Braun S
Université René-Descartes, Paris.
Rev Prat. 1997 Jan 1;47(1):26-31.
Contrary to the general impression, the hollow foot is much more common than the flat foot. We distinguish three categories of hollow foot: varus hollow (clinical form I), valgus hollow (clinical form II), and pseudo-hollow (clinical form III). These three clinical forms have a common deviation dynamics, the consequence of shortening of the sural-Achilles-calcaneoplantar system. Metatarsalgia often precedes deformation of the front of the foot. Talalgia is linked to excess traction or to a conflict between the heel and the back of the shoe. Common therapy consists of plantar orthoses, eventually toe orthoses and orthopedic shoes. When surgery is used in the adult, it is generally not to correct excess cavus but to correct problems of the front of the foot such as hallux valgus, involvement of the second metatarsal bone (??), or toenails.
与一般印象相反，弓形足比扁平足更为常见。我们区分出三种弓形足类型：内翻弓形足（临床类型I）、外翻弓形足（临床类型II）和假性弓形足（临床类型III）。这三种临床类型具有共同的偏差动态，是腓肠肌 - 跟腱 - 跟骨跖面系统缩短的结果。跖痛症通常先于足部前部变形出现。足跟痛与过度牵拉或足跟与鞋后部之间的冲突有关。常见治疗方法包括足底矫形器，最终可能使用脚趾矫形器和矫形鞋。在成人中进行手术时，通常不是为了纠正过度高弓足，而是为了纠正足部前部的问题，如拇外翻、第二跖骨受累（？？）或趾甲问题。
