Rosa Dominguez-Oronoz MD, Presenter: Nothing to Disclose

Maria Pardo-Antunez, Abstract Co-Author: Nothing to Disclose

Xavier Merino-Casabiel MD, Abstract Co-Author: Nothing to Disclose

Sarai Roche, Abstract Co-Author: Nothing to Disclose

Victor Sanchez Pineda MD, Abstract Co-Author: Nothing to Disclose

Rosa Busquets, Abstract Co-Author: Nothing to Disclose

Review the anatomical structures which have an important role in the stabilization of the foot plantar arch and the physical examination. Review the pathogenesis that causes flat foot on adults and the new classification (RAM). Recognize MRI findings associated with clinical AAFF .

The adult acquired flatfoot (AAFF) is a relatively multifactorial common disorder characterized by findings as plantar flexion of the tallus, medial arch collapse, valgus hindfoot and forefoot abduction. Although posterior tibial tendon (PTT) dysfunction is the most common cause of this entity we must consider that other structures can also bring it on (Spring and talocalcaneal interosseus ligaments). Therefore, the deformity may affect different zones around the foot and ankle (rearfoot, ankle, and midfoot) in various ways and degrees in different patients. We exhibit the new classification of AAFF :RAM, wherein each level of deformity is assessed and graded independently of each other, both clinically and radiographically. MRI is an important tool in the evaluation of AAFF, providing valuable information to correctly classify and understand its pathogenesis. Furthermore, detection of the injured anatomical structures is essential for selecting an appropriate surgical treatment.

http://abstract.rsna.org/uploads/2014/14011088/14011088_mkkc.pdf

Dominguez-Oronoz, R, Pardo-Antunez, M, Merino-Casabiel, X, Roche, S, Pineda, V, Busquets, R, Clinical and Radiological Management of the Acquired Adult Flatfoot.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011088.html