Fallen ArchesWe inform them about the bend-acquired flat and make our interventions into the joint clinic before. The years of orthopedic experience and specialization allow a safe diagnosis and therapy stadienangepasste the rush by us.
What is a kink-foot vertical?
The normal foot is a structure which allows standing and walking. The normal form is represented by a longitudinal and a model Quergewölbe describe.
The name Knick-Senk-foot or kink-flat comes from deviations from the form follow.
From the front of the rear bend inwards from.
From the inside view toward decreasing the appearance Fußlängsgewölbe surface.
Other not on behalf of the misalignment occurring variation is a rotation seen from above the mid-and forefoot to Fußrand.
Here is acquired mainly occurring in adults Knick-described flat.
How is the Fußlängsgewölbe stabilized?
Simply described, the Fußwurzelknochen next to the stop band in particular by a stirrup-like sling kept. The underlying muscles on the lower send your tendons inside the inner ankle and around the outer ankle.
Inside lies the tendon of M. tibialis posterior in the inner leg Fußrand on Kahn, and that is located outside the tendon of M. peroneus longus, external to the midfoot and pulls the stirrup inside completes. Are also important for the pan band and the band complexes in the sole. 
When acquired kink-flat, there is an injury and a failure of the inner tendon. (M. tibialis posterior, hence the name tibialis posterior insufficiency). To defer the stirrup or the tendon sling, which supports the arch down. The external muscle faceted continue its action unfolds. The Fußlängsgewölbe drops from the forefoot, midfoot and glides through the Sehnenzug the Peronealmuskeln outwards.
What are the causes for an acquired Knick-foot-Senk we know?
A dysfunction of the tibialis posteriorsehne may be a chronic Entzüngung of the tendon sheath in the context of rheumatic disease arise. Furthermore, it seems that the unfavorable situation of the tendon behind the inner ankle to favor the disruption. May also injuries caused by accidents for mitauslösend 
the disease.
In addition to inflammation of the tendon sheath are inflammation of the tendon itself, partial tears or complete tears of the tendon was observed. There is an extension or a complete loss of function with the above consequences for the Fußlängsgewölbe.
Who is affected by the kink-acquired flat affect?
Affects outweigh women older than 50 years. Women diagnosed 3 times more frequently than men. The cause for this distribution is not known. Often there may be diseases such as diabetes mellitus, hypertension, or there will be many years cortisone medication.
How does the obtained kink-flat noticeable?Those affected often describe us in the history of pain in collection burden on the Fußinnenrand the Inneknöchel. To be part of the complaint with the localization of Fußinnenrand fingers around the ankle down to the lower leg showed extensive.
Frequently, only one ankle swelling, which are inside but also outside it can be identified.
Partly of course, also depend on the progress of the disease is the misalignment of the foot and the changes in recent months identified and described.
Regular is just a load of pain on Fußaußenrand indicated, before the outer ankle is shown.
In addition to these specific complaints from many women will only have a reduced walking distance and easy fatigability or weakness in the foot sued.
The growing misalignment can often also to the frequent changes of worn shoes can be observed. The inner edge of the shoes is propagated unilaterally dismantled, partially failed the footbed of the shoe by the misalignment and abnormal.
How to diagnose and analyze the misalignment?A detailed clinical examination by the experienced physician, as well as an X-ray examination of the foot under load ensures the diagnosis of acquired Knick-foot platform.
The unilateral occurrence may indicate the disease, but also emphasized the unilateral worsening of an existing flat.
The investigation is existing component malposition, swelling, tendon Druckschmerzhaftigkeit over the course of, or even on the outside Sinus Tarsi noted. Special tests such as the so-called too many toe sign and the single heel rise sign help us to further isolate suspected diagnosis.
An investigation of the adjacent Fußanteile, Physical examination of the joints, ligaments stability tests and tests of muscle strength also help delineate other diseases.
It is important that we examine Correctable malposition of the important statements on the treatment decision.
The X-rays will be measured under load and the so-called Metatarsotalare index. This misalignment can be quantified.
The medical examination and appropriate X-ray diffraction is responsible for the therapeutic decision-making is indispensable.
For personal contact, we are pleased to provide them.
How will the purchased flat-kink treated?
The acquired flat-kink is a function of the parameters collected initially treated conservatively.
A cortisone injection to the tendon on the inner ankle is not useful, because the tendon by this measure may also be weakened. Absolutely correct, the regulation of a deposit.
This insole should Fußlängsgewölbe support. You must be a significant rise on Fußinnenrand and should be stable in a shoe insert. A successful deposit supply is precisely because of this disease not only of the deposit, but highly dependent on worn shoes.
Other measures:
Physical therapy measures such as ultrasonic treatment, cold therapy.
Physiotherapy to strengthen the muscle is only partially useful.
Shoe care with a slight increase in inner edge can be added.
The supply will be monitored by us and in close cooperation with the orthopedic shoemaker optimized.
If the non-operative therapy is not sufficient. Read more about the operation of the kink-flat.