Flat Feet Research Today is a free monthly online journal that collates and summarizes the latest research about Flat Feet, including details on flatfoot, fallen arches, children, treatment, arthrodesis.

3-tesla magnetic resonance imaging evaluation of posterior tibial tendon dysfunction with relevance to clinical staging.

Chhabra A, Soldatos T, Chalian M, Faridian-Aragh N, Fritz J, Fayad LM, Carrino JA, Schon L

Assistant Professor of Radiology and Orthopaedic Surgery, Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD.

The posterior tibial tendon (PTT) is the most important dynamic stabilizer of the medial ankle and longitudinal arch of the foot. PTT dysfunction is a degenerative disorder of the tendon, which secondarily involves multiple ligaments, joint capsules, fascia, articulations, and bony structures of the ankle, hindfoot, midfoot, and forefoot. When the tendon progressively attenuates, the patient develops a painful, progressive collapsed flatfoot or pes planovalgus deformity. This comprehensive review illustrates the 3-Tesla magnetic resonance imaging (3T MRI) features of PTT dysfunction. In addition, the reader will gain knowledge of the expected pathologic findings on MRI, as they are related to clinical staging of PTT dysfunction.

Published 25 April 2011 in J Foot Ankle Surg, 50(3): 320-8.
Full-text of this article is available online (may require subscription).

Articles on Flat Feet published 25 April 2011:

Nonoperative Care for the Treatment of Adult-acquired Flatfoot Deformity.   J Foot Ankle Surg, 50(3): 311-4.

Nonoperative therapy for adult-acquired flatfoot is a reasonable treatment option that is likely to be beneficial for most patients. In this article, we describe the results of a retrospective cohort study that focused on nonoperative measures, including bracing, physical therapy, and anti-inflammatory medications, used to treat adult-acquired flatfoot in 64 consecutive patients. The results revealed the incidence of successful nonsurgical treatment to be 87.5% (56 of 64 patients), over the ... [Abstract] [Full-text]

Articles on Flat Feet published 20 April 2011:

The musculoskeletal phenotype of the RASopathies.   Am J Med Genet C Semin Med Genet, 157(2): 90-103.

The Ras/MAPK signal transduction pathway is critical for the regulation of proliferation and differentiation of multiple cell types. Neurofibromatosis type 1 (NF1) is caused by inactivating mutations in the NF1 gene resulting in an increased Ras signaling cascade. Subsequently, additional syndromes with some overlapping physical manifestations such as Noonan syndrome, Costello syndrome, and cardiofaciocutaneous (CFC) syndrome were also shown to be due in many cases to mutations in genes ... [Abstract] [Full-text]

Articles on Flat Feet published 18 April 2011:

Footprint analysis of flatfoot in preschool-aged children.   Eur J Pediatr, 170(5): 611-7.

Our aim in this study was to analyze the footprint measurements of flatfoot in a population of preschool-aged children. Three footprint measurements, the Clarke's angle (CA), Chippaux-Smirak index (CSI), and Staheli arch index (AI), were used for comparison with clinical diagnosis. A total of 2,638 static footprints of children aged from 3 to 6 years were recorded. The clinical diagnosis as a gold standard compared with the results of the CA, CSI, and AI and displayed in a receiver operating ... [Abstract] [Full-text]

Articles on Flat Feet published 15 April 2011:

The musculoskeletal phenotype of the RASopathies.   Am J Med Genet C Semin Med Genet.

The Ras/MAPK signal transduction pathway is critical for the regulation of proliferation and differentiation of multiple cell types. Neurofibromatosis type 1 (NF1) is caused by inactivating mutations in the NF1 gene resulting in an increased Ras signaling cascade. Subsequently, additional syndromes with some overlapping physical manifestations such as Noonan syndrome, Costello syndrome, and cardiofaciocutaneous (CFC) syndrome were also shown to be due in many cases to mutations in genes ... [Abstract] [Full-text]

Articles on Flat Feet published 11 April 2011:

Radiographic analysis of an opening wedge osteotomy of the medial cuneiform.   Foot Ankle Int, 32(3): 278-87.

[Abstract] [Full-text]

Reconstruction of the symptomatic idiopathic flatfoot in adolescents and young adults.   Foot Ankle Int, 32(3): 225-32.

[Abstract] [Full-text]

Articles on Flat Feet published 4 April 2011:

3-Tesla Magnetic Resonance Imaging Evaluation of Posterior Tibial Tendon Dysfunction with Relevance to Clinical Staging.   J Foot Ankle Surg.

The posterior tibial tendon (PTT) is the most important dynamic stabilizer of the medial ankle and longitudinal arch of the foot. PTT dysfunction is a degenerative disorder of the tendon, which secondarily involves multiple ligaments, joint capsules, fascia, articulations, and bony structures of the ankle, hindfoot, midfoot, and forefoot. When the tendon progressively attenuates, the patient develops a painful, progressive collapsed flatfoot or pes planovalgus deformity. This comprehensive ... [Abstract] [Full-text]

Nonoperative Care for the Treatment of Adult-acquired Flatfoot Deformity.   J Foot Ankle Surg.

Nonoperative therapy for adult-acquired flatfoot is a reasonable treatment option that is likely to be beneficial for most patients. In this article, we describe the results of a retrospective cohort study that focused on nonoperative measures, including bracing, physical therapy, and anti-inflammatory medications, used to treat adult-acquired flatfoot in 64 consecutive patients. The results revealed the incidence of successful nonsurgical treatment to be 87.5% (56 of 64 patients), over the ... [Abstract] [Full-text]

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