KMID : 1130920140180030087
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Journal of Korean Foot and Ankle Society 2014 Volume.18 No. 3 p.87 ~ p.92
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Acquired Adult Flatfoot: Pathophysiology, Diagnosis, and Nonoperative Treatment
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Sung Ki-Sun
Yu In-Sang
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Abstract
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Acquired adult flatfoot is a deformity characterized by a decreased medial longitudinal arch and a hindfoot valgus with or without forefoot abduction. The etiologies of this deformity include posterior tibial tendon dysfunction, rheumatoid arthritis, trauma, Charcot¡¯s joint, neurologic deficit, and damage to the medial spring ligament complex or plantar fascia. Among these, posterior tibial tendon dysfunction is the most well-known cause. Although posterior tibial tendon dysfunction has been regarded as a synonym of acquired adult acquired flatfoot, failure of the ligaments supporting the arch can also result in progressive deformity even without a posterior tibial tendon problem. The authors describe the pathophysiology, diagnosis, and nonoperative treatment of acquired adult flatfoot, focusing on posterior tibial tendon dysfunction.
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KEYWORD
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Acquired adult flatfoot, Posterior tibial tendon dysfunction, Pathophysiology, Diagnosis, Nonoperative treatment
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