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Sonographic Investigation of the Pediatric Navicular:

An Exploratory Study in Four-Year-Old Children

School of Physiotherapy and Podiatry, University of South Australia

Sheila D. Scutter, BSC(APP), GRADDIPPHYSIO, MED, PHD

School of Physiotherapy and Podiatry, University of South Australia.

Hala Iasiello, BSC, DIPAPPSC(RADIOGRAPHY), MMEDSONOGRAPHY

School of Medical Radiation, University of South Australia.

Exploring the structures of the pediatric foot may guide both clinicians and researchers toward better examination techniques. The navicular is the last foot bone to complete ossification and a crucial component of the medial column of the foot. This study explores the developing morphology of the navicular in a sample of four-year-old children using nonionizing sonographic imaging. Correlation was found between the length of the foot and the length of the navicular, with inverse correlation between navicular length and the depth of the navicular from the skin surface. There is preliminary suggestion of a critical foot length at which navicular palpation (and hence associated clinical measures) becomes more accurate. It appears that young children's feet require a different examination approach from more skeletally mature foot structures.

Key Words: navicular • foot • sonography • pediatric

References

• 1.Tachdjian MO: Clinical Pediatric Orthopedics: The Art of Diagnosis and Principles of Management. Stamford, CT, Appleton & Lange, 1997.
• 2. Saraffian SK: Anatomy of the Foot and Ankle: Descriptive, Topographic, Functional. 2nd ed. Philadelphia, Lippincott, 1993.
• 3. Keenan A-M: A clinician's guide to the practical implications of the recent controversy of foot function. J Am Podiatr Med Assoc 1997;31(3):87-93.
• 4. Cappello T, Song KM: Determining treatment of flatfeet in children. Curr Opin Pediatr 1998;10:77-80.[Medline] [Order article via Infotrieve]
• 5. Staheli LT: Planovalgus foot deformity. J Am Podiatr Med Assoc 1999;89(2):94-99.[Abstract]
• 6. Kalen V, Brecher A: Relationship between adolescent bunions and flatfeet. Foot Ankle 1988;8(6):331-336.[Medline] [Order article via Infotrieve]
• 7. Landorf KB, Keenan A-M: Efficacy of foot orthoses: what does the literature tell us? J Am Podiatr Med Assoc 1998;32(3):105-113.
• 8. Leung AKL, Mak AFT, Evans JH: Biomechanical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot. Prosthet Orthot Int 1998;22:25-34.[Medline] [Order article via Infotrieve]
• 9. Rose GK, Welton EA, and Marshall T. The diagnosis of flat foot in the child. J Bone Joint Surg 1985;67B:71-78.
• 10. Diamond J, Delitto A: Reliability of a diabetic foot evaluation. Phys Ther 1989;69:797-801.
• 11. Dahle LK, Mueller M, Delitto A, Diamond JE: Visual assessment of foot type and relationship of foot type to lower extremity injury. J Orthop Sports Phys Ther 1991;14:70-74.[Medline] [Order article via Infotrieve]
• 12. Menz HB: Clinical hindfoot measurement: a critical review of the literature. The Foot 1995;5:57-62.
• 13. Kanatli U, Yetkin H, Cila E: Footprint and radiographic analysis of the feet. J Ped Orthop 2001;21(2):225-228.[CrossRef]
• 14. Evans A, Copper A, Scharfbillig R, Scutter S, Williams M: Reliability of the foot posture index and traditional measures of foot position. J Am Podiatr Med Assoc 2003; 93(3):203-213.[Abstract/Free Full Text]
• 15. Evans A, Scutter S, Iasiello H: Measuring the pediatric foot—A criterion validity and reliability study of navicular height in four-year-old children. The Foot 2003;13(2):76-82.[CrossRef]
• 16. Portney LG, Watkins MP: Foundations of Clinical Research: Applications to Practice. Upper Saddle River, NJ, Prentice Hall Health, 2000.
• 17. Blais MM, Green WT, Anderson M: Length of the growing foot. J Bone Joint Surg 1956;38A:998-1002.

Journal of Diagnostic Medical Sonography, Vol. 19, No. 4, 217-227 (2003)
DOI: 10.1177/8756479303252895


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Evans, A. M. Articles by Iasiello, H. Search for Related Content Social Bookmarking                         What's this?