Flat foot - CHU Sainte-Justine - SAAC

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Tarsal coalition Natural history: 25 % become symptomatic WHY: 1. stress fracture at a time of ossification - 8-12 years old for calcaneonavicular - 12-16 years old for talocalcaneal 2. limited motion causes increased stress across adjacent joints SPORC 2012
Tarsal coalition Physical examination: - Pain ( medial or in the sinus tarsi) with valgus hind<strong>foot</strong> and rigid flat<strong>foot</strong> - pain aggravated by activity and relieved by rest - limited subtalar motion - ankle sprains are common SPORC 2012
Page 1 and 2: The Symptomatic Flatfoot Chantal Th
Page 3 and 4: Flexible Flatfoot Common (incidence
Page 5 and 6: Asymptomatic FFF Clinical features:
Page 7 and 8: Asymptomatic FFF Natural history:
Page 9 and 10: Symptomatic flatfoot Flexible: - Ph
Page 11 and 12: Physiologic FFF with pain Oblique a
Page 13 and 14: FFF and Short Achilles tendon Much
Page 15 and 16: Surgical options Osteotomies - medi
Page 17 and 18: FFF and Short Achilles tendon Calca
Page 19 and 20: FFF and Short Achilles tendon Arthr
Page 21 and 22: Calcaneovalgus foot Flexible in pla
Page 23 and 24: Accessory navicular Clinical evalua
Page 25 and 26: Accessory navicular Conservative tr
Page 27: Tarsal coalition Fibrous, cartilagi
Page 31 and 32: Tarsal coalition Talocalcaneal coal
Page 33 and 34: Tarsal coalition Surgical treatment
Page 35 and 36: Take home message 2/3 FFF are asymp

Flat foot - CHU Sainte-Justine - SAAC

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