Flat Feet and Its Impact on Military Physical Exams - Orthopedics

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Please ask questions regarding the military service physical examination?


Hello, doctor.
I have a small question I would like to ask...
According to the standard classification table in the attachment, items one, two, and seven state: "Flatfoot with significant eversion or prominent medial aspect of the foot originating from the inward rotation of the talus." I would like to know what is meant by "prominent medial aspect of the foot originating from the inward rotation of the talus." Could you please take some time to help me clarify this? Thank you.

Bianpingzu bei yan tui de A Rong, 20~29 year old female. Ask Date: 2004/10/07

Dr. Luo Zhaozhong reply Orthopedics


Hello: This refers to flatfoot combined with a prominent accessory navicular bone (an extra piece of navicular bone), which can affect the comfort of wearing shoes.
Sincerely, Dr.
Luo Zhao-Chung, Orthopedic Surgeon.

Reply Date: 2004/10/07

More Info


Flat feet, or pes planus, is a common condition characterized by the flattening of the arch of the foot, which can lead to various complications, especially in physically demanding situations such as military service. Understanding how flat feet can impact military physical exams is crucial for those undergoing assessments for enlistment or service.

The term "足蹠內側顯著突出起於距骨向內轉向" translates to "the significant protrusion of the medial aspect of the foot arising from the inward rotation of the talus." This description refers to a specific anatomical alignment and positioning of the foot bones, particularly the talus, which is a key bone in the ankle joint. In individuals with flat feet, the arch collapses, causing the talus to tilt inward, which can lead to an outward rotation of the foot. This misalignment can result in a range of symptoms, including pain, instability, and difficulty with physical activities.

In military physical exams, flat feet can be assessed based on their severity and associated symptoms. The presence of flat feet alone does not automatically disqualify an individual from military service; however, if the condition is accompanied by significant foot deformities, such as excessive pronation (foot rolling inward) or associated pain, it may lead to a classification that could affect enlistment eligibility. The military typically uses specific criteria to evaluate the impact of flat feet on an individual's ability to perform required physical tasks.

For instance, if flat feet are accompanied by conditions such as excessive foot pronation or associated pain during physical activity, this may lead to a classification of "unfit for service." Conversely, if an individual has flat feet but does not experience significant discomfort or functional limitations, they may still be deemed fit for service.
It's also important to note that flat feet can lead to secondary issues, such as shin splints, plantar fasciitis, or knee pain, which can further complicate an individual's ability to meet the physical demands of military training and service. Therefore, a thorough evaluation by a medical professional is essential to determine the extent of the condition and its potential impact on military duties.

In summary, flat feet can influence military physical exams based on their severity and associated symptoms. The specific criteria for classification will depend on the individual's overall foot mechanics and any related discomfort. If you have flat feet and are concerned about your military eligibility, it may be beneficial to consult with a healthcare provider specializing in orthopedics or sports medicine. They can provide a comprehensive assessment and recommend appropriate interventions, such as orthotic devices or physical therapy, to help manage symptoms and improve foot function.

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