Pes Planus

Pes Planus

Pes planus is a condition where the arch or instep of the foot collapses and comes in contact with the ground. In some individuals, this arch never develops.

Predisposing Factors

• Excessive pronation of the footMechanism of injury• Can be a congenital problem• Fracture• Dislocation• Tarsal coalition• Tendon laceration• Arthritis• Neuroarthropathy• Neurological weakness• Iatrogeny• Posterior Tibial Tendon Dysfunction

– Most common

• Diabetes• Overweight• Excessive exercise• Wearing shoes too

tight

Presentation

• Possible abnormal gait

Signs and symptoms• Pain• Calcaneal eversion• Bulging of the

navicular bone

Evaluation• If this is not

congenital, x-rays to rule out mid foot fracture

Treatment

• NSAIDS• Orthotics if the condition is

causing pain• If there is no pain no treatment

procedure should be used

Bibliography

• Arnheim, Daniel. Principle in Athletic Training. 10th ED McGraw Hill. Boston pg 463-464

• Booher, James and Gary A. Thibodeau. Athletic Injury Assessment. McGraw Hill: Boston, 2000. pg 284

• Hunter, John, MD. “Pes Planus Outline” http://gillespy.rad.washington.edu:8080/footalignment/stories/storyReader$122

• Coady, Catherine, MD; Nina Gow, MD; William Stanish, MD “Foot Problems in Middle Aged Patients: Keeping Active People up to Speed” The Physician and Sports MedicineVol 26 No 5, May 1998http://www.physsportsmed.com/issues/1998/05may/stanish.htm

• Hockenberry, R. Todd, MD. “Acquired Flatfoot” http://www.emedicine.com/orthoped/topic461.htm