The Human Medial and Lateral Longitudinal Arches of Foot and its Clinical Relevance
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Abstract
Introduction: Defects or deformities of the medial longitudinal arch of the foot can
newlinelead to clinical consequences, one such example is pes planus, also known as pes valgus
newlineor flat foot. This condition demonstrates the loss of the medial longitudinal arch it can
newlinebe congenital or acquired. Most infants are born with flat feet and develop normal
newlinearches by the age of 6. The most common cause of congenital pes planus in children is
newlineflexible pes planus this is when the arch appears normal without weight-bearing and
newlinedisappears with weight-bearing. The medial longitudinal arch plays a critical role in
newlineshock absorption and propulsion of the foot while walking to comprehend the function
newlineof the medial arch, the gait cycle must be understood. As the heel strike the ground, the
newlinefoot is supinated, and ten it enters the stance phase. During mid stance the medial
newlinelongitudinal arch is lengthened and flattened due to pronation of the forefoot. Elastic
newlinetendon and ligaments that become stretched during this phase store mechanical energy.
newlineOnce the medial arch reaches its maximum length, it then begain to shorten until the
newlineheel leaves the grond during terminal stance. The medial arch becomes shortened and
newlineheightened just before the toes leaves the ground due to the supination of the hindfoot
newlineand elastic recoil of tissue (arch recoil). During this phase, the mechanical energy that
newlinewas stored in release back to the body as power for the propulsion of the foot during the
newlinegait cycle. The anterior pillar of the medial longitudinal arch act as a springboard during
newlinethe takeoff of the foot. The Lisfrac joint (of midfoot) also play a role in prolusion by
newlineallowing minor planterflexon and dorsiflexon. While the foot is in the air, it is in swing
newlinephase.
newlineAims and objectives: To find out the morphometry of human medial and lateral
newlinelongitudinal arch, to find out normal values of foot arches and too find out of any
newlinerelationship between the ratio of the arch height and length. Objectives are to find
newlineArch height o