Prevalence of pathological flatfoot in school-age children

•Pathological flatfoot is a prevalent condition in school-age children.•The flatness of the MLA should have less importance than the presence of aetiologies and symptoms of flatfoot.•The excessive heel valgus, obesity, pain, and joints hypermobility are the risk factors of the pathological flatfoot....

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Bibliographic Details
Published in:Foot (Edinburgh, Scotland) Scotland), 2018-12, Vol.37, p.38-44
Main Authors: Sadeghi-Demneh, Ebrahim, Melvin, Jonathan M.A., Mickle, Karen
Format: Article
Language:English
Subjects:
Adolescent
Child
Children
Cross-Sectional Studies
Female
Flatfoot
Flatfoot - epidemiology
Flatfoot - pathology
Flatfoot - physiopathology
Foot Joints - pathology
Foot Joints - physiopathology
Humans
Iran
Male
Pathological
Prevalence
Range of Motion, Articular
Symptomatic
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Summary:•Pathological flatfoot is a prevalent condition in school-age children.•The flatness of the MLA should have less importance than the presence of aetiologies and symptoms of flatfoot.•The excessive heel valgus, obesity, pain, and joints hypermobility are the risk factors of the pathological flatfoot. Prevalence of pathological flatfoot has not been well defined in the literature. The objective of this study was to establish the prevalence of pathological flatfoot in school-age children and investigate the factors associated with this deformity. A total of 667 children (327 girls and 340 boys) were recruited for this cross-sectional study with multi-stage clustered random sampling. The diagnosis of flatfoot was based on clinical observations and measurements using a suggested systematic protocol. Pathological flatfoot in this study did not merely screen for structural flatfoot, it included symptomatic conditions as well as musculoskeletal risk factors predisposing a progressive flatfoot in children. Prevalence of pathological flatfoot was 10.3% in children aged 7–14 years, but this prevalence decreased with age. There was no difference in prevalence of pathological flatfoot between the genders. Children with high BMI were more likely to have pathological flatfoot. Heel valgus (r=0.1; p=0.01) and dorsiflexion range (r=0.14; p
ISSN:0958-2592
1532-2963
DOI:10.1016/j.foot.2018.05.002