How should you treat a child with flat feet?
Abstract
Flexible flatfoot (FFF)doesn�۪t increase the risk of injury or pain during exercise (strength of recommendation [SOR]: B, 2 small prospective cohort studies). Treating FFF with orthotics doesn�۪t change the course of arch development (SOR: B, 2 small randomized controlled trials [RCTs]). FFF is usually asymptomatic, but symptomatic FFF may
respond to activity modification, orthoses,
and stretching (SOR: C, expert opinion).
Rigid flatfoot results from trauma, neuromuscular disorders, or congenital bone
malformations (SOR: C, expert opinion).
Treatment may require surgery, including
osteotomy and arthrodesis, depending on
the underlying pathology (SOR: C, expert
opinion). No long-term outcome studies of
surgical treatment have been performed.
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