The diagnosis and management of common childhood orthopedic disorders: An update

Bent, Melissa A.; Stork, Natalie C.; Nemeth, Blaise A.

doi:10.1016/j.cppeds.2020.100884

Cited by 5 publications

(7 citation statements)

References 146 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors believe stretching of the tendo-achilles complex may help counter an equinus deformity. 15,19 During weight bearing activities, the principal elements that play a role in maintaining the medial longitudinal arch height include bony structure and ligaments that provide passive support, as well as extrinsic and intrinsic foot muscles that provide active support. [35][36][37] Extrinsic foot muscles, for example, the posterior tibialis muscle, provide strong support for the medial longitudinal arch; however, it has been revealed that the plantar intrinsic foot muscles of people with flat foot are atrophied compared to those with a normal foot arch.…”

Section: Discussionmentioning

confidence: 99%

“…4,14, 19 Although flat foot is one of the most common deformity of foot, the number of reports regarding physiotherapy for flat foot is limited. Bent et al 15 argues that there is not currently scientific evidence to prove that physiotherapy changes the structure of the flat foot. Several studies have been published but they all looked into the use of foot orthosis or insoles for subjects with flexible flat foot.…”

Section: Case Reportmentioning

confidence: 99%

“…4, 14 Infants and young children are prone to the absence of the medial longitudinal arch due to laxity in the ligaments and lack of neuromuscular control, and most cases of flat foot in children are flexible. 7, 15 It is thought that acquired flat foot deformity occurring in adults may result from dysfunction of any part of the longitudinal arch musculature. The primary factors that are believed to give rise to an acquired flat foot deformity include dysfunction of the posterior tibial tendon, tightness of the triceps surae or isolated gastrocnemius, ligamentous laxity in plantar ligaments, and obesity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comprehensive Physiotherapy Program Improves the Medial Longitudinal Arch of a Male Adolescent with Bilateral Flexible Flat Foot: A Case Report

Thanaya

Jamaluddin²

2021

ptji

View full text Add to dashboard Cite

Introduction: Flat foot is a common foot deformity marked by the absence of the medial longitudinal arch of the foot. Flexible flat foot is usually symptomless but can affect the biomechanics of the lower extremity and lumbar spine, possibly increasing the risk of pain and injury. Conservative management, including physiotherapy, is important in flat foot management, yet the number of reports regarding physiotherapy for flat foot is scarce. Therefore, this case report aimed to describe a case of bilateral flexible flat foot in a male adolescent who was treated with a comprehensive physiotherapy program. Case Description: A 17-year-old male presented to the physiotherapy clinic with flat foot deformity on both feet. The patient received an hour of comprehensive physiotherapy program per session, twice per week, which included lower extremity stretching, various foot and leg strengthening exercises, proprioception exercises, and an educational aspect. The footprint test was conducted and the patient was evaluated using the Arch Index. The Arch Index measurements according to Cavanagh and Rodgers decreased from 0.38 to 0.32 (left foot) and 0.35 to 0.28 (right foot). Likewise, Staheli’s Arch Index measurements also decreased from 1.54 to 1.02 (left foot) and 1.5 to 0.7 (right foot). Conclusion: Following 20 physiotherapy sessions, the patient’s Arch Index measurements demonstrated an overall reduction, indicating noteworthy improvements in the medial longitudinal arch height. Hence, it can be concluded that a comprehensive physiotherapy program can help improve the medial longitudinal arch height, and thereby foot posture, of an adolescent with bilateral flexible flat foot.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comprehensive Physiotherapy Program Improves the Medial Longitudinal Arch of a Male Adolescent with Bilateral Flexible Flat Foot: A Case Report

Thanaya

Jamaluddin²

2021

ptji

View full text Add to dashboard Cite

show abstract

“…►Table 1 shows the skill leveling. 8,[14][15][16][17][18][19] From the second round onwards, questionnaire structuration used the themes selected from the previous responses. Starting at this stage, participants could not add skills, but they could modify the text and level based on the highest percentage of opinions.…”

Section: Methodsmentioning

confidence: 99%

Matriz de competências em ortopedia e traumatologia para abordagem do sistema musculoesquelético para graduação médica

Siqueira,

Pereira,

Oliveira

2023

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

Resumo Objetivo Construir uma matriz de competências em ortopedia e traumatologia, com enfoque no sistema musculoesquelético, necessárias ao egresso do curso de medicina no Brasil. Método Utilizou-se a metodologia e-Delphi, visando captar a opinião de participantes de forma anônima. A primeira proposta contou com 42 itens, frutos de revisão bibliográfica e relevância epidemiológica, disponibilizados para os painelistas pelo Google Forms e enviados através do aplicativo de mensagens instantâneas Whatsapp. Constituiu-se um painel de 26 especialistas agrupados em três categorias: docentes de Ortopedia e Traumatologia, médicos da Atenção Primária e Emergencistas. O consenso foi obtido após a realização de 3 rodadas, com pelo menos 75% de concordância entre os itens inicialmente apresentados. Foram também considerados quatro indicadores: competências pré-requisito, essenciais, desejáveis e avançadas. Resultados obteve-se uma matriz com 34 competências relativas à abordagem do sistema musculoesquelético, que contempla ações de diagnóstico e conduta de todas as faixas etárias. Conclusão Foi construída uma matriz de competências em Ortopedia e Traumatologia para graduação médica com possibilidades de ser utilizada na sua íntegra ou de forma parcial, de acordo com o perfil do currículo institucional.

show abstract

“…It is caused by excessive loading on medial part of proximal tibial cartilage 1,2 . It is characterized on the basis of onset into three groups; infantile onset (< 3 years), juvenile onset (4 -10 years) & adolescent onset occur after 10 years of age [3][4][5] Progressive Tibia Vara can result in bowleg deformity, in-toeing of feet and lateral knee thrust, altering the normal biomechanics of an individual 6,8 . However; early onset Tibia Vara is reported to have a prevalence of 1/1200 live births in Caribbean 9 In the city of Karad, India the prevalence of Tibia Vara was found to be 11.33 % 10 .…”

Section: Introductionmentioning

confidence: 99%

Frequency of Tibia Vara Among Obese Adolescents: Descriptive Cross-Sectional Study

Hamid,

Faisal,

Safdar

et al. 2024

Pak. J. Rehabil

View full text Add to dashboard Cite

Background of the study: Tibia Vara is defined as a growth abnormality which leads to Varus malalignment of the lower limb. It is caused by excessive loading on the medial part of proximal tibia. Progressive Tibia Vara can result in a bowleg deformity which is most noticeable in posteromedial part of upper tibial physis. Other than that, it gives rise to in toeing of feet and lateral knee thrust, altering the normal biomechanics of an individual. This study aim to determine the frequency of Tibia Vara among obese adolescents (13-18years). Methodology: A descriptive cross-sectional study was done using non probability convenient sampling. Total 214 obese adolescents of age range 13 to 18 years were recruited from different parks and schools of Lahore. Adolescents with BMI less than 30 and with history of fracture or dislocation in the lower limb were excluded from the study. Manual goniometer was used to assess tibia vara in obese adolescent which had an intra-rater reliability of 0.75. Results: Out of 214 obese adolescents, 128 were male and 86 were female. The percentage of Tibia Vara in this population was found to be 38% (n= 82). Whereas; on the basis of gender, male participants presenting with Tibia vara was found to be 26% (n= 56) and the percentage of females reported with Tibia vara was only 12% (n= 26). Conclusion: Tibia vara had been reported in 38% of the obese adolescents in Lahore, Pakistan. Whereas, on the basis of gender most frequently tibia vara was reported among male participants. Keywords: Adolescents, juvenile, biomechanics, blount disease, obesity, sedentary lifestyle, slipped capital femoral epiphysis.

show abstract

The diagnosis and management of common childhood orthopedic disorders: An update

Cited by 5 publications

References 146 publications

Comprehensive Physiotherapy Program Improves the Medial Longitudinal Arch of a Male Adolescent with Bilateral Flexible Flat Foot: A Case Report

Comprehensive Physiotherapy Program Improves the Medial Longitudinal Arch of a Male Adolescent with Bilateral Flexible Flat Foot: A Case Report

Matriz de competências em ortopedia e traumatologia para abordagem do sistema musculoesquelético para graduação médica

Frequency of Tibia Vara Among Obese Adolescents: Descriptive Cross-Sectional Study

Contact Info

Product

Resources

About