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Pediatric Flatfoot: Is There a Need for Surgical Referral?

Pediatric foot deformities are a common finding, concerning up to 44% of preschool aged children. The absence of accepted international guidelines, as well as heterogeneity in definitions and measurements, makes management of pediatric flatfoot a challenge, and decisions surrounding specialized care...

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Autores principales: Vergillos Luna, Manuel, Khal, Adyb-Adrian, Milliken, Kara A., Solla, Federico, Rampal, Virginie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253660/
https://www.ncbi.nlm.nih.gov/pubmed/37298004
http://dx.doi.org/10.3390/jcm12113809
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author Vergillos Luna, Manuel
Khal, Adyb-Adrian
Milliken, Kara A.
Solla, Federico
Rampal, Virginie
author_facet Vergillos Luna, Manuel
Khal, Adyb-Adrian
Milliken, Kara A.
Solla, Federico
Rampal, Virginie
author_sort Vergillos Luna, Manuel
collection PubMed
description Pediatric foot deformities are a common finding, concerning up to 44% of preschool aged children. The absence of accepted international guidelines, as well as heterogeneity in definitions and measurements, makes management of pediatric flatfoot a challenge, and decisions surrounding specialized care referral confusing and biased. The objective of this narrative review is to provide guidance to primary care physicians treating these patients. A non-systematic review of the literature regarding the development, etiology, and clinical and radiographic assessment of flatfeet using the PubMed and Cochrane Library databases was performed. The exclusion criteria for the review were adult populations, papers detailing the outcome of a specific surgical procedure, and publications prior to 2001. The included articles showed great heterogeneity in definition and proposed management, which makes the study of pediatric flatfoot challenging. Flatfoot is a common finding in children under 10 years old, and should not be considered pathological unless stiffness or functional limitation are present. Surgical referral should be reserved to children with stiff or painful flatfoot, while simple observation is indicated for flexible, asymptomatic flatfeet.
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spelling pubmed-102536602023-06-10 Pediatric Flatfoot: Is There a Need for Surgical Referral? Vergillos Luna, Manuel Khal, Adyb-Adrian Milliken, Kara A. Solla, Federico Rampal, Virginie J Clin Med Opinion Pediatric foot deformities are a common finding, concerning up to 44% of preschool aged children. The absence of accepted international guidelines, as well as heterogeneity in definitions and measurements, makes management of pediatric flatfoot a challenge, and decisions surrounding specialized care referral confusing and biased. The objective of this narrative review is to provide guidance to primary care physicians treating these patients. A non-systematic review of the literature regarding the development, etiology, and clinical and radiographic assessment of flatfeet using the PubMed and Cochrane Library databases was performed. The exclusion criteria for the review were adult populations, papers detailing the outcome of a specific surgical procedure, and publications prior to 2001. The included articles showed great heterogeneity in definition and proposed management, which makes the study of pediatric flatfoot challenging. Flatfoot is a common finding in children under 10 years old, and should not be considered pathological unless stiffness or functional limitation are present. Surgical referral should be reserved to children with stiff or painful flatfoot, while simple observation is indicated for flexible, asymptomatic flatfeet. MDPI 2023-06-01 /pmc/articles/PMC10253660/ /pubmed/37298004 http://dx.doi.org/10.3390/jcm12113809 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Opinion
Vergillos Luna, Manuel
Khal, Adyb-Adrian
Milliken, Kara A.
Solla, Federico
Rampal, Virginie
Pediatric Flatfoot: Is There a Need for Surgical Referral?
title Pediatric Flatfoot: Is There a Need for Surgical Referral?
title_full Pediatric Flatfoot: Is There a Need for Surgical Referral?
title_fullStr Pediatric Flatfoot: Is There a Need for Surgical Referral?
title_full_unstemmed Pediatric Flatfoot: Is There a Need for Surgical Referral?
title_short Pediatric Flatfoot: Is There a Need for Surgical Referral?
title_sort pediatric flatfoot: is there a need for surgical referral?
topic Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253660/
https://www.ncbi.nlm.nih.gov/pubmed/37298004
http://dx.doi.org/10.3390/jcm12113809
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