Progressive Collapsing Foot Disorder

Description

Mr Donatas Chlebinskas gives his expert insights and outlines key indicators of posterior tibial tendon dysfunction (PCFD) and flatfoot conditions in this analysis. It highlights the 'too many toes sign' which indicates forefoot abduction, alongside the inability to perform single heel raises, indicative of tibialis posterior tendon weakness. Symptoms of PCFD are described, including medial arch collapse, compensatory forefoot supination, and late-stage signs such as rigidity and ankle varus arthritis. Mr Chlebinskas also mentions Charcot neuroarthropathy, detailing how it may mimic flatfoot deformity, stressing the importance of checking for a history of diabetes mellitus, preexisting neuropathy, and signs of acute inflammation.




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DOI: 10.1302/3114-251131

Specialties