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 Mechanism of injury 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

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

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

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 Medicine Vol 26 No 5, May 1998 http://www.physsportsmed.com/issues/1998/05may/stanish.htm Hockenberry, R. Todd, MD. “Acquired Flatfoot” http://www.emedicine.com/orthoped/topic461.htm