Journal of Foot and Ankle Surgery
Volume 49, Issue 4 , Pages 363-368 , July 2010

Characteristics of Adult Flatfoot in the United States

  • Naohiro Shibuya, DPM, MS, FACFAS

      Affiliations

    • Associate Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Temple, TX; Staff, Central Texas Veterans Health Care System, Scott and White Health Care System; Diplomat, American Board of Podiatric Surgery
    • Corresponding Author InformationAddress correspondence to Naohiro Shibuya, DPM, MS, FACFAS, Texas A&M Health Science Center, College of Medicine, Department of Surgery, 1901 Veterans Memorial Drive, Temple, TX 76502.
    • ,
  • Daniel C. Jupiter, PhD

      Affiliations

    • Research Scientist, Department of Surgery, Scott and White Health Care System, Temple, TX
    • ,
  • Louis J. Ciliberti, DPM, MS

      Affiliations

    • Second Year Podiatric Medicine and Surgery Resident, Scott and White Memorial Hospital, Texas A&M Health Science Center, College of Medicine, Temple, TX
    • ,
  • Vincent VanBuren, PhD

      Affiliations

    • Assistant Professor, Department of Systems Biology and Translational Medicine, Texas A&M Health Science Center, College of Medicine, Temple, TX
    • ,
  • Javier La Fontaine, DPM, MS, FACFAS

      Affiliations

    • Associate Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Temple, TX; Chief, Section of Podiatry, Central Texas Veterans Health Care System, Scott and White Health Care System; Diplomat, American Board of Podiatric Surgery

References 

  1. Borrelli AH, Smith SD. Surgical considerations in the treatment of pes planus. J Am Podiatr Med Assoc. 1988;78:305–309
  2. Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flat foot in preschool-aged children. Pediatrics. 2006;118:634–639
  3. Staheli LT. Evaluation of planovalgus foot deformities with special reference to the natural history. J Am Podiatr Med Assoc. 1987;77:2–6
  4. Tudor A, Ruzic L, Sestan B, Sirola L, Prpic T. Flat-footedness is not a disadvantage for athletic performance in children aged 11 to 15 years. Pediatrics. 2009;123:e386–e392
  5. Garcia-Rodriguez A, Martin-Jimenez F, Carnero-Varo M, Gomez-Gracia E, Gomez-Aracena J, Fernandez-Crehuet J. Flexible flat feet in children: a real problem?. Pediatrics. 1999;103:e84
  6. Cilli F, Pehlivan O, Keklikci K, Mahirogullari M, Kuskucu M. Prevalence of flatfoot in Turkish male adolescents. Eklem Hastalik Cerrahisi. 2009;20:90–92
  7. Tax HR. Flexible flatfoot in children. J Am Podiatry Assoc. 1977;67:616–619
  8. Mann RA, Thompson FM. Rupture of the posterior tibial tendon causing flat foot. Surgical treatment. J Bone Joint Surg Am. 1985;67-A:556–561
  9. Alakija W. Prevalence of flat foot in school children in Benin City, Nigeria. Trop Doct. 1979;9:192–194
  10. Rose GK, Welton EA, Marshall T. The diagnosis of flat foot in the child. J Bone Joint Surg Br. 1985;67-B:71–78
  11. Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. J Bone Joint Surg Br. 1992;74-B:525–527
  12. Guyton GP, Mann RA, Kreiger LE, Mendel T, Kahan J. Cumulative industrial trauma as an etiology of seven common disorders in the foot and ankle: what is the evidence?. Foot Ankle Int. 2000;21:1047–1056
  13. Johnson KA. Tibialis posterior tendon rupture. Clin Orthop Relat Res. 1983;177:140–147
  14. Shibuya N, Ramanujam CL, Garcia GM. Association of tibialis posterior tendon pathology with other radiographic findings in the foot: a case-control study. J Foot Ankle Surg. 2008;47:546–553
  15. Myerson MS. Adult acquired flatfoot deformity: treatment of dysfunction of the posterior tibial tendon. Instr Course Lect. 1997;46:393–405
  16. Ganley JV. Calcaneovalgus deformity in infants. J Am Podiatry Assoc. 1975;65:405–421
  17. LeLievre J. Current concepts and correction in the valgus foot. Clin Orthop Relat Res. 1970;70:43–55
  18. US Department of Health and Human Services, National Center for Health and Statistics. National Health Interview Survey, 1990: Podiatry Supplement [Computerfile]. Hyattsville, MD: U.S. Dept. of Health and Human Services, National Center for Health Statistics [producer], 1990. Ann Arbor, MI: Interuniversity Consortium for Political and Social Research [distributor], 1993.
  19. Greenberg L, Davis H. Foot problems in the US. The 1990 National Health Interview Survey. J Am Podiatr Med Assoc. 1993;83:475–483
  20. Levy LA. Prevalence of chronic podiatric conditions in the US. National Health Survey 1990. J Am Podiatr Med Assoc. 1992;82:221–223
  21. Cowan DN, Jones BH, Shaffer RA. Musculoskeletal injuries in the military training environment. In: Textbooks of Military Medicine. pp 195–210. Department of Defense, Office of The Surgeon General, US Army, Borden Institute; 2003;p. 195–210
  22. Kaufman K, Brodine SK, Shaffer RA. Musculoskeletal Injuries in the Military: Literature Review, Summary, and Recommendations. San Diego, CA: Naval Health Research Center; 1995;Technical Report No. 95–33
  23. Lane N.C., ed. The Foot, Bailliere, Tindall and Cox, London, 1952
  24. Delany HM, Travis LO. A clinical evaluation of one hundred cases of infection of the lower leg and foot in military personnel. Mil Med. 1965;130:1184–1190
  25. Bensel CK. The Effects of Tropical and Leather Combat Boots on Lower Extremities Disorders among US Marine Corps Recruits, United States Army Research and Development Laboratories, Natick, MA, 1976. Technical Report No. 76–49.
  26. Jones BH, Cowan DN, Tomlinson JP, Robinson JR, Polly DW, Frykman PN. Epidemiology of injuries associated with physical training among young men in the army. Med Sci Sports Exerc. 1993;25:197–203
  27. deMoya RG. A biomechanical comparison of the running shoe and the combat boot. Mil Med. 1982;147:380–383
  28. Volpon JB. Footprint analysis during the growth period. J Pediatr Orthop. 1994;14:83–85
  29. Lin CJ, Lai KA, Kuan TS, Chou YL. Correlating factors and clinical significance of flexible flatfoot in preschool children. J Pediatr Orthop. 2001;21:378–382
  30. Sachithanandam V, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. J Bone Joint Surg Br. 1995;77-B:254–257
  31. Kohls-Gatzoulis J, Woods B, Angel JC, Singh D. The prevalence of symptomatic posterior tibialis tendon dysfunction in women over the age of 40 in England. Foot Ankle Surg. 2009;15:75–81
  32. Chen JP, Chung MJ, Wang MJ. Flatfoot prevalence and foot dimensions of 5- to 13-year-old children in Taiwan. Foot Ankle Int. 2009;30:326–332
  33. Mickle KJ, Steele JR, Munro BJ. The feet of overweight and obese young children: are they flat or fat?. Obesity. 2006;14:1949–1953
  34. Arangio GA, Wasser T, Rogman A. Radiographic comparison of standing medial cuneiform arch height in adults with and without acquired flatfoot deformity. Foot Ankle Int. 2006;27:636–638
  35. Otsuka R, Yatsuya H, Miura Y, Murata C, Tamakoshi K, Oshiro K, et al. [Association of flatfoot with pain, fatigue and obesity in Japanese over sixties]. Nippon Koshu Eisei Zasshi. 2003;50:988–998Japanese
  36. Stewart SF. Human gait and the human foot: an ethnological study of flatfoot. I. Clin Orthop Relat Res. 1970;70:111–123
  37. Igbigbi PS, Msamati BC. The footprint ratio as a predictor of pes planus: a study of indigenous Malawians. J Foot Ankle Surg. 2002;41:394–397
  38. Igbigbi PS, Msamati BC, Shariff MB. Arch index as a predictor of pes planus: a comparative study of indigenous Kenyans and Tanzanians. J Am Podiatr Med Assoc. 2005;95:273–276
  39. Abdel-Fattah MM, Hassanin MM, Felembane FA, Nassaane MT. Flat foot among Saudi Arabian army recruits: prevalence and risk factors. East Mediterr Health J. 2006;12:211–217

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00124-9

doi: 10.1053/j.jfas.2010.04.001

Journal of Foot and Ankle Surgery
Volume 49, Issue 4 , Pages 363-368 , July 2010

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