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Pes Planus

Pes Planus. Pes Planus. Pes planus is a condition where the arch or instep of the foot collapses and comes in contact with the ground. In some individuals, this arch never develops. Predisposing Factors. Excessive pronation of the foot Mechanism of injury Can be a congenital problem

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Pes Planus

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  1. Pes Planus

  2. Pes Planus Pes planus is a condition where the arch or instep of the foot collapses and comes in contact with the ground. In some individuals, this arch never develops.

  3. Predisposing Factors • Excessive pronation of the foot Mechanism of injury • Can be a congenital problem • Fracture • Dislocation • Tarsal coalition • Tendon laceration • Arthritis • Neuroarthropathy • Neurological weakness • Iatrogeny • Posterior Tibial Tendon Dysfunction • Most common • Diabetes • Overweight • Excessive exercise • Wearing shoes too tight

  4. Presentation • Possible abnormal gait Signs and symptoms • Pain • Calcaneal eversion • Bulging of the navicular bone Evaluation • If this is not congenital, x-rays to rule out mid foot fracture

  5. Treatment • NSAIDS • Orthotics if the condition is causing pain • If there is no pain no treatment procedure should be used

  6. Bibliography • Arnheim, Daniel. Principle in Athletic Training. 10th ED McGraw Hill. Boston pg 463-464 • Booher, James and Gary A. Thibodeau. Athletic Injury Assessment. McGraw Hill: Boston, 2000. pg 284 • Hunter, John, MD. “Pes Planus Outline” http://gillespy.rad.washington.edu:8080/footalignment/stories/storyReader$122 • Coady, Catherine, MD; Nina Gow, MD; William Stanish, MD “Foot Problems in Middle Aged Patients: Keeping Active People up to Speed” The Physician and Sports MedicineVol 26 No 5, May 1998http://www.physsportsmed.com/issues/1998/05may/stanish.htm • Hockenberry, R. Todd, MD. “Acquired Flatfoot” http://www.emedicine.com/orthoped/topic461.htm

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