Pediatric Flatfoot
A flexible flatfoot deformity is a common condition that effects children during development. It is frequently non-painful, but may be concerning for the child's parents or caregivers. It is typically caused by laxity of the ligaments, and presents with a loss of arch height and forefoot abduction, or a "turning out" of the foot.
Treatment will typically be observation, particularly in children who are still growing and have not reached skeletal maturity. Stretching exercises and orthotics can be helpful in some cases. An important distinction needs to be made between the flexible flatfoot and a rigid flatfoot, which is something that can typically be done with a clinical examination.
Surgery is rarely necessary in children for a flatfoot deformity, and is reserved for severe cases.