Adult acquired flatfoot disease

Last revised by Henry Knipe on 4 May 2022

Citation, DOI, disclosures and article data

Citation:

Knipe H, Jones J, Adult acquired flatfoot disease. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-71586

DOI:

https://doi.org/10.53347/rID-71586

Permalink:

https://radiopaedia.org/articles/71586?iframe=true

rID:

71586

Article created:

13 Oct 2019, Henry Knipe ◉ ◈

Disclosures:

At the time the article was created Henry Knipe had no recorded disclosures.

Last revised:

4 May 2022, Henry Knipe ◉ ◈

Disclosures:

At the time the article was last revised Henry Knipe had the following disclosures:

These were assessed during peer review and were determined to not be relevant to the changes that were made.

Revisions:

4 times, by 2 contributors - see full revision history and disclosures

Systems:

Musculoskeletal

Tags:

rg_39_5_new, refs, cases

Synonyms:

Adult acquired flatfoot disease or progressive collapsing foot deformity is a common condition that results in foot pain and disability.

Most commonly affects middle-aged and elderly females ¹.

Adult acquired flatfoot disease is a combination of:

Adult acquired flatfoot disease is often multifactorial with disease or dysfunction of the supporting structures ¹:

tibialis posterior dysfunction (most common)
accessory navicular
- type II (more commonly) and III variants can result in planovalgus foot
- earlier presentation than tibialis posterior dysfunction
spring ligament injury/degeneration
- most commonly secondary to tibialis posterior dysfunction, seen in ~85% (range 74-92%)
sinus tarsi syndrome
deltoid ligament injury/degeneration
- superficial ligaments, in particular, the tibionavicular and tibiospring ligaments are typically involved