Abstract
Purpose
Foot and ankle problems in children are a common cause for paediatric orthopaedic referrals. There is a variation in the reported epidemiology of foot and ankle abnormalities across the globe. The prevalence in our locality was unknown. The objective of this study was to determine the prevalence pattern of foot and ankle problems in our locality as well as compare with patterns from other geographical locations to determine the presence or otherwise, of differences among varying populations.
Methods
One thousand seven hundred and fifty-eight Nigerian primary school children aged between five and 13 years were clinically evaluated, checking for weight, height and calculation of BMI. The heel axis angle and hallux angle were measured clinically while determination of flatfeet or high arched feet was made from analysis of foot imprints.
Results
Hindfoot valgus was the commonest abnormality of the foot and ankle in this population with a prevalence of 34.2% and predominantly in females and older children, while hallux valgus and a high arched foot were the least common abnormalities at 0.6 and 0.7% prevalence rates, respectively. We found no statistically significant relationship between BMI and hindfoot valgus.
Conclusion
Hindfoot valgus is the commonest foot and ankle abnormality among primary school children in our locality.
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References
Jordan KP, Kadam UT, Hayward R, Porcheret M, Young C, Croft P (2010) Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study. BMC Musculoskelet Disord. https://doi.org/10.1186/1471-2474-11-144
Phillips RD (2000) The normal foot. J Am Podiatr Med Assoc 90:342–345
Astrom M, Arvidson T (1995) Alignment and joint motion in the normal foot. J Orthop Sports Phys Ther 22:216–222
Kirby K (2000) Biomechanics of the normal and abnormal foot. J Am Podiatr Med Assoc 90:30–34
Umar MBT, Paul A (2010) Incidence of flat foot and anthropometric comparison between flat and normal foot of the Yoruba ethnic group of Nigeria. Res J Appl Sci 5:412–416
Chang JH, Wang SH, Kuo CL, Shen HC, Hong YW, Lin LC (2010) Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur J Pediatr 169:447–452
Spahn G, Schiele R, Hell AK, Klinger HM, Jung R, Langlotz A (2004) The prevalence of pain and deformities in the feet of adolescents. Results of a cross-sectional study. Z Orthop Ihre Grenzgeb 142:389–396
Haight H, Dahm D, Smith J, Krause D (2005) Measuring standing hindfoot alignment: reliability of goniometric and visual measurements. Arch Phys Med Rehabil 86:571–575
Widhe T, Aaro S, Elmstedt E (1988) Foot deformities in the newborn—incidence and prognosis. Acta Orthop Scand 59:176–179
Saltzman CL, El-Khoury GY (1995) The hindfoot alignment view. Foot Ankle Int 16:572–576
Reilingh ML, Beimers L, Tuijthof GJM, Stufkens SAS, Maas M, Van Dijk CN (2010) Measuring hindfoot alignment radiographically: the long axial view is more reliable than the hindfoot alignment view. Skelet Radiol 39:1103–1108
Ikoma K, Noguchi M, Nagasawa K, Maki M, Kido M, Hara Y, Kubo T (2013) A new radiographic view of the hindfoot. J Foot Ankle Res 6:48
Ball P, Johnson GR (1993) Reliability of hindfoot goniometry when using a flexible electrogoniometer. Clin Biomech 8:13–19
Chou LW, Chen FF, Lo SF, Yang PY, Meng NH, Lin CL, Liao FY, Kao MJ (2009) The prevalence of four common pathomechanical foot deformities in primary school students in Taichung county. Mid-Taiwan J Med 14:1–9
Keenan AM, Bach TM (2006) Clinicians’ assessment of the hindfoot: a study of reliability. Foot Ankle Int 27:451–460
van Bergeyk AB, Younger A, Carson B (2002) CT analysis of hindfoot alignment in chronic lateral ankle instability. Foot Ankle Int 23:37–42
Buck FM, Hoffmann A, Mamisch-Saupe N, Farshad M, Resnick D, Espinosa N, Hodler J (2013) Diagnostic performance of MRI measurements to assess hindfoot malalignment. An assessment of four measurement techniques. Eur Radiol 23:2594–2601
Slullitel GN, Álvarez V, Lopez V, Calvi JP, Belén Calvo A (2017) How accurate is clinical evaluation in hindfoot coronal alignment? Foot Ankle Orthop 2:1–7
Ledl T, Kotz R, Hauser G, Sluga M, Pfeiffer M (2006) Prevalence of flat foot in preschool-aged children. Pediatrics 118:634–639
Owoeye BA, Akinbo SR, Aiyegbusi AL, Ogunsola MO (2011) Prevalence of hallux valgus among youth population in Lagos, Nigeria. Niger Postgrad Med J 18:51–55
Nix S, Smith M, Vicenzino B (2010) Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res 3:21
Dufour AB, Casey VA, Golightly YM, Hannan MT (2014) Characteristics associated with hallux Valgus in a population-based study of older adults: the Framingham Foot Study HHS Public Access. Arthritis Care Res 66:1880–1886
Igbigbi PS, Msamati BC (2002) The footprint ratio as a predictor of pes planus: a study of indigenous Malawians. J Foot Ankle Surg 41:394–397
Pita-Fernández S, González-Martín C, Seoane-Pillado T, López-Calviño B, Pértega-Díaz S, Gil-Guillén V (2015) Validity of footprint analysis to determine flatfoot using clinical diagnosis as the gold standard in a random sample aged 40 years and older. J Epidemiol 25:148–154
Umar MBT, Tafida RU Prevalence of flatfoot and anthropometric comparison between flat and normal feet in the Hausa ethnic group of Nigeria. J Am Podiatr Med Assoc 103:369–373
Tenenbaum S, Hershkovich O, Gordon B, Bruck N, Thein R, Derazne E, Tzur D, Shamiss A, Afek A (2013) Flexible pes planus in adolescents. Foot Ankle Int 34:811–817
Abolarin T, Aiyegbusi A, Tella A, Akinbo S (2011) Predictive factors for flatfoot: the role of age and footwear in children in urban and rural communities in South West Nigeria. Foot 21:188–192
Redmond AC, Crane YZ, Menz HB (2008) Normative values for the Foot Posture Index. J Foot Ankle Res. https://doi.org/10.1186/1757-1146-1-6
Evans AM (2011) The paediatric flat foot and general anthropometry in 140 Australian school children aged 7-10 years. J Foot Ankle Res. https://doi.org/10.1186/1757-1146-4-12
Atamturk D (2009) Relationship of flatfoot and high arch with main anthropometric variables. Acta Orthop Traumatol Turc 43:254–259
Woźniacka R, Bac A, Matusik S, Szczygieł E, Ciszek E (2013) Body weight and the medial longitudinal foot arch: high-arched foot, a hidden problem? Eur J Pediatr 172:683–691
Davda K, Malhotra K, O’Donnell P, Singh D, Cullen N (2017) Peroneal tendon disorders. EFORT Open Rev 2:281–292
Bohman L, Baravarian B (2017) Keys to diagnosing and treating peroneal tendon dysfunction. Pod Today 30:66–69
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Bafor, A., Chibuzom, C.N. Foot and ankle abnormalities among a cohort of Nigerian school children: an epidemiological study. International Orthopaedics (SICOT) 44, 1169–1175 (2020). https://doi.org/10.1007/s00264-020-04568-z
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DOI: https://doi.org/10.1007/s00264-020-04568-z