Pediatric Radiology

, Volume 49, Issue 12, pp 1678–1690 | Cite as

Management of pediatric foot deformities: an imaging review

  • Matthew J. WinfeldEmail author
  • Brittany E. Winfeld
Musculoskeletal imaging


Abnormalities of foot alignment can be a cause of significant morbidity in children, and some require complex surgical intervention to improve functionality and decrease pain. Imaging plays a key role in management decisions. We address some of the most common surgical strategies for selected diagnoses including pes planus, congenital vertical talus, pes cavus, and clubfoot, with a focus on imaging findings.


Children Clubfoot Foot Magnetic resonance imaging Pes cavus Pes planus Radiography Vertical talus 


Compliance with ethical standards

Conflicts of interest



  1. 1.
    Manicol M (2001) Orthopedic conditions affecting the foot in childhood. In: Thomson P, Volpe R (eds) Introduction to podopediatrics. Elsevier, London, pp 207–230CrossRefGoogle Scholar
  2. 2.
    Bourdet C, Seringe R, Adamsbaum C et al (2013) Flatfoot in children and adolescents: analysis of imaging findings and therapeutic implications. Orthop Traumatol Surg Res 99:80–87CrossRefGoogle Scholar
  3. 3.
    Harris EJ, Vanore JV, Thomas JL et al (2004) Clinical practice guideline pediatric flatfoot panel of the American College of Foot and Ankle Surgeons: diagnosis and treatment of pediatric flatfoot. J Foot Ankle Surg 43:341–373CrossRefGoogle Scholar
  4. 4.
    Nevalainen MT, Roedl JB, Zoga AC et al (2016) Imaging findings of arthroereisis in planovalgus feet. Radiol Case Rep 11:398–404CrossRefGoogle Scholar
  5. 5.
    Soliman SB, Spicer PJ, van Holsbeeck MT (2019) Sonographic and radiographic findings of posterior tibial tendon dysfunction: a practical step forward. Skelet Radiol 48:11–27CrossRefGoogle Scholar
  6. 6.
    Blitz NM, Stabile RJ, Giorgini RJ et al (2010) Flexible pediatric and adolescent pes planovalgus: conservative and surgical treatment options. Clin Podiatr Med Surg 27:59–77CrossRefGoogle Scholar
  7. 7.
    Dreher T, Hagmann S, Wenz W (2009) Reconstruction of multiplanar deformity of the hindfoot and midfoot with internal fixation techniques. Foot Ankle Clin 14:489–531CrossRefGoogle Scholar
  8. 8.
    Meyr AJ, Sansosti LE, Ali S (2017) A pictorial review of reconstructive foot and ankle surgery: evaluation and intervention of the flatfoot deformity. J Radiol Case Rep 11:26–36PubMedPubMedCentralGoogle Scholar
  9. 9.
    Zhou B, Tang K, Hardy M (2014) Talocalcaneal coalition combined with flatfoot in children: diagnosis and treatment: a review. J Orthop Surg Res 9:129CrossRefGoogle Scholar
  10. 10.
    Cohen AH, Laughner TE, Pupp GR (1993) Calcaneonavicular bar resection. A retrospective review. J Am Podiatr Med Assoc 83:10–17CrossRefGoogle Scholar
  11. 11.
    McKie J, Radomisli T (2010) Congenital vertical talus: a review. Clin Podiatr Med Surg 27:145–156CrossRefGoogle Scholar
  12. 12.
    Perera A, Guha A (2013) Clinical and radiographic evaluation of the cavus foot: surgical implications. Foot Ankle Clin 18:619–628CrossRefGoogle Scholar
  13. 13.
    Boffeli TJ, Tabatt JA (2015) Minimally invasive early operative treatment of progressive foot and ankle deformity associated with Charcot-Marie-tooth disease. J Foot Ankle Surg 54:701–708CrossRefGoogle Scholar
  14. 14.
    Tullis BL, Mendicino RW, Catanzariti AR, Henne TJ (2004) The Cole midfoot osteotomy: a retrospective review of 11 procedures in 8 patients. J Foot Ankle Surg 43:160–165CrossRefGoogle Scholar
  15. 15.
    Groner TW, DiDomenico LA (2005) Midfoot osteotomies for the cavus foot. Clin Podiatr Med Surg 22:247–264CrossRefGoogle Scholar
  16. 16.
    DeVries JG, McAlister JE (2015) Corrective osteotomies used in cavus reconstruction. Clin Podiatr Med Surg 32:375–387CrossRefGoogle Scholar
  17. 17.
    Ganesan B, Luximon A, Al-Jumaily A et al (2017) Ponseti method in the management of clubfoot under 2 years of age: a systematic review. PLoS One 12:e0178299CrossRefGoogle Scholar
  18. 18.
    Horn BD, Davidson RS (2010) Current treatment of clubfoot in infancy and childhood. Foot Ankle Clin 15:235–243CrossRefGoogle Scholar
  19. 19.
    Gupta AK, Kumar R (1993) Treatment of residual club-foot deformity, the bean-shaped foot — by open wedge medial cuneiform osteotomy and closing wedge cuboid osteotomy, clinical review and cadaver correlations. J Pediatr Orthop 13:408–410CrossRefGoogle Scholar
  20. 20.
    Xu J, Geng X, Muhammad H, Ma X et al (2014) Posterior tibialis tendon transfer via the circumtibial route: a cadaveric limb analysis. J Orthop Surg Res 9:121CrossRefGoogle Scholar
  21. 21.
    Ford SE, Scannell BP (2017) Pediatric flatfoot: pearls and pitfalls Foot Ankle Clin 22:643–656CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Lancaster Radiology AssociatesLancaster General Hospital, Penn MedicineLancasterUSA
  2. 2.Mount Joy Foot and Ankle AssociatesMount JoyUSA

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