Clinical diagnosis of rigid flatfооt in children

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Abstract

Flatfeet are divided into rigid and mobile forms. Rigid flatfeet usually lead to the development of pain. The most common reason of rigid flatfeet is a tarsal coalition. Mobility of the tarsal joints is checked by specific clinical tests. The study investigated the sensitivity and specificity of foot mobility tests - the “tip toes test”, Jack test, manual examination of passive and eversion and inversion. The study found the following parameters: the sensitivity of the “tip toes test”, Jack test was 87% and 85%, specificity - 65% and 64%. The sensitivity of the manual examination of passive and eversion and inversion was - 80%, specificity - 88%. The last test has a high specificity compared to the “tip toes test” and Jack test. Detection limits the mobility of the tarsal joints can be an indication for radiography for the detection of tarsal coalitions.

About the authors

A. V. Sapogovsky

Turner Scientific and Research Institute for Children's Orthopedics

Author for correspondence.
Email: fake@neicon.ru
orthopaedic surgeon Russian Federation

V. M. Kenis

Turner Scientific and Research Institute for Children's Orthopedics

Email: kenis@mail.ru
deputy director for development and foreign contacts Russian Federation

References

  1. Кенис В.М. Тарзальные коалиции у детей: опыт диагностики и лечения. Травматология и ортопедия России. 2011; 2(60):132-136.
  2. Кенис В.М., Хусаинов Р.Х, Сапоговский А.В. Мобильное плоскостопие у детей (обзор литературы). Ортопедия, травматология и восстановительная хирургия детского возраста. 2014; II(2):44-54.
  3. Blakemore L.C., Cooperman D.R., Thompson G.H. The rigid flatfoot: tarsal coalitions. Clin Podiatr Med Surg. 2000; 17(3):531-555.
  4. Outland T., Murphy I.D. Relation of tarsal anomalies to spastic and rigid flatfeet. Clin Orthop. 1953; (1):217-224. 5. Perman M.D., Wertheimer S.I. Tarsal coalitions. J Foot Surg. 1986; (4):25-41.

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