Acquired Adult Flatfoot: Pathophysiology, Diagnosis, and Nonoperative Treatment.
10.14193/jkfas.2014.18.3.87
- Author:
Ki Sun SUNG
1
;
In Sang YU
Author Information
1. Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kissung@gmail.com
- Publication Type:Review
- Keywords:
Acquired adult flatfoot;
Posterior tibial tendon dysfunction;
Pathophysiology;
Diagnosis;
Nonoperative treatment
- MeSH:
Adult*;
Arthritis, Rheumatoid;
Arthropathy, Neurogenic;
Congenital Abnormalities;
Diagnosis*;
Fascia;
Flatfoot*;
Humans;
Ligaments;
Neurologic Manifestations;
Posterior Tibial Tendon Dysfunction;
Tendons
- From:Journal of Korean Foot and Ankle Society
2014;18(3):87-92
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acquired adult flatfoot is a deformity characterized by a decreased medial longitudinal arch and a hindfoot valgus with or without forefoot abduction. The etiologies of this deformity include posterior tibial tendon dysfunction, rheumatoid arthritis, trauma, Charcot's joint, neurologic deficit, and damage to the medial spring ligament complex or plantar fascia. Among these, posterior tibial tendon dysfunction is the most well-known cause. Although posterior tibial tendon dysfunction has been regarded as a synonym of acquired adult acquired flatfoot, failure of the ligaments supporting the arch can also result in progressive deformity even without a posterior tibial tendon problem. The authors describe the pathophysiology, diagnosis, and nonoperative treatment of acquired adult flatfoot, focusing on posterior tibial tendon dysfunction.
