foot deformity tends to progress and worsen over time, and eventually results in significant disability [5]. Structures including the tarsal and metatarsal bones, ligaments, plantar fascia, and the intrinsic and extrinsic foot muscles play an important role in supporting the MLA.…”

Section: Introductionmentioning

confidence: 99%

Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial

Namsawang

Eungpinichpong

Vichiansiri

et al. 2019

J Prev Med Public Health

View full text Add to dashboard Cite

Objectives Flatfoot, or low medial longitudinal arch, contributes to back and lower extremity injuries and is caused by weak abductor hallucis (AbdH) muscles. The purpose of this study was to investigate the effects of short foot exercise (SFE) alone or with neuromuscular electrical stimulation (NMES) on navicular height, the cross-sectional area (CSA) of the AbdH muscle, and AbdH muscle activity in flexible flatfoot. Methods Thirty-six otherwise healthy people with flexible flatfoot were randomly assigned to a group that received SFE with placebo NMES treatment (the control group) or a group that received both SFE and NMES treatment (the experimental group). Each group received 4 weeks of treatment (SFE alone or SFE with NMES). Navicular height, the CSA of the AbdH muscle, and AbdH muscle activity were assessed before and after the intervention. Results No significant differences were found in navicular height or the CSA of the AbdH muscle between the control and experimental groups, while AbdH muscle activity showed a statistically significant difference between the groups (SFE=73.9±11.0% of maximal voluntary isometric contraction [MVIC]; SFE with NMES=81.4±8.3% of MVIC; p <0.05). Moreover, the CSA of the AbdH muscle showed a statistically significant increase after treatment in the SFE with NMES group (pre-treatment=218.6±53.2 mm 2 ; post-treatment=256.9±70.5 mm 2 ; p <0.05). Conclusions SFE with NMES was more effective than SFE alone in increasing AbdH muscle activity. Therefore, SFE with NMES should be recommended to correct or prevent abnormalities in people with flexible flatfoot by a physiotherapist or medical care team.

show abstract

Section: Introductionmentioning

confidence: 99%

Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial

Namsawang

Eungpinichpong

Vichiansiri

et al. 2019

J Prev Med Public Health

View full text Add to dashboard Cite

show abstract

“…Tarsometatarsal arthrodesis is a traditional procedure for correction of forefoot varus in the setting of PCFD when severe medial column instability, TMT plantar gapping, local arthritis or hallux valgus is present (1,30,31) . Reliability of this technique and good functional results are usually the arguments that supports its indication (32,33) .…”

Section: Discussionmentioning

confidence: 99%

“…Progressive Collapsing Foot Deformity (PCFD) is a three-dimensional complex condition that may affect up to 10% of adults above 65 years-old (1,2) . Pain on the medial side of the foot and ankle associated with gradual flattening are common symptoms of the disease (3) .…”

Section: Introductionmentioning

confidence: 99%

“…Deformities may present as flexible or rigid. This can be determined by clinical and radiological findings, and places the patient in the a corresponding PCFD Classification (1,2,6) . Existence of medial column instability (MCI) is not solely determined by forefoot varus (FV) and should always be investigated due to its importance in prognosis and treatment planning (10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

“…The Cotton opening wedge medial cuneiform osteotomy and the Lapidus tarsometatarsal arthrodesis are the usual procedures of choice in the MCI/FV scenario (1,12,16) . Determination of the proper method is usually based on patient profile and deformity presentation (17) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lapicotton technique in the treatment of progressive collapsing foot deformity

Ahrenholz¹,

Iehl²,

Vivtcharenko³

et al. 2020

J Foot Ankle

View full text Add to dashboard Cite

We present a technical surgical description of a 36-year-old female diagnosed with Progressive Collapsing Foot Deformity (PCFD) treated with a medial displacement calcaneus osteotomy, a lateral column lengthening, and a modified Lapidus fusion. In order to increase the plantar flexion power of this arthrodesis and minimize the loss in ray length with joint preparation, a bone block structured graft was used. Fixation was performed using a post implant in the medial cuneiform with crossing screws though the surfaces and the graft. Forefoot varus was properly corrected intraoperatively by using the described surgical technique. Satisfactory functional short-term results and an excellent alignment was accomplished. Level of Evidence V; Therapeutic Studies; Expert Opinion.

show abstract

Clinical outcomes of posterior tibial tendon sheath ultrasound‐guided corticosteroid injections

Spencer

Hall

Schafer

et al. 2023

Australas J Ultrason Med

View full text Add to dashboard Cite

ObjectivesThe purpose of this study was to assess the safety of ultrasound‐guided corticosteroid injections into the posterior tibial tendon sheath for posterior tibialis tendinopathy. Secondary outcomes include duration of pain relief, amount of pain relief, need for repeat injections and progression to surgery.MethodsWe retrospectively reviewed all patients in our electronic medical record who underwent a posterior tibial tendon sheath (PTTS) steroid injection between 2015 and 2020 for the diagnosis of posterior tibial tendon dysfunction and/or posterior tibialis tendon insufficiency, and/or ankle pain. Demographic information was obtained from the patient record in addition to MRI data, clinical response to injection based on follow‐up visits, number of total injections and progression to surgery. Thirty‐eight posterior tibial tendon sheath ultrasound‐guided injections were administered in 33 patients who met inclusion criteria during the 5‐year study period.ResultsThirty‐three patients were included in the study with a total of 38 injections performed. Eighteen of 38 (47%) injections yielded good or better pain relief. Seven of 33 patients (21%) progressed to surgery. There were no reported complications with the 38 performed injections.ConclusionUltrasound‐guided corticosteroid injection into the posterior tibial tendon sheath is a safe nonoperative treatment modality for progressive collapsing foot deformity. The efficacy of the injection appears highly variable with 47% of injections yielding ‘good’ or better clinical results. When evaluating body mass index (BMI), obese patients (BMI ≥30.0) were found to have a more sustained response to injection (P = 0.029) and more pain relief (P = 0.049) than non‐obese patients.

show abstract

Adult-Acquired Flatfoot Deformity

Cited by 142 publications

References 128 publications

Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial

Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial

Lapicotton technique in the treatment of progressive collapsing foot deformity

Clinical outcomes of posterior tibial tendon sheath ultrasound‐guided corticosteroid injections

Contact Info

Product

Resources

About