Harris Edwin J
Department of Orthopaedics and Rehabilitation, Section of Podiatry, Loyola University Medical Center, Loyola University Chicago, Maywood, IL 60153, USA.
Clin Podiatr Med Surg. 2010 Jan;27(1):1-23. doi: 10.1016/j.cpm.2009.09.002.
The frequent occurrence of flexible flatfoot raises the question of its pathologic status. There may be cultural overtones resulting in the consideration that flat feet are always pathologic. Parents may believe that their own flat feet were successfully treated when they were children and wish the same for their offspring. Few studies attempt to answer the question of the natural history of this condition. This article reviews the available literature dealing with the natural history, comorbidities, recommendations for treatment, expansion of biomechanical theory, and classification of flatfoot. Issues associated with imaging of flatfoot and the design of studies to validate the effects of treatment are also reviewed.
柔性扁平足的频繁出现引发了其病理状态的问题。可能存在文化方面的影响,导致人们认为扁平足总是病理性的。父母可能认为自己的扁平足在小时候得到了成功治疗,并希望自己的后代也能如此。很少有研究试图回答这种情况的自然病史问题。本文回顾了有关自然病史、合并症、治疗建议、生物力学理论的扩展以及扁平足分类的现有文献。还回顾了与扁平足成像相关的问题以及验证治疗效果的研究设计。