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Med Clin North Am. 2014 Mar;98(2):291-9. doi: 10.1016/j.mcna.2013.10.006. Epub 2013 Dec 18.

Office-based management of adult-acquired flatfoot deformity.

Author information

1
Department of Orthopaedics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA. Electronic address: Sara_Miniaci@URMC.Rochester.edu.
2
Department of Orthopaedics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA.

Abstract

Adult-acquired flatfoot deformity is associated with dysfunction of the posterior tibial tendon, leading to loss of the medial arch. Patients tend to present with medial pain and swelling, but later in the disease process can also present with lateral-sided pain. The mainstay of nonoperative treatment is nonsteroidal anti-inflammatory drugs, weight loss, and orthotic insoles or brace use. The goals of therapy are to provide relief of symptoms and prevent progression of the deformity. If nonoperative management fails, a variety of surgical procedures are available; however, these require a lengthy recovery, and therefore patients should be advised accordingly.

KEYWORDS:

Flatfoot; Hindfoot valgus; Medial ankle pain; Midfoot abduction; Nonoperative management; Posterior tibial tendon dysfunction

PMID:
24559875
DOI:
10.1016/j.mcna.2013.10.006
[Indexed for MEDLINE]

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