Aggiornamento
Piede piatto e plantari
FLATFOOT AND ARCH SUPPORT
GIUSEPPE TAGLIALAVORO
Clinica Ortopedica, Università di Padova
Dicembre 2004 - pagg. 689
Abstract
The essential or “weak” flatfoot, under 6 years, is always asymptomatic. Between 6 and 13
years, a few cases may become symptomatic and require treatment. In adult age, the asymptomatic
flatfoot should be considered a physiological variant and in most cases is a strong and
stable foot. Only about 5% of flatfoot in adolescents and adults require treatment. There is no
evidence about the usefulness of the arch support at any age. Paediatricians should identify
and refer cases of symptomatic flatfoot while orthopaedic surgeons should provide the most
appropriate treatment, i.e. whenever possible an aetiological surgical correction. Mini-invasive
treatments are recommended when aetiology is not identifiable.
Classificazione MeSH
Bibliografia
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12. Volpon JB. Footprint analysis during the growth period. J Ped 1994;14:83-5.
13. Staheli L, et al. Non surgical management of flatfoot: orthesis and shoes. RITOP 1997.
14. Harris RI, Beath T. Army foot survey, Vol. I, Ottawa: National Researce Council of Canada 1947;1-268.
15. Giladi M, Milgrom C, Stein M, et al. The low arc, a protective factor in stress fractures. Orthop Rev 1985;14:81-4.
16. Zollinger J. Fellmann: Natural history of foot deformities in children. Orthopade 1994; 23:206-10.
17. Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. JBJS 1987;69:426-8.
18. Wenger DR, et al. Corrective Shoes and inserts as treatment for flexible flatfoot in infants and children. JBJS 1989.
19. Jani L. Flexible flatfeet in children. Orthopade 1986;15:199-204.
20. Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. JBJS 1992;74(B):525-7.
21. Sachithananadam V, Joseph B. The influence of footwear on the prevalence of flat foot. JBJS 1995;77(B): 254-7.
22. Driano AN, Staheli L, Staheli LT. Psychosocial development and corrective shoewear use in childhood. J Pediatr Orthop 1998; 18(3):346-9.
23. Riccardi G, et al. Il trattamento con ortesi e calzature del piede piatto. RIOTP 1997;13.
24. Bertani A, Cappello A, Benedetti MG, Simoncini L, Catani F. Flat foot functional evaluation using pattern recognition of ground reaction data. Clin Biomech 1999;14:484-93.
25. Cappello T, Song KM. Determining treatment of flatfeet in children. Curr Opin Pediatr 1998;10(1):77-81.
26. Giannini S, et al. Surgical treatment of flexible flatfoot in children. A four-year followup study. JBJS 2001;83(2);73-9.
27. Maranzana G, et al. Grice-Green extra-articular subtalar arthrodesis in the t of treatment infantile valgus pronated flat foot. GIOT 1983.
2. Ronconi P, Ronconi S. Il piede. Biomeccanica e patomeccanica in tema di antigravitarietà. Bologna: Ed. Timeo, 2003.
3. Garcia-Rodriguez A, et al. Flexible flat feet in children: a real problem? Pediatrics 1999; 103(6):84.
4. De Sanctis N, et al. Classificazione del piede piatto. RIOTP 1997;13.
5. Cigala F, et al. Storia naturale del piede piatto idiopatico. RIOTP 1997;13.
6. Barry RJ, Scranton PE Jr. Flat Feet in children. Clin Orthop 1983;(181):68-75.
7. Morley AJ. Knock-knee in children. Br Med J 1957;33:976-9.
8. Meary R. Symposium sur le pied plat. Ann Orth De l’Ouest 1969;1:57-71.
9. Rose GK, Welton EA, Marshall T. The diagnosis of flatfoot in the child. IBIS 1985;67 (B):71-8.
10. Pisani G. Trattato di chirurgia del piede. Ed. Minerva medica 1990.
11. Pace N, Castricin R, Carloni S, Perrini F, Greco F. Piede piatto valvo: evoluzione naturale. In: Il piede piatto. Ed. Aulo Gaggi 1993: 75-80.
12. Volpon JB. Footprint analysis during the growth period. J Ped 1994;14:83-5.
13. Staheli L, et al. Non surgical management of flatfoot: orthesis and shoes. RITOP 1997.
14. Harris RI, Beath T. Army foot survey, Vol. I, Ottawa: National Researce Council of Canada 1947;1-268.
15. Giladi M, Milgrom C, Stein M, et al. The low arc, a protective factor in stress fractures. Orthop Rev 1985;14:81-4.
16. Zollinger J. Fellmann: Natural history of foot deformities in children. Orthopade 1994; 23:206-10.
17. Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. JBJS 1987;69:426-8.
18. Wenger DR, et al. Corrective Shoes and inserts as treatment for flexible flatfoot in infants and children. JBJS 1989.
19. Jani L. Flexible flatfeet in children. Orthopade 1986;15:199-204.
20. Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. JBJS 1992;74(B):525-7.
21. Sachithananadam V, Joseph B. The influence of footwear on the prevalence of flat foot. JBJS 1995;77(B): 254-7.
22. Driano AN, Staheli L, Staheli LT. Psychosocial development and corrective shoewear use in childhood. J Pediatr Orthop 1998; 18(3):346-9.
23. Riccardi G, et al. Il trattamento con ortesi e calzature del piede piatto. RIOTP 1997;13.
24. Bertani A, Cappello A, Benedetti MG, Simoncini L, Catani F. Flat foot functional evaluation using pattern recognition of ground reaction data. Clin Biomech 1999;14:484-93.
25. Cappello T, Song KM. Determining treatment of flatfeet in children. Curr Opin Pediatr 1998;10(1):77-81.
26. Giannini S, et al. Surgical treatment of flexible flatfoot in children. A four-year followup study. JBJS 2001;83(2);73-9.
27. Maranzana G, et al. Grice-Green extra-articular subtalar arthrodesis in the t of treatment infantile valgus pronated flat foot. GIOT 1983.