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Flatfoot Introduction ELFAH
ow-arched or â€śflatâ€ť feet are usually normal variants of foot posture and require no interference.
Some feet simply have a low arch, but have neutral rotational and coronal plane alignment.
Others are â€śflatâ€ť because the hindfoot and forefoot are rotated with respect to one another more than is usual. The subtalar joint is more pronated than usual, so the hindfoot is in valgus and the Achilles tendon may be tight. The forefoot is abducted and supinated at the midtarsal joint, so that the neck of the talus, which is normally in line with the first metatarsal in both transverse and sagittal planes, comes to point below and medial to the first ray. Because the hindfoot pronation and forefoot supination are balanced in most people, the foot sits plantigrade but the head of the talus in the medial border of the foot is low and the foot appears flat. This is the â€śoverpronatedâ€ť or â€śplanovalgusâ€ť foot â€“ but it must be emphasised again that such feet are usually asymptomatic, and there is no evidence that they are at a predictably high risk of future symptoms if not â€śtreatedâ€ť.
"The most important team member is the one who can restrain more therapeutically aggressive colleagues from interfering with normal feet!
Type: Reference Material
Author/Contact: Barrie et al
Submitted by: admin
Added: Sun Oct 28 2007