Diagnosis and Treatment of Adult Flatfoot. ADULT Neuromuscular Flatfoot.

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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 Neuromuscular Flatfoot Refer to Pathway #1 SIGNIFICANT HISTORY *Previous Surgery. *Trauma. *Pain with Ambulation. SIGNIFICANT FINDINGS *Gait Abnormalities. *Limb Anomalies. *Abnormal Neurological Dysfunction. *Extrapedal Manifestations. Radiographic Findings *Developmental Abnormalities. *Malalignment. *Consider CT/MR. DIAGNOSIS CONSULTATIONS *Rule-out other causes of Painful Deformity. *Neurology. INITIAL TREATMENT OPTIONS *Activity Modifications. *Assistive Devices. *Bracing. *Physical Therapy. *Orthoses. *Shoe Gear Modifications. *Medications. SATISFACTORY Clinical Response UNSATISFACTORY Continue NonSurgical Options. Consider Surgery, if symptoms warrant. SURGICAL OPTIONS *Tendon Transfers. *Realignment Osteotomies. *Arthrodesis. Adjunctive Measures: *Orthotics. *Bracing. RECURRENCE PATHWAY 7 All copyrights are reserved by the American College of Foot and Ankle Surgeons.