Acquired Flat Foot for Orthopaedic Exams

Description

The presentation focuses on acquired flatfoot, a common topic in orthopedics, specifically addressing its assessment and management. The speaker begins by introducing the session and stating the plan to first cover the basic anatomy relevant to the condition, followed by discussing its causes, signs, symptoms, and diagnosis.



Acquired flatfoot is primarily attributed to tibialis posterior dysfunction, and the speaker emphasizes the importance of understanding the anatomy of the foot to evaluate this condition effectively. Key details about the tibialis posterior tendon and its role in foot support are elaborated, including its attachments and its functional significance in stabilizing the hindfoot and forefoot.



The presentation outlines the clinical approach when analyzing acquired flatfoot, including how to differentiate its stages based on symptoms and physical examination findings. It highlights that women are more frequently affected and that metabolic disorders may contribute to the condition.



The presentation also describes the complexities involved in diagnosing flatfoot, including potential differential diagnoses, the importance of patient history regarding trauma, and the progression of symptoms leading to fixed deformities if left untreated. Multiple stages of the condition are identified, with varying degrees of deformity and rigidity noted, specifying treatment options from conservative management to surgical interventions like tendon transfer and osteotomies based on the severity of the deformity.



Throughout, the speaker encourages a systematic approach to evaluation, combining patient history, physical examination, and appropriate imaging studies (such as weight-bearing radiographs) to confirm diagnosis and inform treatment plans. Finally, a caution note is delivered about the variations in causes of acquired flatfoot, reminding attendees it is not solely linked to tibialis posterior dysfunction.

Specialties