Acquired Flat Foot | Pes Planus. Orthopaedic Academy

Acquired Flat Foot | Pes Planus. Orthopaedic Academy

Manjunath Gopal
- The session is about acquired flatfoot, which is a common topic in the FRCS exams.
- The presentation will cover the anatomy of the tibialis posterior, the most common cause of acquired flatfoot due to its dysfunction.
- The tibialis posterior is a tendon that arises from the posterior part of the fibula and tibia and inserts into the wide area of the foot, mainly the navicular bone, acting as a dynamic support, inverter for the hindfoot, and admittance of the forefoot.
- Acquired flatfoot is characterized by a lateral, symmetrical flat foot, which is more common in women and associated with metabolic disorders, steroid use, or asymmetrical disorders of unclear etiology.
- Symptoms range from pain and discomfort to weakness, loss of arch, and eventually collapse of the whole foot, leading to a fixed set deformity, and differential diagnosis includes post-traumatic tendinitis and coalitions.

This teaching video is specifically helpful for candidates preparing for the following Orthopaedic Exams : FRCS , European Board (FEBOT) , SICOT Diploma and Arabic Boards

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[subbuxy]

In the Inspection and Palpation slide, you have mentioned a test to check whether forefoot varus is flexible or rigid. In this you ask to bring the heel to neutral and check for forefoot correction.

I dont understand this. There cannot be a situation when heel is flexible and forefoot is rigid i believe. Because the forefoot varus is just a compensation to heel valgus.

Please explain it a lillte more.