Abstract of this year's Bauman lecture:
The management of flexible flat feet in children remains controversial. The majority of children with flat feet have no symptoms or physical limitations. However, some children develop symptoms of varying severity and this affects their quality of life as measured by the Oxford Foot and Ankle Children’s Questionnaire. The development of symptoms and physical limitations does not always correspond to the severity of the deformity as assessed clinically. Kinematic analysis of children with flexible flat feet using the Oxford Foot Model showed that some aspects of forefoot motion are mostly associated with increased disability. MRI studies showed that anatomical changes in the subtalar joint may be related to increased navicular drop. Associating the level of symptoms and disability to specific morphological and functional characteristics in these children is likely to throw more light into our understanding of the condition and its management.