Flat Feet

• Flexible flat foot → Fallen longitudinal arch of the foot usually due to laxity of the ligamentous structures supporting the arch

  • Fallen arch in weight bearing position but arch forms again in non weight bearing or heel raise recreates the arch of the foot 

• Rigid flat foot → no arch of the foot is seen during non weight bearing position, heel raise or big toe extension. 

• In toddlers they typically assume a flatfoot posture due to their attempt to maintain a balanced posture 

• In most children the medial longitudinal arch develops between ages 3-10 years of age.

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