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Planovalgus


Presentation

  • An endoorthotic implant of various shapes is inserted in the sinus tarsus, which limits the excessive eversion of the subtalar joint present in flexible pes planovalgus.[ncbi.nlm.nih.gov]
  • In the present study, we hoped to demonstrate the ability to reconstruct a flatfoot deformity with concomitant calcaneonavicular coalition resection.[ncbi.nlm.nih.gov]
  • Incongruence of the talotarsal joint, whether flexible or rigid, is always present in pes planovalgus. However, it is important to note that talotarsal dislocation can occur without a flatfoot.[ncbi.nlm.nih.gov]
  • Abstract The author presents an alternative approach to the pediatric flexible pes planovalgus patient. Hopefully, this algorithm can serve as a guide and not as a rule.[ncbi.nlm.nih.gov]
  • Abstract Tarsal coalitions often present in young adults as a painful pes planovalgus hindfoot deformity. Resection of moderate and even large coalitions has become accepted as an alternative to arthrodesis.[ncbi.nlm.nih.gov]
Noncompliance
  • The advantage of an open procedure is that surgeons can determine the exact amount of lengthening and adequately secure the tendon to prevent postoperative overlengthening, which can occur from patient noncompliance. Figure 6.[lermagazine.com]
Localized Pain
  • Successful bone healing was diagnosed clinically if local pain was absent during weight bearing, forefoot manipulation and palpation.[ncbi.nlm.nih.gov]
Wound Infection
  • There were 2 superficial wound infections that were successfully treated with oral antibiotics, there were no cases of deep vein thrombosis or pulmonary embolism, and all patients came out of cast at 6 weeks into a fixed angle boot to commence weight[ncbi.nlm.nih.gov]
Impulsivity
  • Postoperative elevation of the medial longitudinal arch was expressed as a decreased relative vertical impulse of the medial midfoot and an increased relative vertical impulse (RVI) of the lateral midfoot.[ncbi.nlm.nih.gov]
  • Heel impulse showed negative correlation with talonavicular uncoverage index and talonavicular angle. Simple linear regression was used to assess the relationship between radiographic and foot pressure component measurements.[ncbi.nlm.nih.gov]
  • The parameters of dynamic pedobarographs, including the relative vertical impulse and the peak pressure, decreased for the medial aspect of the forefoot and midfoot, while they increased for the lateral aspect of the forefoot, midfoot and calcaneus after[synapse.koreamed.org]
Abnormal Gait
  • The shape of the vertical GRF curve can help in clinical interpretation of abnormal gait.[ncbi.nlm.nih.gov]
  • Comprehensive coverage of understanding abnormal gaits, as well as the use of braces and wheel chairs, is incorporated into the text.[books.google.de]
  • The shape of the vertical GRF curve can help in clinical interpretation of abnormal gait. Bibliogr. 37 poz., rys., tab., wykr.[yadda.icm.edu.pl]
Polyneuropathy
  • In this article, we describe a painful pes planovalgus foot type in a 10-year-old child with progressive Charcot-Marie-Tooth type 1A polyneuropathy. The authors discuss possible etiologies and treatment options in this isolated case.[ncbi.nlm.nih.gov]

Workup

  • […] planus - ICD-9-CM Vol. 1 Diagnostic Codes ICD-9-CM Vol. 1 Diagnostic Codes - 754.61 Code Information 754.61 - Congenital pes planus.Progressive pes planus (flatfoot) deformity in adults is a common entity that is encountered by Pes Planus (Flatfoot) Workup[umujajocysupywo.cba.pl]
  • Patients with pes cavus (high arched feet) also merit a neuromuscular workup and an orthopedic referral.[pediatrics.aappublications.org]

Treatment

  • […] early target for abobotulinumtoxinA treatment in pes planovalgus associated with premature PL activity in children with CP.[ncbi.nlm.nih.gov]
  • Operative treatment for patients recalcitrant to nonoperative treatment involves resection, with or without takedown, and reattachment of the tibialis posterior tendon as described by Kidner. This does not address the planovalgus deformity.[ncbi.nlm.nih.gov]
  • Historical treatment of coalitions recommends resection. A newer concept in coalition treatment includes concomitant flatfoot reconstruction.[ncbi.nlm.nih.gov]
  • This article outlines conservative and surgical treatment of rigid pediatric pes planovalgus.[ncbi.nlm.nih.gov]
  • After treatment, the metatarsal stacking angle did not differ from reference values ( P 0.15).[em-consulte.com]

Prognosis

  • However, if nonsurgical methods do not help relieve the pain, surgery may be used in treating the deformity and symptoms associated with flatfoot The prognosis of individuals with Adult Acquired Flatfoot is usually good, if detected and properly treated[dovemed.com]
  • ., it is pseudonormal) Treatment and prognosis Treatment depends on whether: there are symptoms pes planus is fixed or mobile there are associated findings, e.g. hindfoot valgus any associated pathology Non-operative management for the fixed flat foot[radiopaedia.org]
  • […] delay in the acquisition of balance reactions or persistence of primitive reflexes. 6,7 There is also difficulty in identifying the most useful preoperative factor that might be related to the type of result, thus offering guidelines for indication and prognosis[scielo.br]
  • Complications and prognosis Physiological pes planus It is generally accepted that physiological pes planus is unlikely to cause significant foot problems. [ 4 , 6 ] However, some authors suggest that excessive foot pronation may contribute to the development[patient.info]

Etiology

  • […] orthopaedy@hotmail.com Abstract The objective of this study was to compare the results of calcaneal lengthening and Dennyson-Fulford extra-articular subtalar arthrodesis operations performed in patients with flexible pes planovalgus owing to various etiologies[ncbi.nlm.nih.gov]
  • The authors discuss possible etiologies and treatment options in this isolated case. The value of gait analysis in preoperative planning and postoperative surveillance are also discussed. LEVEL OF CLINICAL EVIDENCE: 4.[ncbi.nlm.nih.gov]
  • Also, peroneal spasm may occur in the noncoalesced foot, making diagnosis and etiology more difficult to elucidate.[ncbi.nlm.nih.gov]
  • INDICATIONS: Passively correctable, painful pes planovalgus of various etiologies such as stage II flatfoot as graded by Johnson & Strom mostly due to degeneration of the posterior tibial tendon in stage II-III as described by Jahss.[ncbi.nlm.nih.gov]
  • Description Topics will include: History, Etiology and Pathophysiology of the Pediatric Pes Planovalgus Deformity; Clinical Diagnosis and Assessment of the Pediatric Pes Planovalgus; Flexible Pediatric Pes Planovalgus: Conservative and Surgical Treatment[elsevier.ca]

Epidemiology

  • In the absence of symptoms, most authors agree that flatfoot is a normal variant foot shape throughout life. 3 , 12 Epidemiology Cross-sectional epidemiologic studies have shown that flatfoot is the normal foot shape in the first few years of life.[pediatrics.aappublications.org]
  • A happy medium is perhaps ideal. [ 3 ] Epidemiology [ 4 , 5 ] Pes planus may occur in up to 20% of adults, many of whom are flexible and have no resulting difficulties.[patient.info]
  • Almost 20% of the adult population has pes valgus. [1] [2] [3] [4] [5] ; Epidemiology/Etiology The medial longitudinal arch of the foot normally develops by the age of 5 or 6 as the fat pad in babies is gradually absorbed and balance improves as skilled[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • The aim of this study was to quantify the pathophysiology of JIA-PPV in both static and dynamic condition, i.e. in upright standing and during the stance phase of walking using three-dimensional (3d) gait analysis.[ncbi.nlm.nih.gov]
  • Description Topics will include: History, Etiology and Pathophysiology of the Pediatric Pes Planovalgus Deformity; Clinical Diagnosis and Assessment of the Pediatric Pes Planovalgus; Flexible Pediatric Pes Planovalgus: Conservative and Surgical Treatment[elsevier.ca]
  • Topics will include: History, Etiology and Pathophysiology of the Pediatric Pes Planovalgus Deformity; Clinical Diagnosis and Assessment of the Pediatric Pes Planovalgus; Flexible Pediatric Pes Planovalgus: Conservative and Surgical Treatment Options;[elsevier.com]
  • Etiology and Pathophysiology of the Pediatric Pes Planovalgus Deformity; of the Pediatric Pes Planovalgus Deformity; Clinical Diagnosis and Assessment.Pes planus (also called flat pes planus; pes cavus; hindfoot equinus; midfoot equinus; midfoot/forefoot[umujajocysupywo.cba.pl]
  • The natural history and pathophysiology of flexible flatfoot. Clin Podiatr Med Surg 2010;27(1):1-23. 3. Evans AM. The flat-footed child – to treat or not to treat: what is the clinician to do? J Am Podiatr Med Assoc 2008;98(5):386-393. 4.[lermagazine.com]

Prevention

  • Recognition of this association may lead to progress in prevention and treatment. Copyright 2012 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.[ncbi.nlm.nih.gov]
  • Prevention Well-fitted shoes with good arch support may help prevent flat feet. Maintaining a healthy weight may also lower wear and tear on the arches.[denverhealth.org]
  • […] foot and ankle show signs of degenerative joint disease (osteoarthritis) Please find comprehensive information on Adult (Acquired) Flatfoot regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention[dovemed.com]
  • Review Topic QID: 3101 ML 3 Select Answer to see Preferred Response PREFERRED RESPONSE 3 (OBQ10.232) A 12-year-old boy has 2 years of right foot pain that prevent participation in athletic activities and is symptomatic with walking.[orthobullets.com]
  • Stabilization of the calcaneocuboid joint to prevent subluxation at the time of lengthening has been described.[scholars.duke.edu]

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