Correction of Hypermobile Flatfoot in Children by Molded Insert

Bordelon, R. Luke; Lusskin, Ralph

doi:10.1177/107110078000100303

Cited by 71 publications

(42 citation statements)

References 3 publications

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“…A variety of supportive devices have been investigated, including heel cups, heel wedges, silicone shoe inserts, and custom shoe orthotics. [33][34][35][36] A prospective study performed by Wenger et al 37 studied the efficacy of shoe modifications in altering the development of the longitudinal arch of the foot in 129 patients aged 3 to 5 years. They were unable to show any significant difference in foot development between patients with shoe wear modifications compared with healthy controls after at least 3 years of follow-up.…”

Section: Asymptomatic Flexible Flatfootmentioning

confidence: 99%

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Pediatric Pes Planus: A State-of-the-Art Review

2016

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Flatfoot (pes planus) is common in infants and children and often resolves by adolescence. Thus, flatfoot is described as physiologic because it is usually flexible, painless, and of no functional consequence. In rare instances, flatfoot can become painful or rigid, which may be a sign of underlying foot pathology, including arthritis or tarsal coalition. Despite its prevalence, there is no standard definition for pediatric flatfoot. Furthermore, there are no large, prospective studies that compare the natural history of idiopathic, flexible flat feet throughout development in response to various treatments. The available literature does not elucidate which patients are at risk for developing pain and disability as young adults. Current evidence suggests that it is safe and appropriate to simply observe an asymptomatic child with flat feet. Painful flexible flatfoot may benefit from orthopedic intervention, such as physical therapy, bracing, or even a surgical procedure. Orthotics, although generally unproven to alter the course of flexible flatfoot, may provide relief of pain when present. Surgical procedures include Achilles tendon lengthening, bone-cutting procedures that rearrange the alignment of the foot (osteotomies), fusion of joints (arthrodesis), or insertion of a silicone or metal cap into the sinus tarsi to establish a medial foot arch (arthroereisis). It is important for a general pediatrician to know when a referral to an orthopedic specialist is indicated and which treatments may be offered to the patient. Updated awareness of the current evidence regarding pediatric flatfoot helps the provider confidently and appropriately counsel patients and families.

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Section: Asymptomatic Flexible Flatfootmentioning

confidence: 99%

“…There are a few studies that have reported correction of flatfoot with the use of over-the-counter arch supports, heel wedges, and orthotics 33,34 ; however, these studies were greatly limited by the absence of matched controls. Any correction may be due to the natural history of resolution with age.…”

Section: Asymptomatic Flexible Flatfootmentioning

confidence: 99%

Pediatric Pes Planus: A State-of-the-Art Review

2016

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“…Several uncontrolled studies in the US have reported that definite permanent increases in arch height can be achieved both clinically and radiographically by the use of ''corrective shoes,'' over-the-counter and custom-molded arch supports, custom orthoses, and heel wedges [40,47]. However, the effect of any intervention cannot be determined without appropriate untreated matched controls.…”

Section: Treatmentmentioning

confidence: 99%

Flexible flatfoot in children and adolescents

Mosca

2010

Journal of Children's Orthopaedics

269

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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“…A number of studies have concluded that the use of foot orthoses of various designs and approaches are beneficial for children with excessively pronated foot posture [22,[42][43][44][45][46]. Few are specifically focused on growing pains [47,48].…”

Section: Foot Orthotic Interventionmentioning

confidence: 99%

The treatability of “growing pains” in children - a mini review

Yip¹,

Shu-Yan²

2016

Pediatr Dimensions

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Aim: Growing pains in children is not an uncommon condition. Relative local overuse, reduction of bone strength, reduction of pain threshold, hypovitaminosis D and abnormal foot postures have all been found to be associated with the condition. Yet the etiology of the condition has not been completely determined. At present, there is no standard treatment protocol of the condition. As the growing pains in children tend to disappear with age, many health care practitioners opt not to treat the condition or dismiss the patient on the ground that he or she would get better with time. The present mini-review aims at reviewing the current treatment approaches and recommendation. Methods and materials:A manual search in the PubMed has been made, using the keywords growing pains in children, treatment, orthoses and vitamin D, for treatments of growing pains in children.Results: A search of literature reveals a well-implemented muscle stretching program as the first line treatment. In spite of the rather equivocal findings from the numerous studies regarding the efficacy of foot orthoses, their success in reducing pain and symptoms related to growing pains cannot be denied. The prescription of foot orthotics is clinically advocated. Also, supplementation of vitamin D3 is suggested for children with hypovitaminosis D, as it has been found that the majority of children with growing pains have a low serum 25-hydroxyvitamin D level. Conclusions:Children with growing pains should be assessed for their serum vitamin D level and their foot postures. Supplementation of vitamin D3 and foot orthoses may improve the signs and symptoms of patients, when indicated.

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Correction of Hypermobile Flatfoot in Children by Molded Insert

Cited by 71 publications

References 3 publications

Pediatric Pes Planus: A State-of-the-Art Review

Pediatric Pes Planus: A State-of-the-Art Review

Flexible flatfoot in children and adolescents

The treatability of “growing pains” in children - a mini review

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