Friday's Facts 060812: Feet

Children with Down Syndrome can experience a wide array of orthopedic issues.  This is due to their tendency for loose ligaments and hypotonia (decreased muscle tone).  This can include: scoliosis, joint dislocation, hop and knee cap instability, weak ankles and problems with the feet such as flat foot and 'metatarsus primus varus'.

FLAT FEET is seen in the majority of people with Down Syndrome.  Flat feet is a condition in which the arch of the foot 'collapses.'  Most flat feet do not cause pain or other problems.  In children, the diagnosis of flat foot is often not determined until the child reaches the age of 4-6. 



METATARSUS PRIMUS VARUS is also very common in people with Down Syndrome.  The condition is explained as the front part of the foot, behind the big toe, bends inward.  Most cases can be treated with orthotics.



ORTHOTICS:  There are two prominent types of orthotic shoes that are widely used for children with disabilities.  They are:

• PIEDRO BOOTS are designed for children who need an extra arch or ankle support.
• RICOSTA is a leading German brand of children's shoes.  They are made of high quality leather and have lightweight soles.

         

Additionally, people with Down Syndrome often have slightly shortened toes, small wide feet, and/or a slightly enlarged gap between the big and second toe (as shown here):

         
*pics obtained from the Internet *

It's amazing how one little extra chromosome, can alter something like a foot :)