Pediatric Foot Health: A Focus on Children with Flat Feet, Hallux Valgus, and First Metatarsophalangeal Joint Subluxation

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Austin J Orthopade & Rheumatol. 2024 ; 11(2) : 1133.

Pediatric Foot Health: A Focus on Children with Flat Feet, Hallux Valgus, and First Metatarsophalangeal Joint Subluxation

Lan Zhang¹; Wendong Xie²; Guozheng Liu³; Chao Zhang¹*

¹Department of Orthopedics, Gansu Provincial Hospital, PR China

²Gansu University of Chinese Medicine, PR China

³Emergency Centre, Wushan People’s Hospital, Tianshui City, Gansu Province, PR China

*Corresponding author: Chao Zhan Department of Orthopedics, Gansu Provincial Hospital, No.204, DonggangWestRoad, Lanzhou, 730000, Gansu Province, PR China. Email: zc-315@163.com

Received: July 24, 2024 Accepted: August 06, 2024 Published: August 13, 2024

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The subject of this case report is a 10-year-old child who presented with a constellation of clinical symptoms, including foot pain, fatigue, and difficulty walking. Upon physical examination, it was observed that the child exhibited a collapsed arch on the right foot with the entire sole in contact with the ground, and the right hallux was visibly deviated laterally. Subsequent radiographic imaging of the right foot indicated the presence of a shallow plantar arch, hallux valgus, and subluxation of the first metatarsophalangeal joint.

Figure 1: X-ray lateral view of right foot showed shallow flat arch of the right foot.

    

    
    

    

    Figure 1: X-ray lateral view of right foot showed shallow flat arch of the right foot.

Figure 2: A/P view of the right foot shows hallux valgus and the joint between the first metatarsal and the first phalanx is partially out of normal position.

    

    
    

    

    Figure 2: A/P view of the right foot shows hallux valgus and the joint between the first metatarsal and the first phalanx is partially out of normal position.

These conditions—pes planus (flatfoot), hallux valgus, and subluxation of the first metatarsophalangeal joint—pose significant implications for a child's overall development and mobility. Hence, the child successfully underwent corrective surgery on the right foot under general anesthesia with favorable outcomes. This case underscores the importance of parental vigilance concerning children's foot health. Early identification of such conditions is essential, as it facilitates timely and appropriate interventions to promote optimal musculoskeletal development

Citation: Zhang L, Xie W, Liu G, Zhang C. Pediatric Foot Health: A Focus on Children with Flat Feet, Hallux Valgus, and First Metatarsophalangeal Joint Subluxation. Austin J Orthopade & Rheumatol. 2024 ; 11(2) : 1133.