Paediatric Flexible Flatfeet: A Narrative Review of Conflicting Perspectives in Clinical Practice

Mosca, V. S. (2010). Flexible flatfoot in children and adolescents. Journal of Child Orthopadics, 4(2), 107–121. https://doi.org/10.1007/s11832-010-0239-9

Article  Google Scholar 

Yasin, M. S., Al-Labadi, G. M., Alshrouf, M. A., AlRaie, B. A., Ibrahim, R. A., & AlRaie, L. A. (2023). Pediatric and adolescent flatfoot: A questionnaire based Middle East and North Africa study. International Journal of General Medicine, 16, 2055–2061. https://doi.org/10.2147/IJGM.S400720. PMID: 37275331; PMCID: PMC10237185.

Article  PubMed  PubMed Central  Google Scholar 

Cappello, T., & Song, K. M. (1998). Determining treatment of flatfeet in children. Current Opinion in Pediatrics, 10(1), 77–81. https://doi.org/10.1097/00008480-199802000-00016. PMID: 9529644.

Article  CAS  PubMed  Google Scholar 

Rodriguez, N., & Volpe, R. G. (2010). Clinical diagnosis and assessment of the pediatric pes planovalgus deformity. Clinics in Podiatric Medicine and Surgery, 27(1), 43–58. https://doi.org/10.1016/j.cpm.2009.08.005. PMID: 19963169.

Article  PubMed  Google Scholar 

Pfeiffer, M., Kotz, R., Ledl, T., Hauser, G., & Sluga, M. (2006). Prevalence of flat foot in preschool-aged children. Pediatrics, 118(2), 634–639. https://doi.org/10.1542/peds.2005-2126. PMID: 16882817.

Article  PubMed  Google Scholar 

Müller, S., Carlsohn, A., Müller, J., Baur, H., & Mayer, F. (2012). Static and dynamic foot characteristics in children aged 1-13 years: A cross-sectional study. Gait & Posture, 35(3), 389–394. https://doi.org/10.1016/j.gaitpost.2011.10.357. Epub 2011 Nov 25. PMID: 22118730.

Article  Google Scholar 

Volpon, J. B. (1994). Footprint analysis during the growth period. Journal of Pediatr Orthopadics, 14(1), 83–85. https://doi.org/10.1097/01241398-199401000-00017

Article  CAS  Google Scholar 

Rao, U. B., & Joseph, B. (1992). The influence of footwear on the prevalence of flat foot. A survey of 2300 children. Journal of Bone Joint Surgery Br, 74(4), 525–527. https://doi.org/10.1302/0301-620X.74B4.1624509

Article  CAS  Google Scholar 

Sachithanandam, V., & Joseph, B. (1995). The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. Journal of Bone Joint Surgery Br, 77(2), 254–257.

CAS  Google Scholar 

Xu, L., Gu, H., Zhang, Y., Sun, T., & Yu, J. (2022). Risk factors of flatfoot in children: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(14), Article 8247. https://doi.org/10.3390/ijerph19148247. PMID: 35886097; PMCID: PMC9319536.

Article  PubMed  PubMed Central  Google Scholar 

Tudor, A., Ruzic, L., Sestan, B., Sirola, L., & Prpic, T. (2009). Flat-footedness is not a disadvantage for athletic performance in children aged 11 to 15 years. Pediatrics, 123(3), e386–e392. https://doi.org/10.1542/peds.2008-2262. PMID: 19254974.

Article  PubMed  Google Scholar 

Michelson, J. D., Durant, D. M., & McFarland, E. (2002). The injury risk associated with pes planus in athletes. Foot & Ankle International, 23(7), 629–633. https://doi.org/10.1177/107110070202300708

Article  CAS  Google Scholar 

Cowan, D. N., Jones, B. H., & Robinson, J. R. (1993). Foot morphologic characteristics and risk of exercise-related injury. Archives of Family Medicine, 2(7), 773–777. https://doi.org/10.1001/archfami.2.7.773. PMID: 7906597.

Article  CAS  PubMed  Google Scholar 

Hogan, M. T., & Staheli, L. T. (2002). Arch height and lower limb pain: An adult civilian study. Foot & Ankle International, 23(1), 43–47. https://doi.org/10.1177/107110070202300108. PMID: 11822691.

Article  Google Scholar 

Yu, H.-B., Wu, W., Tai, W.-H., Li, J., & Zhang, R. (2024). The arch myth: Investigating the impact of flat foot on vertical jump height: A systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation. https://doi.org/10.1186/s13102-024-01018-w

Article  PubMed  PubMed Central  Google Scholar 

Benedetti, M. G., Ceccarelli, F., Berti, L., Luciani, D., Catani, F., Boschi, M., & Giannini, S. (2011). Diagnosis of flexible flatfoot in children: A systematic clinical approach. Orthopedics, 34(2), 94. https://doi.org/10.3928/01477447-20101221-04

Article  PubMed  Google Scholar 

Bresnahan, P. J., & Juanto, M. A. (2020). Pediatric flatfeet-A disease entity that demands greater attention and treatment. Frontiers in Pediatrics, 8, Article 19. https://doi.org/10.3389/fped.2020.00019

Article  PubMed  PubMed Central  Google Scholar 

Urukalo, J., Banwell, H., Williams, C., Morrison, S. C., & Kumar, S. (2025). The F-words relating to symptomatic flexible flat feet: A scoping review. PLoS ONE, 20(5), Article e0320310. https://doi.org/10.1371/journal.pone.0320310

Article  CAS  PubMed  PubMed Central  Google Scholar 

Žukauskas, S., Barauskas, V., Degliūtė-Muller, R., & Čekanauskas, E. (2023). Really asymptomatic? Health-related quality of life and objective clinical foot characteristics among 5-10-year-old children with a flexible flatfoot. Journal of Clinical Medicine, 12(9), Article 3331. https://doi.org/10.3390/jcm12093331

Article  PubMed  PubMed Central  Google Scholar 

Lin, C. J., Lai, K. A., Kuan, T. S., & Chou, Y. L. (2001). Correlating factors and clinical significance of flexible flatfoot in preschool children. Journal of Pediatrics Orthopadics, 21(3), 378–382.

Article  CAS  Google Scholar 

Arya Minaei Md, Maksim shlykov Md Painful flat foot in children and adolescents : They are not all the same https://doi.org/10.55275/JPOSNA-2020-112

Moraleda, L., & Mubarak, S. J. (2011). Flexible flatfoot: Differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients. Journal of Pediatric Orthopaedics, 31(4), 421–428. https://doi.org/10.1097/BPO.0b013e31821723ce

Article  PubMed  Google Scholar 

Maheshwari, R. S., & Johari, A. N. (2023). Which Foot is at Risk? Understanding the Evolution of the Pediatric Flatfoot. JFASAP., 10(2), 48–55. https://doi.org/10.5005/jp-journals-10040-1292

Article  Google Scholar 

Hösl, M., Böhm, H., Multerer, C., & Döderlein, L. (2014). Does excessive flatfoot deformity affect function? A comparison between symptomatic and asymptomatic flatfeet using the Oxford Foot Model. Gait & Posture, 39(1), 23–28. https://doi.org/10.1016/j.gaitpost.2013.05.017

Article  Google Scholar 

de Cesar Netto, C., Barbachan Mansur, N. S., Talaski, G., Jasper, R. P., Schmidt, E., de Carvalho, K. A. M., Dibbern, K., Lintz, F., Ellis, S. J., & Anderson, D. D. (2025). From asymptomatic flatfoot to progressive collapsing foot deformity: Peritalar subluxation is the main driver of symptoms. The Journal of Bone and Joint Surgery. American Volume, 107(18), 2060–2068. https://doi.org/10.2106/JBJS.24.01619

Article  PubMed  Google Scholar 

Stolzman, S., Irby, M. B., Callahan, A. B., & Skelton, J. A. (2015). Pes planus and paediatric obesity: a systematic review of the literature. Clinical Obesity, 5(2), 52–59. https://doi.org/10.1111/cob.12091

Article  CAS  PubMed  PubMed Central  Google Scholar 

Kardm, S. M., Alanazi, Z. A., Aldugman, T. A. S., Reddy, R. S., & Gautam, A. P. (2025). Prevalence and functional impact of flexible flatfoot in school-aged children: A cross-sectional clinical and postural assessment. Journal of Orthopaedic Surgery and Research, 20(1), Article 783. https://doi.org/10.1186/s13018-025-06207-y

Article  PubMed  PubMed Central  Google Scholar 

Hills, A. P., Andersen, L. B., & Byrne, N. M. (2011). Physical activity and obesity in children. British Journal of Sports Medicine, 45(11), 866–870. https://doi.org/10.1136/bjsports-2011-090199

Article  PubMed  Google Scholar 

Zhang, X., Liu, J., Ni, Y., Yi, C., Fang, Y., Ning, Q., Shen, B., Zhang, K., Liu, Y., Yang, L., Li, K., Liu, Y., Huang, R., & Li, Z. (2024). Global prevalence of overweight and obesity in children and adolescents: A systematic review and meta-analysis. JAMA Pediatrics, 178(8), 800–813. https://doi.org/10.1001/jamapediatrics.2024.1576.PMID:38856986;PMCID:PMC11165417

Article  PubMed  PubMed Central  Google Scholar 

Khadilkar, V., Shah, N., Harish, R., Ayyavoo, A., Bang, A., Basu, S., Chatterjee, S., Chhatwal, J., Elizabeth, K. E., Ghate, S., Gupta, A., Kinjawadekar, U., Kumar, R., Mishra, S., Sakamuri, K., Saxena, V., Singh, H., Singh, P., Sud, A., & Tiwari, S. (2023). Indian academy of pediatrics revised guidelines on evaluation, prevention and management of childhood obesity. Indian Pediatrics, 60(12), 1013–1031. PMID: 38087786.

Article  PubMed  Google Scholar 

Chen, K. C., Yeh, C. J., Kuo, J. F., Hsieh, C. L., Yang, S. F., & Wang, C. H. (2011). Footprint analysis of flatfoot in preschool-aged children. European Journal of Pediatrics, 170(5), 611–617. https://doi.org/10.1007/s00431-010-1330-4

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