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- Title
Der kindliche Knick-Senk-Fuß.
- Authors
Wagner, F.; Hofbauer, R.; Matussek, J.
- Abstract
Flexible flatfoot in childhood is a common cause for repetitive consultations and the diagnosis is verified by the clinical examination. In most cases the findings are age-dependent variants of the norm and if asymptomatic there is no need for treatment. In the first decade of life symptomatic flexible flatfoot should initially be treated with shoe inserts. Further diagnostic steps are required once conservative treatment is unsuccessful or a rigid structural deformity is found in the clinical examination. The underlying reasons may be neuropathic or structural anatomical in origin. Lateral column lengthening as described by Evans or minimally invasive arthroereisis are well established surgical options but for arthroereisis the number of long-term studies is low. In general the indications for surgical and conservative therapy have to be judged with caution although parents often see an urgent need for treatment.
- Subjects
FLATFOOT; FOOT abnormalities; HUMAN abnormalities; ENDOSCOPIC surgery; BONE surgery; THERAPEUTICS
- Publication
Der Orthopäde, 2013, Vol 42, Issue 6, p455
- ISSN
0085-4530
- Publication type
Article
- DOI
10.1007/s00132-013-2111-3