Early detection of podiatric anomalies in children with Down syndrome

Acta Paediatr. 2006 Jan;95(1):17-20. doi: 10.1080/08035250500325108.


Aims: To verify the importance of podiatric evaluation in patients with Down syndrome for the early diagnosis and treatment of minor orthopaedic problems.

Methods: Case-control study of 50 children affected by Down syndrome (aged 4-10 y) without major orthopaedic malformations compared to 100 healthy children. A complete podiatric examination was performed on all patients and controls.

Results: Children with Down syndrome showed several orthopaedic anomalies including bony deformity of the forefoot (90%), flat foot (60%), isolated calcaneal valgus (24%), knee valgus (22%) and pronated flat foot (16%). These abnormalities were responsible for postural alterations as confirmed by baropodometric examination.

Conclusion: The data demonstrated a greater incidence of minor orthopaedic alterations and suggest the necessity of regular podiatric examinations in the follow-up of this syndrome.

MeSH terms

  • Case-Control Studies
  • Child
  • Child, Preschool
  • Down Syndrome / complications*
  • Down Syndrome / pathology
  • Early Diagnosis
  • Female
  • Foot / pathology
  • Foot Deformities / diagnosis*
  • Foot Deformities / epidemiology*
  • Humans
  • Incidence
  • Italy / epidemiology
  • Joint Instability / complications
  • Male
  • Muscle Hypotonia / complications