Diagnosis and Treatment of Adult Flatfoot. ADULT Flatfoot. Iatrogenic / Post-traumatic / Arthritic.

[Refer to Pathway #1]

Download a printable copy in PDF format.

Source: Clinical Practice Guideline Adult Flatfoot Panel. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg 2005 Mar-Apr;44(2):78-113. Diagnosis and Treatment of Adult Flatfoot ADULT Flatfoot Iatrogenic / Post-traumatic / Arthritic SIGNIFICANT HISTORY *Family History. *Review of Systems. *Previous Surgery. *History of Trauma. *Associated Conditions: RA. Refer to Pathway #1 Diagnostic Imaging *Internal Hardware. *Arthrosis. *Malalignment. *CT/MR. SIGNIFICANT FINDINGS *Clinical Maneuvers. *Localized Pain & Swelling. *+/- Joint Effusion. *Antalgic Gait. *Previous Trauma / Surgery. DIAGNOSIS INITIAL TREATMENT OPTIONS *Activity Modifications. *Weight Loss. *Orthotic Management. *Immobilization. *Antiinflammatory Medications. *Physical Therapy. *Shoe Gear Modifications. Satisfactory Clinical Response Continue NonSurgical Options Unsatisfactory Consider Surgery, if symptoms resume SURGICAL OPTIONS *Osteotomies. *Arthrodesis. *Adjunctive Procedures -TAL or Gastroc Recession. -Tendon Transfer. Adjunctive Measures *Orthotic Management. PATHWAY 5 All copyrights are reserved by the American College of Foot and Ankle Surgeons.