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Pes Planus. Pes 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.

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Presentation on theme: "Pes Planus. Pes 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."— Presentation transcript:

1 Pes Planus

2 Pes 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 Excessive pronation of the foot Mechanism of injury Can be a congenital problem Fracture Dislocation Tarsal coalition Tendon laceration Arthritis Neuroarthropathy Neurological weakness Iatrogeny Posterior Tibial Tendon Dysfunction –Most common Diabetes Overweight Excessive exercise Wearing shoes too tight

4 Presentation Possible abnormal gait Signs and symptoms Pain Calcaneal eversion Bulging of the navicular bone Evaluation If 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 Bibliography Arnheim, Daniel. Principle in Athletic Training. 10th ED McGraw Hill. Boston pg Booher, James and Gary A. Thibodeau. Athletic Injury Assessment. McGraw Hill:Boston, pg 284 Hunter, John, MD. Pes Planus Outline eader$122 eader$122 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 Hockenberry, R. Todd, MD. Acquired Flatfoot

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