In a previous article, “Understanding Adult-Acquired Flatfoot” (The O&P EDGE, November 2014), we looked at some of the causes of this condition, which usually begins with bilateral pes planus, progresses to PTTD, and can ultimately end up as a fixed deformity with midfoot collapse and forefoot abduction. Along this trajectory, the foot moves through clearly defined stages as the key supporting ligaments are attenuated, midfoot joints become subluxed, and the foot becomes more rigid.
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