Cappello T, Song K M
Department of Orthopedics, Children's Hospital and Medical Center, Seattle, WA 98105, USA.
Curr Opin Pediatr. 1998 Feb;10(1):77-81. doi: 10.1097/00008480-199802000-00016.
Infants are born with flexible flatfeet, and the normal arch develops in the first decade of life. Flexible flatfeet rarely cause disability, and asymptomatic children should not be burdened with orthotics or corrective shoes. Flexible flatfeet with tight heelcords may become symptomatic and can be addressed with a stretching program. Surgical intervention for flexible flatfeet is reserved for patients who have persistent localized symptoms despite conservative care. Rigid or pathologic flatfeet have multiple etiologies and many will require treatment to alleviate symptoms or improve function.
婴儿出生时足弓是柔软扁平的，正常足弓在生命的第一个十年中发育形成。柔软扁平足很少导致残疾，无症状的儿童不应使用矫形器或矫正鞋。足跟腱紧张的柔软扁平足可能会出现症状，可通过伸展训练来解决。对于柔软扁平足，手术干预仅适用于经过保守治疗仍有持续局部症状的患者。僵硬性或病理性扁平足有多种病因，许多患者需要治疗以缓解症状或改善功能。
