2 Pes PlanusPes planus is a condition where the arch or instep of the foot collapses and comes in contact with the ground. In some individuals, this arch never develops.
3 Predisposing Factors Mechanism of injury Excessive pronation of the footMechanism of injuryCan be a congenital problemFractureDislocationTarsal coalitionTendon lacerationArthritisNeuroarthropathyNeurological weaknessIatrogenyPosterior Tibial Tendon DysfunctionMost commonDiabetesOverweightExcessive exerciseWearing shoes too tight
4 Presentation Signs and symptoms Evaluation Possible abnormal gait Pain Calcaneal eversionBulging of the navicular boneEvaluationIf this is not congenital, x-rays to rule out mid foot fracture
5 Treatment NSAIDS Orthotics if the condition is causing pain If there is no pain no treatment procedure should be used
6 BibliographyArnheim, Daniel. Principle in Athletic Training. 10th ED McGraw Hill. Boston pgBooher, James and Gary A. Thibodeau. Athletic Injury Assessment. McGraw Hill: Boston, pg 284Hunter, John, MD. “Pes Planus Outline”Coady, Catherine, MD; Nina Gow, MD; William Stanish, MD “Foot Problems in Middle Aged Patients: Keeping Active People up to Speed” The Physician and Sports Medicine Vol 26 No 5, MayHockenberry, R. Todd, MD. “Acquired Flatfoot”