TITLE:
Children Flat Foot and Lower Limb Rotational Profile: A Cross-Sectional Descriptive Study
AUTHORS:
Jemni Sonia, Lazreg Nadia, Abid Manel, Frioui Samia, Ben Rejeb Mohamed, Osman Walid, Zaoui Afif, Khachnaoui Faycel
KEYWORDS:
Children, Essential Flat Foot, Femoral Antétorsion, Internal Rotation of the Hip, Tibial Torsion
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.5 No.10,
October
26,
2015
ABSTRACT: Flat
foot in children is a common deformation, which appears during the first years
of life. It requires a rigorous evaluation to rule out congenital or
neurological abnormality. It is characterized by
a decrease of the plantar concavity indeed collapse of the foot, often
associated with other morphostatic deformations. The aim of this study
is to find a correlation between the essential flat foot in children and lower
limb disorders torsional. It is a cross-sectional descriptive study, recruiting
110 children (220 feet) aged between 3 and 6 years old. Each child was given an
assessment of the morphology of the foot (Contact Index II…) and lower limb
rotational profile (intoeing and femoral antétorsion
and tibal torsion). Among 110 children, 21 (19.1%) have bilateral flat feet and
7 (6.4%) have unilateral flat feet, associated with an average value of
Contact Index II equal to 0.921; the minimum value is 0.880 and the maximum
value is 1.17. All children with flat feet have excessive femoral antétorsion;
45 (92%) are associated with a hip intoeing and 38 (80%) present an insufficient external tibial torsion. The analysis of
multiple regression shows a significantly elevated correlation among the
flat foot and excessive internal rotation of the hip (F = 70.36, r = 0.77, P