2Pes 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.
3Predisposing 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
4Presentation 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
5Treatment NSAIDS Orthotics if the condition is causing pain If there is no pain no treatment procedure should be used
6BibliographyArnheim, 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, May 1998Hockenberry, R. Todd, MD. “Acquired Flatfoot”