BSc, MBBS, GCSpMed, Advanced@Trainee @ Rehabilitation Medicine@.
MBBS (Hons I), FRACGP, FAFRM (RACP), Senior Staff Specialist @ Aged Care Assessment Team/Rehabilitation Medicine, Calvary Health Care, Sydney; Conjoint Lecturer, Faculty of Medicine, UNSW.
Aust J Gen Pract. 2020 May;49(5):245-249. doi: 10.31128/AJGP-09-19-5089.
Flat foot (pes planus) describes a reduction or absence of the medial longitudinal arch (MLA) of the foot, with or without additional deformities of the foot and ankle. Flat feet are relatively common in childhood, affecting up to 14% of children. Flexible flat feet can be part of a normal developmental profile, and foot arches usually develop with age, although there is a wide range of normal variation. Up to 25% of the total population has a deficient MLA in at least one foot; therefore, it is likely a general practitioner (GP) will encounter this issue relatively frequently in their practice.
This article outlines a method for paediatric pes planus assessment and management. A multidisciplinary approach involving GPs, rehabilitation physicians, orthopaedic surgeons, physiotherapists, orthotists and podiatrists is discussed.
Paediatric pes planus treatment has long been a contentious topic, with a lack of clarity in the literature regarding which children require treatment and the efficacy of intervention. However, there is increasing evidence that non-surgical interventions, such as orthoses and physiotherapy, may be beneficial for certain groups of children.
平足（扁平足）是指足的内侧纵弓（MLA）降低或缺失，可伴有或不伴有足和踝关节的其他畸形。平足在儿童中较为常见，高达 14%的儿童受其影响。柔韧性平足可能是正常发育的一部分，足弓通常会随着年龄的增长而发育，尽管存在广泛的正常变异。在至少一只脚上，多达 25%的人群存在 MLA 不足；因此，全科医生在日常实践中很可能会经常遇到这个问题。
本文概述了儿童扁平足的评估和管理方法。讨论了涉及全科医生、康复医生、矫形外科医生、物理治疗师、矫形师和足病医生的多学科方法。
儿童扁平足的治疗一直是一个有争议的话题，文献中对于哪些儿童需要治疗以及干预的疗效缺乏明确性。然而，越来越多的证据表明，矫形器和物理治疗等非手术干预措施可能对某些儿童群体有益。
