Orthotic Devices for the Foot and Ankle.

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Abstract

[Indexed for MEDLINE] 17. Foot Ankle Clin. 2017 Sep;22(3):643-656. doi: 10.1016/j.fcl.2017.04.008. Epub 2017 Jun 3. Pediatric Flatfoot: Pearls and Pitfalls. Ford SE(1), Scannell BP(2). Author information: (1)Department of Orthopaedic Surgery, Levine Children's Hospital, Carolinas HealthCare System, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA. (2)Department of Orthopaedic Surgery, Levine Children's Hospital, Carolinas HealthCare System, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA. Electronic address: brian.scannell@carolinashealthcare.org. Pediatric flatfeet are common, are usually asymptomatic, and typically improve over time as young children age. It is critical to differentiate flexible from rigid flatfeet and to assess for associated Achilles contracture with a careful history, physical examination, and initial radiographs. Although there are limited data, nonsurgical management of symptomatic flatfeet, both flexible and rigid, should be exhausted before considering surgical intervention. If patients fail conservative treatment, surgical management with joint-preserving, deformity-corrective techniques is typically used for pediatric flexible flatfeet in conjunction with deformity-specific soft tissue procedures. Copyright © 2017 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2017.04.008