Mặc dù tỷ lệ chính xác của flatfoot ở trẻ em IS UNKNOWN, Nó là một Finding chung. Tất cả các trẻ em có chỉ là một vòm tối thiểu khi sinh, và nhiều hơn 30% trẻ sơ sinh calcaneovalgus Có một biến dạng của cả hai bàn chân. Điều này KHÔNG đau Nếu không có điều kiện và giải quyết | Pediatric Flatfoot Evaluation and Management J. Andy Sullivan MD Abstract Although the exact incidence of flatfoot in children is unknown it is a common finding. All children have only a minimal arch at birth and more than 30 of neonates have a calcaneovalgus deformity of both feet. This condition is not painful and generally resolves without treatment very rarely is corrective casting necessary. Most children who present to an orthopaedist for evaluation of flatfoot will have a flexible flatfoot that does not require treatment. Nevertheless the examining physician must rule out other conditions that do require treatment such as congenital vertical talus tarsal coalition and skewfoot. Untreated congenital vertical talus may result in an awkward gait manipulation and casting have been tried but most authors now agree that surgical treatment is required. Although tarsal coalitions can become asymptomatic in adulthood the anatomy will never be normal. Resection and interposition of the extensor digitorum brevis is the treatment of choice for calcaneonavicular coalitions the results of treatment of talocalcaneal coalitions are less predictable. Skewfoot should be treated by manipulation and serial casting as soon as it is detected. In the older child hindfoot stabilization and realignment of the midfoot may be necessary. Surgical management is rarely indicated for a true flexible flatfoot. A variety of tendon transfers and reconstructive procedures have been advocated but none has proved uniformly successful. Nor has any of the various types of supports ever been shown to change the arch architecture. Although parents are often concerned about pediatric flatfoot the child is usually found to be asymptomatic and no treatment is indicated. In most instances the best treatment is simply taking enough time to convince the family that no treatment is necessary. J Am Acad Orthop Surg 1999 7 44-53 Flatfoot is one of the most common conditions seen in the pediatric orthopaedic
