X-ray of flat feet in adults

Authors: Mikael Häggström Flat feet is a postural deformity in which the arches of the foot collapse, with the entire sole of the foot coming into complete or near-complete contact with the ground.

Planning

Flat feet can be diagnosed clinically, but projectional radiography ("X-ray") is helpful in uncertain cases. It can be used for severity grading, although this has little implication for treatment options.[1] The talonavicular coverage angle is abnormally laterally rotated in flat feet.[2]

Dorsoplantar projectional radiograph of the foot showing the measurement of the talonavicular coverage angle. (Wikimedia Commons)

X-ray]] showing the measurement of calcaneal pitch, which is an angle of the calcaneus and the inferior aspect of the foot, with different sources giving different reference points.[3]

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References

References

  1. ==Diagnosis== On X-ray, flat feet can be diagnosed and graded by several measures, the most important in adults being the talonavicular coverage angle, the calcaneal pitch, and the talar-1st metatarsal angle (Meary's angle).Pes Planus Last modified: 2016/08/14
  2. It is normally up to 7 degrees laterally rotated, so a greater rotation indicates flat feet. Radiographies generally need to be taken on weightbearing feet in order to detect misalignment.Pes planus
  3. A calcaneal pitch of less than 17° or 18° indicates flat feet.
(Wikimedia Commons)

talus]] and first metatarsal bone. An angle greater than 4° convex downward is considered a flat foot. (Wikimedia Commons)

==Report== Report presence or absence of flat feet. To put in simpler words, an abnormally laterally rotated talonavicular coverage angle can be described as "laterally pointed navicular bone", and an abnormally decreased calcaneal pitch and abnormally downward-convex Meary's angle can be described as "fallen arch". Upon request, severity can be given (Meary's angle angle 15° - 30° is considered "moderate" flat foot, and greater than 30° is considered "severe" flat foot.), otherwise it is not necessary to report. ==Notes== {{reflist|group="note"| refs= Detailed explanations and references are located in the Calcaneal pitch article.
  • Indications for non-surgical treatment is based on pain: *Flatfeet Indications for surgery are failure of non-surgical treatment as well as a flexible rather than stiff arch: *Approach and treatment of the adult acquired flatfoot deformity *Flatfoot Surgical Correction