Flat foot - CHU Sainte-Justine - SAAC

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Tarsal coalition Conservative treatment: • Activity modification • Antiinflammatory drugs • shoe inserts • Below-knee walking cast (30% pain free 6 weeks after cast removal ) SPORC 2012
Tarsal coalition Surgical treatment: - resection of the coalition Calcaneonavicular coalition Resection and Interposition - osteotomy ( correct valgus) - arthrodesis (degenerative arthrosis) extensor digitorum brevis Contraindication to resection: Significant degenerative changes (not talar beak) Lovell and Winter’s 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 and 28: Tarsal coalition Fibrous, cartilagi
Page 29 and 30: Tarsal coalition Physical examinati
Page 31: Tarsal coalition Talocalcaneal coal
Page 35 and 36: Take home message 2/3 FFF are asymp

Flat foot - CHU Sainte-Justine - SAAC

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