Article short contents


Slovenska pediatrija 2019; 26: 121-126


Review article

TREATMENT OF COMMON FOOT DEFORMITIES IN PAEDIATRICS AND THE ROLE OF APPROPRIATE FOOTWEAR

Mateja Polajnar
Zdravstveni dom Radovljica Kopališka cesta 7, 4240 Radovljica, Slovenija

Matjaž Merc
Oddelek za ortopedijo, UKC Maribor, Maribor, Slovenija

Abstract

Foot deformities are a relatively common pathology. Con­genital equinovarus is the most common foot deformity that is successfully conservatively treated with the Ponseti method, Achilles tenotomy and the Denis-Browne bar. A physiological and flexible flat foot often does not need sur­gical treatment and as a rule spontaneously corrects itself during puberty. A vertical talus is a congenital flat foot, where we observe a vertically inverted talus and the dislo­cation of the talocalcaneonavicular joint. Treatment is first operative and then followed by casting. Metatarsus adduc­tus is a reversible deformation that we observe until the sixth month and rarely needs casting. Accessory foot bones usually do not cause problems. Tarsal coalition is a connec­tion between the bones of the rearfoot and metatarsus that is often overlooked. Symptomatic tarsal coalition is treat­ed surgically. Polydactyly is treated operatively. In the case of syndactyly, surgical treatment is not recommended. for juvenile hallux valgus we recommend soft and wide foot­wear, in adolescence it can be treated with surgery

Key words: foot deformities, clubfoot, flatfoot, tarsal coa­lition, metatarsus varus


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