Correlation of radiographic and pedobarograph measurements in planovalgus foot deformity

Kadhim, Muayad; Holmes, Laurens; Miller, Freeman

doi:10.1016/j.gaitpost.2012.02.011

Cited by 36 publications

(15 citation statements)

References 12 publications

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“…Some of these studies were conducted to confirm normal values [ 18 ], to evaluate foot function, or to evaluate treatment results [ 19 , 20 ]. Other studies have evaluated the characteristics of plantar pressure distribution [ 21 , 22 ] in patients with flatfoot or the correlations between plantar pressure and other clinical findings [ 23 , 24 , 25 , 26 ], but the subjects of these studies were mostly adults, and little is known about children. The studies targeting children did not exclude subjects with cerebral palsy or rigid foot deformities, which could affect gait pattern and foot posture [ 22 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have evaluated the characteristics of plantar pressure distribution [ 21 , 22 ] in patients with flatfoot or the correlations between plantar pressure and other clinical findings [ 23 , 24 , 25 , 26 ], but the subjects of these studies were mostly adults, and little is known about children. The studies targeting children did not exclude subjects with cerebral palsy or rigid foot deformities, which could affect gait pattern and foot posture [ 22 , 26 ]. Therefore, we excluded obstacles that could affect gait, foot posture, and plantar pressure distribution in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Hatala et al [ 24 ] reported a relationship between plantar pressure and footprint shape in adults. Kadhim et al [ 26 ] found a correlation between radiographic and pressure measurements in subjects with cerebral palsy and a flatfoot deformity. Chen et al [ 27 ] published a correlation between footprint and radiographic measurements in children.…”

Section: Discussionmentioning

confidence: 99%

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Correlation of Foot Posture Index With Plantar Pressure and Radiographic Measurements in Pediatric Flatfoot

et al. 2015

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ObjectiveTo investigate the correlation between the Foot Posture Index (FPI) (including talar head palpation, curvature at the lateral malleoli, inversion/eversion of the calcaneus, talonavicular bulging, congruence of the medical longitudinal arch, and abduction/adduction of the forefoot on the rare foot), plantar pressure distribution, and pediatric flatfoot radiographic findings.MethodsNineteen children with flatfoot (age, 9.32±2.67 years) were included as the study group. Eight segments of plantar pressure were measured with the GaitView platform pressure pad and the FPI was measured in children. The four angles were measured on foot radiographs. We analyzed the correlation between the FPI, plantar pressure characteristics, and the radiographic angles in children with flatfoot.ResultsThe ratio of hallux segment pressure and the second through fifth toe segment pressure was correlated with the FPI (r=0.385, p=0.017). The FPI was correlated with the lateral talo-first metatarsal angle (r=0.422, p=0.008) and calcaneal pitch (r=-0.411, p=0.01).ConclusionOur results show a correlation between the FPI and plantar pressure. The FPI and pediatric flatfoot radiography are useful tools to evaluate pediatric flatfoot.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Correlation of Foot Posture Index With Plantar Pressure and Radiographic Measurements in Pediatric Flatfoot

et al. 2015

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“…Kadhim et al showed that medial midfoot pressure correlated with talonavicular joint uncoverage index, talonavicular angle, medial arch angle, Meary angle and lateral talocalcaneal angle. 34 To our knowledge, no previous studies have determined the relationship between footprint and foot posture measures, that is, CA versus FPI. In our study, CA and FPI were found to correlate, with CA 'over-rating' non-rectus foot types.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the paediatric foot using footprints and foot posture index: A cross‐sectional study

Gijón-Noguerón

Marchena‐Rodriguez

Montes-Alguacil

et al. 2019

J Paediatrics Child Health

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Aim Footprints have long been used as proxy measures of foot morphology, yet there is little consensus regarding footprints versus measures of foot posture, which address foot anatomy directly. Foot posture in children can be a confusing clinical presentation, with previous studies both supporting and refuting the relationship between childhood obesity and flat feet. The aim of this study was to determine the relationship between footprints and foot posture in children. Methods A total of 316 school children (153 boys, 163 girls) from Spain, aged 6–9 years, were assessed for both footprint (Clarke's angle (CA)), by Tecniwork Pedrograph Plate, and foot posture (foot posture index (FPI)) measures, with participants barefoot, in a relaxed standing position, on a 50‐cm elevated platform. Results A negative correlation was found between FPI and footprints (CA) (rho = −0.505 left, P < 0.001) and by gender (rho = −0.457 for the left foot in girls, P < 0.001; rho = −0.548 for the left foot in boys, P < 0.001). The children with pes cavus according to the CA (73.3%) had normal feet according to FPI, and the children with severe pes planus according to the CA (78.98%) had pronated feet according to the FPI. A χ2 test showed these results to be statistically significant (P > 0.001). Conclusions An inverse relationship between CA and FPI was identified, that is, the greater the FPI, the smaller the CA, but not all pronated foot are planus feet and not all cavus feet are supinated feet. Footprints may overestimate and misguide paediatric foot posture concerns.

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“…Radiographic evaluation using weight-bearing radiographs is helpful in better understanding the anatomic changes in the foot and the extent of medial subluxation of the talar head. The increase in the talonavicular uncoverage index and the talonavicular angle was found to be correlated with an increase in the midfoot pressure during gait, and they can be utilized as radiographic markers to evaluate the severity of planovalgus foot deformity [7]. Gait analysis is very useful in understanding gait impairment; specifically, pedobarography to evaluate the changes in foot segment impulse during gait.…”

Section: Patient Evaluationmentioning

confidence: 99%

Pes planovalgus deformity in children with cerebral palsy

Kadhim

Miller

2014

Journal of Pediatric Orthopaedics B

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Pes planovalgus deformity is common in children with cerebral palsy. In planovalgus foot, the talus subluxates medially, the calcaneus is in valgus, and the forefoot is in supination and external rotation related to the midfoot. In young children, mild planovalgus feet can be managed with orthotics. Surgery is indicated if the deformity is not reducible or if the patient cannot tolerate orthotics during functional activities. The surgery can be calcaneal lengthening or subtalar fusion to restore a stable plantigrade foot and achieve hindfoot correction. Medial column fusion is important to reconstruct the medial arch in severe planovalgus feet.

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Correlation of radiographic and pedobarograph measurements in planovalgus foot deformity

Cited by 36 publications

References 12 publications

Correlation of Foot Posture Index With Plantar Pressure and Radiographic Measurements in Pediatric Flatfoot

Correlation of Foot Posture Index With Plantar Pressure and Radiographic Measurements in Pediatric Flatfoot

Evaluation of the paediatric foot using footprints and foot posture index: A cross‐sectional study

Pes planovalgus deformity in children with cerebral palsy

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