ABSTRACT

In spite of these clinical controversies when using standard radiographic measurements, clinicians continue to apply these measurements to assess children who are able to walk.

Radiographs provide a method to evaluate the structure of the foot during weight bearing. However, these static measurements more accurately represent the anatomical alignment rather than the function of the foot during gait. In previous studies by Cavanagh et al.,

it was reported that the arch height expressed by the first metatarsal inclination (lateral view) was one of the dominant factors in predicting

peak pressures under the heel and the first metatarsal head during walking. Our data on the residual clubfoot did not support this correlation between the lateral talusfirst metatarsal angle and peak pressures. This study was done by comparing radiographs and EMED

plantar pressure results of 61 idiopathic clubfeet in 39 children at an average of 8 yr-status post complete subtalar release.