What common foot and ankle problem is often seen in children with Down syndrome?

Pes planus, commonly known as flat feet, is frequently observed in children with Down syndrome due to the musculoskeletal characteristics associated with the condition. Children with Down syndrome often have generalized hypotonia (decreased muscle tone), which can lead to a lack of support for the arches of the feet. Consequently, the arches may collapse, resulting in pes planus. This condition can affect gait and balance, making it important for caregivers and healthcare providers to monitor and address any potential mobility issues.

In contrast, conditions like high arches, clubfoot, and plantar fasciitis are less commonly associated with Down syndrome in young children. High arches are more often a structural deformity that is less prevalent in this population, while clubfoot is a specific congenital deformity that may not specifically relate to the typical presentations found in children with Down syndrome. Plantar fasciitis is an inflammatory condition usually seen in adults and older children due to repetitive strain, and it’s not a common issue in the pediatric population, particularly not in those with Down syndrome. Thus, pes planus stands out as the most relevant and prevalent foot condition seen in these children.