Diagnosis of Pes Planus by X-Ray

Bonnet, William L.; Baker, Douglas R.

doi:10.1148/46.1.36

Cited by 9 publications

(6 citation statements)

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“…This has proven difficult in the past, as multiple studies have used arbitrary measurements to define arch height. Early studies used radiographs, 1,5,15 clinical assessment, 7,20 photographs, 5,6 footprints, 2,4,13,19 and various footprint-based calculations. 3,8,9,19,21,23 Hawes et al 12 evaluated multiple footprint parameters discussed in the literature and compared the values to directly measured arch heights.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Foot and Ankle Injuries in West Point Cadets with Pes Planus Compared to the General Cadet Population

Levy¹,

Mizel²,

Wilson³

et al. 2006

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 99%

Incidence of Foot and Ankle Injuries in West Point Cadets with Pes Planus Compared to the General Cadet Population

Levy¹,

Mizel²,

Wilson³

et al. 2006

Foot Ankle Int.

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“…Evaluating an individual for pes planus involves clinical examination, which may include radiographic evaluation (Menz, 1998) using weight-bearing radiographs in the anterior-posterior (AP) and lateral views (Lee et al, 2005). The radiographic features of pes planus have been widely discussed in the literature (Bonnet & Baker, 1946;Bourdet et al, 2013;Cavanagh & Rodgers, 1987;Kaplan & Symonds, 1945;Lee et al, 2005;Lepow & Valenza, 1989;McCrory, Young, Boulton, & Cavanagh, 1997;Menz, 1998;Menz & Munteanu, 2005;Murley, Menz, & Landorf, 2009;Sanner & Whitney, 2015a;Younger, Sawatzky, & Dryden, 2005). The accuracy of classifying a foot as pes planus using weight-bearing radiographs has been compared to other methods of evaluation, including weight-bearing pedal prints and clinical examination.…”

Section: Pes Planusmentioning

confidence: 99%

Radiographic measurements of the talus and calcaneus in the adult pes planus foot type

Agoada

Kramer

2020

American J Phys Anthropol

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Objective A distinctive feature of the modern human foot is the presence of a medial longitudinal arch when weight‐bearing. Although the talus and calcaneus play a major role in the structure and function of the human foot, the association between the morphology of these bones and longitudinal arch height has not been fully investigated. A better understanding of this relationship may assist in the interpretation of pedal remains of fossil hominins, where features of the foot and ankle morphology have been described as providing evidence for the presence of a longitudinal arch. Methods For this study, weight‐bearing radiographs of 103 patients from an urban US Level 1 trauma center, taken as part of a clinical examination for medical evaluation, were selected. These radiographs were classified as to foot type by arch height as defined using the calcaneal inclination angle. From this group, 68 radiographs were suitable for linear and angular measurements of the talus and 74 of the calcaneus. The relationships between these measurements and arch height were explored using least squared linear regression analysis. Results The results demonstrate that angular measurements of the calcaneus (particularly those that reflect the relationship of the talar articular facets to each other and the tilt of the calcaneocuboid joint to the longitudinal axis of the calcaneus) are predictive of arch height (r2 = .29–.44 p ≤ .001). All angular measurements of the talus and all examined linear measurements of both the talus and calcaneus were not predictive of arch height. Discussion These results suggest that certain angular measurements of the calcaneus are associated with arch height in the modern human foot. While this information is useful in the interpretation of hominin pedal remains, the relationship of the morphology of these bones, as well as other bones of the foot, to arch height is complex, requiring further investigation.

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“…It also ignores normal anatomic variations in arch height among adults, between children and adults, and between racial groups. It is well recognized that there is a higher incidence of flatfeet in blacks [2][3][4][5] than Caucasians, and that these flatfeet, like those in Caucasians, rarely cause disability.…”

Section: Epidemiologymentioning

confidence: 99%

Flexible flatfoot in children and adolescents

Mosca

2010

Journal of Children's Orthopaedics

261

229

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Flexible flatfoot is a normal foot shape that is present in most infants and many adults. The arch elevates spontaneously in most children during the first decade of life. There is no evidence that a longitudinal arch can be created in a child's foot by any external forces or devices. Flexible flatfoot with a short Achilles tendon, in contrast to simple flexible flatfoot, is known to cause pain and disability in some adolescents and adults. Joint-preserving, deformity-correcting surgery is indicated in flexible flatfeet with short Achilles tendons when conservative measurements fail to relieve pain under the head of the plantar flexed talus or in the sinus tarsi area. Osteotomy is the fundamental and central procedure of choice. In almost all cases, Achilles tendon lengthening is required. In some cases, rigid supination deformity of the forefoot is present, requiring identification and concurrent treatment.

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Diagnosis of Pes Planus by X-Ray

Cited by 9 publications

References 0 publications

Incidence of Foot and Ankle Injuries in West Point Cadets with Pes Planus Compared to the General Cadet Population

Incidence of Foot and Ankle Injuries in West Point Cadets with Pes Planus Compared to the General Cadet Population

Radiographic measurements of the talus and calcaneus in the adult pes planus foot type

Flexible flatfoot in children and adolescents

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