A classification of severity with an analysis of causative problems related to the type of treatment

Mankey, Martin G.

doi:10.1016/s1083-7515(03)00124-4

Cited by 13 publications

(12 citation statements)

References 11 publications

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“…As a result, numerous authors [5,9,20,24,27] have expanded the original classification system in an attempt to include the various structures involved. In addition, in a given stage in the Johnson and Strom classification, there may be important variations, and deformities do not necessarily progress in a linear or inevitable way.…”

Section: Limitationsmentioning

confidence: 99%

Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Abousayed

Tartaglione

Rosenbaum

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Section: Limitationsmentioning

confidence: 99%

Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Abousayed

Tartaglione

Rosenbaum

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…The staging of PTTD is based on the condition and function of the tendon, alignment of the hindfoot, and the suppleness of the deformity. 4,5 Stage 1 PTTD is characterized by a posterior tibial tenosynovitis, with or without low-grade tendinopathy, the tendon remaining of normal length. Clinical features consist of painful swelling at the medial aspect of the foot, with no deformity in alignment on weightbearing.…”

Section: Staging Of Posterior Tibial Tendon Dysfunctionmentioning

confidence: 99%

“…An MRI or ultrasound may confirm tenosynovitis and low-grade tendinosis and help rule out tendon tear. 5 Stage 2 PTTD is characterized by elongation, degeneration, and dysfunction of the posterior tibial tendon, 5 presenting clinically with a painful, flexible pes planovalgus deformity. The patient may be unable to perform a single-limb heel rise or may demonstrate fatigue with repetition.…”

Section: Staging Of Posterior Tibial Tendon Dysfunctionmentioning

confidence: 99%

Acquired Flat Foot Deformity: Postoperative Imaging

Dimmick

Chhabra

Grujic

et al. 2012

Semin Musculoskelet Radiol

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Flat foot (pes planus) is a progressive and disabling pathology that is treated initially with conservative measures and often followed by a variety of surgeries. This article briefly reviews the pathology in acquired flat foot deformity, the classification of posterior tibial tendon dysfunction, discusses surgical techniques for the management of adult flat foot deformity, and reviews potential complications and their relevant imaging appearances.

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“…This is despite the lack of a universally accepted definition of normal arch height within the general population 7 , and a lack of valid clinical or radiographic definitions 8 . Current classification systems provide broad guidelines for treating flat feet, essentially classifying it as normal, flexible, or rigid, as well as separating out tibialis posterior tendon dysfunction 9 . Where the flat foot is rigid, restoration of alignment and function is impossible, but in the mobile or flexible flatfoot -where a normal arch can be seen when non-weight bearing -there exists the potential to utilize a range of treatments to improve structure and function, to alleviate symptoms.…”

Section: Introductionmentioning

confidence: 99%

Conservative Interventions for mobile Pes Planus in Adults: a systematic review

Ashford

Mathieson

Rome

2016

Rev. Int. Cienc. Podol.

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background. Adult pes planus (flat foot) is a common problem encountered by many health care professionals. Despite the perception that flat foot can cause pain and impair function, and the availability and widespread use of various treatments, there is no consensus on the optimal treatment strategy. Aim. To assess the effectiveness of conservative (non-surgical) interventions for pes planus in adults. Method. A systematic search of the literature was undertaken. This included: the Cochrane Central Register of Controlled Trials; the CMSG Specialized Trials Register; an electronic search was conducted using MEDLINE (1960 to June 2012), EMBASE (1980 to June 2012), and CINAHL (1982 -June 2012. Specialised journals, trial reference lists and review articles were hand searched. Selection criteria: Randomised or quasi-randomised trials of treatment interventions for pes planus in adults. Trials that included specific pathologies such as plantar heel pain, metatarsal stress fractures, posterior-tibial tendon dysfunction, ankle fractures, rheumatoid foot pathologies, neuromuscular conditions and diabetic foot complications were excluded. Data collection and analysis: Two authors independently screened the search results to identify those meeting the inclusion criteria and quality assessed those included using a checklist based on the Cochrane Collaboration Assessment of Risk of Bias tool. This tool focused on risk of selection, performance, detection, attrition and reporting bias. Results. Four trials, involving 140 subjects, met the inclusion criteria for the review. All four were judged to be at high risk of bias in at least one area, and were also at unclear risk of bias in at least one other area. All scored highly in relation to attrition bias, due to the short follow up times and experimental designs used. Data was not pooled due to the high level of heterogeneity identified in the interventions assessed, participants selected and outcomes measured. The results of one study suggest that after four weeks of use orthoses may result in a significant improvement in medio lateral sway, and may result in improved, although non-significant, general foot-related quality of life (Rome 2004). One study (Redmond 2009) suggests that their effect on plantar pressure distribution in the foot may not be dependent on whether they are custom or prefabricated devices. Although this study identified significant changes in some plantar pressure variables with both custom and prefabricated devices, another (Esterman 2005) failed to find any significant effect of ¾ length prefabricated orthoses on pain, injury incidence, foot health or quality of life in a group of air force recruits. The fourth study (Jung 2009) suggests that exercising the intrinsic foot muscles may enhance the effect of orthoses. Despite these findings, since each study incurred risk of bias in at least one area no conclusions can be drawn. REsUMENAntecedentes. Pes Adulto planus (pie plano) es un problema común encontrado por muchos profesionales de la s...

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A classification of severity with an analysis of causative problems related to the type of treatment

Cited by 13 publications

References 11 publications

Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Classifications in Brief: Johnson and Strom Classification of Adult-acquired Flatfoot Deformity

Acquired Flat Foot Deformity: Postoperative Imaging

Conservative Interventions for mobile Pes Planus in Adults: a systematic review

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