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Year: 2009 Volume: 51 Issue: 1

Year: 2008 Volume: 50

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Clinical or radiologic measurements and 3-D gait analysis in children with pes planus.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Jung H. Sung, In Y. Yoo, Jong Y.
Description	Author Affiliation: Lee JH ( Department of Physical Medicine and Rehabilitation, Wooridul Spine Hospital, College of Medicine, Seoul, Korea.)
Abstract	BACKGROUND: Static measurement in clinical and radiologic evaluation is often used in assessment of pes planus, but it is important to know whether pes planus leads to abnormal gait pattern. The purpose of the present study was to assess the clinical and radiologic findings of children with pes planus and the relationship between clinical, radiologic findings and parameters obtained in 3-D gait analysis. METHODS: Thirteen children with pes planus were selected. Physical measurements included femoral anteversion, internal and external rotation, thigh-foot angle (TFA), and resting calcaneal stance position (RCSP). Radiologic measurements included talo-calcaneal angle (TCA), talometatarsal angle (TMA), calcaneal pitch, and forefoot adduction on simple X-ray, and femoral anteversion, tibial torsion and rotation on computed tomography (CT). 3-D gait analysis was also performed and kinetic and kinematic data were obtained in sagittal, frontal, and transverse plane. The correlation between clinical, radiologic, and gait analysis data was investigated. RESULTS: RCSP was found to be significantly correlated with TMA. TMA was also correlated with TCA. TCA on simple X-ray was correlated with maximal internal and external rotation angle of the knee joint on gait analysis. CONCLUSION: TMA was the factor most related to degree of calcaneal valgus measured on physical exam. Larger TCA contributed to decreased maximal external rotation and increased maximal internal rotation in gait cycle. Clinical or radiological methods, however, had very limited ability to predict gait deviance of pes planus.
File Format	HTM / HTML
ISSN	13288067
Issue Number	2
Volume Number	51
e-ISSN	1442200X
Journal	Pediatrics International
Language	English
Publisher	Wiley
Publisher Date	2009-04-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pediatrics Flatfoot Physiopathology Foot Child Child, Preschool Female Gait Humans Imaging, Three-dimensional Male Radiography Rotation Journal Article
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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