Moulies D
Service de Chirurgie Pédiatrique, CHU Dupuytren, Limoges.
Ann Pediatr (Paris). 1993 Apr;40(4):223-9.
Flat feet are common in children. Loss of the medial arch may be due to intrinsic or extrinsic abnormalities of the foot. Physical evaluation usually suffices to identify the various growth stages which modify alignment and joint mobility, thus affecting foot function. Flat feet not caused by intrinsic structural abnormalities are right considered benign since they only exceptionally cause discomfort in adulthood. Shoe inserts provide only improved comfort during walking. Surgery is used in the extremely small proportion of patients with severe arch loss or deformities secondary to another condition.
扁平足在儿童中很常见。内侧足弓消失可能是由于足部的内在或外在异常。体格检查通常足以识别影响足部排列和关节活动度从而影响足部功能的各个生长阶段。非由内在结构异常引起的扁平足通常被认为是良性的，因为它们在成年期极少引起不适。鞋垫仅能在行走时提供更好的舒适度。手术仅用于极少数因严重足弓丧失或继发于其他病症的畸形患者。
