Clinical diagnosis of rigid flatfооt in children
A. V. Sapogovsky , V. M. Kenis
Traumatology and Orthopedics of Russia ›› 2015, Vol. 21 ›› Issue (4) : 46 -51.
Clinical diagnosis of rigid flatfооt in children
Flatfeet are divided into rigid and mobile forms. Rigid flatfeet usually lead to the development of pain. The most common reason of rigid flatfeet is a tarsal coalition. Mobility of the tarsal joints is checked by specific clinical tests. The study investigated the sensitivity and specificity of foot mobility tests - the “tip toes test”, Jack test, manual examination of passive and eversion and inversion. The study found the following parameters: the sensitivity of the “tip toes test”, Jack test was 87% and 85%, specificity - 65% and 64%. The sensitivity of the manual examination of passive and eversion and inversion was - 80%, specificity - 88%. The last test has a high specificity compared to the “tip toes test” and Jack test. Detection limits the mobility of the tarsal joints can be an indication for radiography for the detection of tarsal coalitions.
flatfoot / plano-valgus fооt / tarsal coalitions
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