Pes Planus Deformity Bunionette

A 74-year-old male patient with type 2 diabetes diagnosed at the age of 61 years attended the outpatient diabetic foot clinic for chiropody treatment. On examination, he was found to have mild callus formation

Flatfoot Pes Planus
Figure 3.1 Pes planus

at the plantar and the lateral area of the fifth metatarsal head (Figures 3.2 and 3.3). Bilateral pes planus (flat foot) deformity of his feet and a bony prominence at the lateral aspect of the fifth metatarsal head (a bunionette or tailor's bunion) were also found (see Figure 3.2). Blackening of the nail of the hallux was due to a subungual hematoma. Pedal pulses were palpable and the patient had severe peripheral neuropathy. The patient had the callus removed and was instructed in appropriate foot care. In addition, he was advised to wear suitable shoes with a wide toe box.

Pes planus or flat foot is the commonest foot deformity (prevalence is about 20%

in the adult population) and its prevalence increases with the age. The majority of flat feet are considered to be variations of normal. People with this deformity are able to walk as comfortably as people with normal arches (see also Figure 3.1).

Keywords: Pes planus; flat foot; bunionette

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