Diagnosis and Treatment of Adult Flatfoot. ADULT Flatfoot.

[Non-PTTD Adult Flatfoot (Pathway #2)]

[Posterior Tibial Tendon Dysfunction (Pathway #3)]

[Tarsal Coalition (See Pediatric Pathway #4)]

[Arthritic Post-Traumatic Iatrogenic (Pathway #5)]

[Charcot See Diabetes CPG (Pathway #6)]

[Other: Neuromuscular (Pathway #7)]

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Source: Clinical Practice Guideline Adult Flatfoot Panel. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg 2005 Mar-Apr;44(2):78-113. Diagnosis and Treatment of Adult Flatfoot ADULT Flatfoot SIGNIFICANT HISTORY *Age at Onset (Residual Pediatric). *FAMILY Hx. *Associated Conditions (RA). *Symptoms +/-. *Activity Level / Occupation. *Hx of Trauma. *Previous Tx. *Review of Systems. *Extrapedal Symptoms. Optional Ancillary Studies *MR. *CT. *Bone Scan. *Gait Analysis. *NCV/EMG. *Harris Mats. *Force Plate Analysis. *Diagnostic Blicks. SIGNIFICANT FINDINGS *Appearance on/off wt-bearing. *Areas of Tenderness. *ROM Rigid vs Flexible. *Clinical Maneuvers. *Manual Muscle Testing. *Gait Observation. *Shoe Wear Pattern. *Extra Pedal Findings. Radiographic Findings *Decreased Calcaneal Pitch. *Limited Talar Head Coverage. *Anterior Break Cyma Line. *Increased Calcaneo-Cuboid Angle. *Increased Talocalcaneal Angle. *Increased Talar 1st MT Angle. *+/- DJD. *+/- Coalition. DIAGNOSIS Non-PTTD Adult Flatfoot (Pathway #2) Posterior Tibial Tendon Dysfunction (Pathway #3) Tarsal Coalition (See Pediatric Pathway #4) Arthritic Post-Traumatic Iatrogenic (Pathway #5) Charcot See Diabetes CPG (Pathway #6) Other: Neuromuscular (Pathway #7) PATHWAY 1 All copyrights are reserved by the American College of Foot and Ankle Surgeons.