An Update on Pediatric Flatfoot

Madden, Caitlin Mahan; Mahan, Kieran T.

doi:10.1016/j.cpm.2022.11.006

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…The role of the podiatrist (1), a healthcare profession that is often under-recognized, is crucial in the multidisciplinary approach to managing disabling conditions, particularly those of neurological origin in the pediatric population (2)(3)(4)(5)(6)(7). The importance of podiatry, as a subspecialty within orthopedics, becomes even more pronounced when dealing with young patients, where the emphasis should be on prevention as a primary intervention, in line with ethical principles (8,9).…”

Section: Introductionmentioning

confidence: 99%

Podološka analiza djece s motoričkim poremećajima (20 slučajeva) – naša iskustva

Mansi,

Aymen,

Tounsi

et al. 2024

Paediatr Croat

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Introduction and Importance: Pediatric patients with neuromotor disorders frequently experience various podiatric conditions. The effectiveness and implications of treatments like orthotics and insoles in this demographic are not thoroughly understood, highlighting a significant gap in podiatric research and clinical practice. Case Presentation: This observational study analyzed 20 pediatric patients with neuromotor disorders. The focus was on common foot conditions such as ingrown toenails and hyperhidrosis, and their association with treatments like orthotics, insoles, and surgical interventions like Achilles tendon lengthening. Clinical Discussion: Statistical analysis using chi-square tests revealed significant associations. Notably, orthotic use was linked to a higher incidence of ingrown toenails (χ² = 5.69, p = 0.017). In contrast, insole usage correlated with increased hyperhidrosis (χ² = 4.44, p = 0.035). Additionally, a significant tendency for orthotic use was observed in patients who underwent Achilles tendon lengthening (χ² = 8.15, p = 0.017). The study also highlighted the prevalence of brittle nails and hyperkeratosis among the participants. Conclusion: The findings emphasize the critical role of podiatrists in the management of foot conditions in pediatric neuromotor disorder patients. While interventions like orthotics are generally beneficial, they may also exacerbate or contribute to other conditions, necessitating regular and careful podiatric monitoring. The study advocates for future research with larger sample sizes and controlled study designs to further validate and expand upon these observations.

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Section: Introductionmentioning

confidence: 99%

Podološka analiza djece s motoričkim poremećajima (20 slučajeva) – naša iskustva

Mansi,

Aymen,

Tounsi

et al. 2024

Paediatr Croat

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“…Surgical intervention can be considered if the clinical response is unsatisfactory and all nonsurgical treatment options have been exhausted. Several surgical techniques have been described to correct these deformities, including soft tissue and bony procedures, with varying results [ 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Tibialis anterior rerouting combined with calcaneal lengthening osteotomy as a single-stage reconstruction of symptomatic flexible flatfoot in children and adolescents

et al. 2023

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Background Symptomatic flexible flatfoot in children and adolescents should be surgically managed only if conservative measures have failed. The aim of this study was to assess functional and radiological results of tibialis anterior rerouting combined with calcaneal lengthening osteotomy as s single-stage reconstruction of symptomatic flexible flatfoot. Methods The current study was a prospective study of patients with symptomatic flexible flatfoot treated by single-stage reconstruction in the form of tibialis anterior tendon rerouting combined with calcaneal lengthening osteotomy. The American Orthopaedic Foot and Ankle Society score (AOFAS) was utilized to evaluate the functional outcomes. The evaluated radiological parameters included the standing anteroposterior (AP) and lateral talo-first metatarsal angle, talar head coverage angle, and calcaneal pitch angle. Results The current study included 16 patients (28 feet) with a mean age of 11.6 ± 2.1 years. There was a statistically significant improvement in the mean AOFAS score from 51.6 ± 5.5 preoperatively to 85.3 ± 10.2 at final follow-up. Postoperatively, there was a statistically significant reduction in the mean AP talar head coverage angle from 13.6 ± 4.4° to 3.9 ± 3°, the mean AP talo-first metatarsal angle from 16.9 ± 4.4° to 4.5 ± 3.6°, and the mean lateral talo-first metatarsal angle from 19.2 ± 4.9° to 4.6 ± 3.2°, P < 0.001. Additionally, the mean calcaneal pitch angle increased significantly from 9.6 ± 1.9° to 23.8 ± 4.8°, P < 0.001. Superficial wound infection occurred in three feet and was treated adequately by dressing and antibiotics. Conclusion Symptomatic flexible flatfoot in children and adolescents can be treated with combined lateral column lengthening and tibialis anterior rerouting with satisfactory radiological and clinical outcomes. Level of evidence Level IV.

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Return to sport after subtalar arthroeresis for flexible pediatric flatfoot: a systematic review of the literature

ZIELLI,

MAZZOTTI,

CASSANELLI

et al. 2024

Minerva Orthop

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An Update on Pediatric Flatfoot

Cited by 3 publications

References 22 publications

Podološka analiza djece s motoričkim poremećajima (20 slučajeva) – naša iskustva

Podološka analiza djece s motoričkim poremećajima (20 slučajeva) – naša iskustva

Tibialis anterior rerouting combined with calcaneal lengthening osteotomy as a single-stage reconstruction of symptomatic flexible flatfoot in children and adolescents

Return to sport after subtalar arthroeresis for flexible pediatric flatfoot: a systematic review of the literature

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