Do people with pronounced flat feet join the army? Which troops accept people with flat feet?

Not every parent with newborn sons thinks about the need to perform plantography and x-rays on the child in advance and identify arthrosis and scoliosis for military service. As it turns out, a boy needs to treat such a foot pathology with great care. early age, since legislators in leading countries - Russia, Ukraine and Belarus - annually change and tighten the requirements for the health of conscripts. According to the requirements, those who were previously given an exemption from conscription and enrolled in the reserves are not exempt from conscription.

But small child Recognizing the presence of flat feet is not so easy. The younger the child, the more his foot prints will resemble 1-2 tbsp. flat feet. IN preschool age It is better to conduct an examination directly with an orthopedic surgeon. He will be able to more accurately diagnose and prescribe treatment.

Already from the first steps of the child, you need to pay attention to, as well as scoliosis:

  1. turning the toes of the feet outward (“clubfooted walking” or) and the inability to maintain a parallel position of the legs and feet due to muscle weakness;
  2. offensive internal part feet, which makes the gait unique and noticeable;
  3. misalignment of the shoulders and pelvis, stoop and curvature of the spine.

Closer to conscription age, parents and teenagers themselves are concerned about the question of whether they are being drafted into the army with arthrosis and 2nd degree scoliosis. In their legislative documents as of January 1, 2014, the leading countries: Russia, Ukraine and Belarus were unanimous on issues relating to 1-3 degrees of flat feet and the conscription of boys into the army. The article on foot deformities states that only 3-4 tbsp. flat feet are unavoidable. Category B-3 is replenished with diseases of the 2nd degree: deforming arthrosis and flat feet.

For guys with flat feet and varying degrees of complexity of the disease, putting a lot of stress on their legs, walking and running a lot is contraindicated. However, neither legislators nor the army take these contraindications into account. Therefore, the ranks of the army are replenished with stooped conscripts with 2nd degree scoliosis without dysfunction, which requires treatment even in adolescence, dystrophy and encephalopathy, and not only with 1 and 2 and arthrosis.

When conscripts undergo a medical examination, doctors at military registration and enlistment offices do not detect diseases, and guys with scoliosis, arthrosis and flat feet are not sent to clinics for examination in order to have grounds to release them and not conscript them into the army. The medical commission only conducts an examination, but does not make a diagnosis. Before coming to the military registration and enlistment office, conscripts must be examined by doctors for a year and have with them all the necessary certificates and a package of documents, which will provide the basis for the military registration and enlistment office to conduct a more thorough examination of diseases: arthrosis, flat feet and scoliosis.

How is foot disease classified in the army and what do diagnoses include?

The army classifies the disease into 4 degrees, according to which it assigns conscripts to groups.

Group “A” includes flat feet with the presence of serious functional disorders. The conscript is included in category “D” and due to his unfitness for service, he will not be drafted into the army.

The diagnosis includes such foot deformities as complete, cauda equina, calcaneal and varus, equinovarus and plano-valgus due to trauma or diseases that prevent the use of military shoes for wearing.

Group “B” includes conscripts from the 3rd-4th grade. transverse or 3rd art. with moderate functional impairment: exostoses (spike-like benign bone and cartilaginous formations on the surface of the bone), severe pain, arthrosis in the center of the foot and contractures of the toes. The diagnosis includes the above-described degrees of flat feet.

Such conscripts are classified as category “B” and sent to the reserve with a military ID, as being of limited fitness (unfit in peacetime). During hostilities, they are drafted into the army.

Group “B” also includes guys with flat feet if there is a slight functional impairment of the legs (ankles). Namely: there are no symptoms of arthrosis (deformation of the bone joints of the center of the foot) and valgus alignment calcaneus with longitudinal flatfoot of 2-3 degrees. In addition to grade 2 flat feet, the diagnosis includes grade 2. arthrosis and scoliosis. Such conscripts are also classified as category “B” and are not accepted into the army in peacetime.

Group “G” includes conscripts with transverse or longitudinal flat feet of the 2nd degree, which is objectively confirmed visually and by photograph. They will be in the “B-3” category; they will be drafted into the army, but not into all branches of the military. The diagnosis includes osteoarthritis, arthrosis, deforming arthrosis of the 1st stage. without exostosis and contracture of the fingers at 1-2 tbsp. flat feet.

Diagnosis confirmation

To confirm all degrees of the disease along with associated pathologies The conscript is sent for an x-ray and a photograph of the feet is taken on both legs (standing) in a side and straight view. Next, the radiograph is studied and the pathology of the foot is classified, assigned to a certain degree of deformity and group. Only an orthopedic surgeon can determine the degree of pathology. The military commissar must determine, in accordance with the doctor's diagnosis, the level of suitability of the conscript for the army.

TO longitudinal flatfoot relate:

  • The first degree with an internal longitudinal arch with an angle of -131-140˚ and a height of 25-35 mm.
  • The second degree – with an angle of 141-155˚ and a height of –17-24 mm.
  • Third degree - with an angle of 155˚ and a height of up to 17 mm.

The army takes guys with 1-2 degrees of flat feet, but in peacetime they don’t take guys with 3 degrees.

Transverse flatfoot includes:

  • The first degree with the angle of the 1st and 2nd metatarsal bones is 10-12˚, the angle of deviation of the first toe is 15-20˚. Fitness category – “A”.
  • Second degree at an angle of 12-15˚, the thumb deviates at an angle of 20-30˚. Fitness category – “B-3”.
  • Third degree at an angle of 15-20˚, the thumb is deviated by 30-40˚. Fitness category – “B”.
  • Fourth degree at angle – from 20˚, angle thumb- from 40˚.

Flat foot against the background of arthrosis of the joints

With arthrosis of the center of the foot, the tissues of the cartilages that connect the joints become inflamed and destroyed, this leads to pain, contractures of the fingers, exostoses against the background of longitudinal or transverse flatfoot of the 3rd degree. Therefore, conscripts are not taken into the army.

Stages of arthrosis:

  1. The first is that the joint gap is narrowed to 50%, bone growths from the edge of the joint gap are less than 1 mm.
  2. The second – the gap is narrowed by more than 50%, the growth is more than 1 mm. There is deformity and subchondral osteosclerosis at the ends of the joints where the bones articulate.
  3. Third - the joint gap is absent on x-ray, marginal bone growths are pronounced, gross deformation and subchondral osteosclerosis are present.

As for the second degree of scoliosis, with the absence of functional impairments, conscripts have been accepted into the army since 2013, which is permitted by the Regulations on Military Medical Examination, approved by the regulations of the Russian government. What will it be spring call 2015, worries parents and their sons. Many parents are against their sons being drafted into the army. The conscript male generation is also looking for different ways to avoid service. Those who enroll in studies, which they do not leave for years, those who are ready to pay off. But the good news is that there are still those who want to fulfill their civic duty.

With what kind of flat feet will they not be allowed to serve?

5 (100%) 1 vote

Many residents of Russia are sure that young men with flat feet are not suitable for military service. What the situation is like in 2019, whether people with flat feet are recruited into the army, and where the common myth came from is worth understanding in detail.

Documentary base

Issues related to the military service of citizens of the Russian Federation are regulated by the “Regulations on military medical examination.” It contains a list of diseases taken into account when entering the armed forces. In the document various diseases a “suitability category” is assigned. This letter indicator determines the degree to which the conscript’s health deviates from the norm.

  • A or – the young man is declared fit for military service.
  • IN- limited use.
  • G– temporarily unsuitable. The category is confirmed every six months/year.
  • D– the young man is given a military ID for health reasons.

According to Article 68 of the documentation cited above, even minor impairments caused by flat feet serve as grounds for deferment or exemption from service. This does not apply to all degrees of the disease. They are described in the comments to Article 68.

Establish fitness categories young man for service during an examination, which is carried out at the military registration and enlistment office. A conscript with flat feet takes with him documentation that confirms the presence of the disease. The diagnosis is made by a pediatrician or orthopedist. These doctors specialize in osteochondral changes.

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The degree of the disease is determined using the following methods:

  • Podometry. From the data obtained when measuring the foot, the coefficient is calculated.
  • Plantography. Most quick method– the conscript just needs to stand on the paper. A clear mark remains from a foot smeared with cream.
  • Radiography. Allows you to accurately determine the degree of progression of the disease.
  • CT scan. Identification of complications and changes in osteochondral structures.

The table below describes the characteristics of different degrees of the disease:

Degree of flat feet Characteristics
Thumb deflection, °Arch height, mmDepression angle, °Angle between bones, °
1 15-20 25-35 131-140 10-12
2 20-30 17-24 141-155 12-15
3 30-40 until 17more than 15515-20
4 more than 40 from 20

Taking these data into account, the degree of the disease is determined.

Flat feet 3rd and 4th degree

Regulation No. 123 on military medical examination identifies the degrees of flat feet that are grounds for exemption from service:

  • disease of the 3rd or 4th degree of the transverse type;
  • they are not accepted into the army with longitudinal flat feet of the 3rd degree, regardless of the presence of painful sensations;
  • 3rd degree flatfoot, accompanied by 2nd stage deforming arthrosis.

If these diseases are indicated in the medical report, the young man is considered to be of limited fitness, which implies the issuance of a military ID. The citizen is enlisted in the reserve. The young man will have to serve only when martial law is declared.

Important! If a young person is diagnosed with “deforming arthrosis” of the joints of the foot, he does not fall under the exemption under Article 68. However, if there is a 3rd degree of flatfoot, category “B” is classified.

If foot deformity is diagnosed in childhood, signs of pathology are recorded in medical card. The documentation reflects the methods of treating the disease, their effectiveness and associated symptoms. These data make it possible to simplify the examination procedure at the military registration and enlistment office.

In order for a young man with grade 3 flat feet to be guaranteed, during various examinations it is important to indicate in the documents whether there was any pain. If they exist, the doctor should record the complaints in outpatient card. This will make the likelihood of category “B” as high as possible. If a different category is determined, the decision of the draft commission can be appealed much easier.

Flat feet 2nd degree

For 2019, the “Schedule of Diseases” states that young men with this degree of illness are fit for military service. In this case, some restrictions are established. A conscript cannot serve in selected branches of the military, such as the special forces of the GRU General Staff or the Airborne Forces. For other places the young man is suitable. Since there are more than 80% of them, a young man with second-degree flat feet is definitely called up.

The times when a conscript could not serve with 2nd degree flat feet in Russia are over. Lawmakers do not plan to change this provision in the near future.

Flat feet 1st degree

Since the first degree of the disease is easier than the second, young men with this diagnosis are also taken into the army. According to regulatory documentation, 1st degree flatfoot does not serve as a basis for releasing a young man from the army.

It was compiled in such a way that it included diagnoses that actually prevented service in the army. If the disease cannot become complicated and negatively affect the health of the conscript, he falls into the “fit” category.

Is it worth treating

Flat feet are an abnormality of the limbs, either congenital or acquired. Flattening of the foot can be longitudinal, transverse or mixed. Because the main function stop is a softening during movement, improper load distribution can cause severe pain symptom. It spreads from lower limbs to other areas of the motor system.

With timely correction, a person gets rid of serious complications. If you do not pay attention to treatment in time, you may need the help of a surgeon in the future. If you ignore the symptoms of flat feet, severe pain appears, and it becomes more difficult for a person to move.

Treatment of flat feet in the army

Thanks to the improvement military uniform even young men with flat feet feel comfortable in different situations. Tarpaulin boots were replaced with ankle boots. For better fight orthopedic insoles are used to treat the disease. They support the foot well, relieving the load on the longitudinal and transverse arches.

Insoles are selected depending on body type. They are worn daily, even after the army, for prevention. It is recommended to maintain ankle boots in good condition. The sole should not be worn down. IN otherwise the insoles will be useless and even harmful.

Another treatment method involves self-massage before bed. Blood circulation in the foot improves, which allows you to restore normal level functionality.

Exercises for the treatment of 1st degree flat feet:

  • first pull your socks away from you, then pull them towards you;
  • collect objects with your feet;
  • rotate your feet;
  • walk on heels and toes.

When grade 2 flatfoot progresses, the serviceman goes to the medical unit. As the pain increases, the young man is discharged from the army to be referred to an orthopedist. Sometimes surgery necessary to eliminate the consequences of the disease.

conclusions

The question “are people with flat feet of 1st and 2nd degrees accepted into the army” can be answered positively. Such ailments are considered mild and serve only as a restriction on enlistment in elite troops. With flat feet of the 3rd and 4th degree, the young man receives a military ID for health reasons. When diagnosing a disease in adolescence, it is important to pay attention to pain syndrome. If there is one, it is recorded in the medical questionnaire. Helps avoid the development of pathology special exercises and wearing orthotics. As the disease progresses, the serviceman is sent for examination and treatment.

If a young man has grade 2 flat feet, will he be accepted into the army with this diagnosis? Some conscripts and their parents consider flat feet a sufficient reason not to join the armed forces. But during the examination, doctors render a different verdict: he is fit for military service. Why do the opinions of the parties not coincide? Yes, there is reason to suspect flat feet in cases where a recruit’s legs hurt after a long walk, and massage does not bring relief. But final diagnosis must be installed by a professional.

The army is for guys real school life. However, can a young man cope with increased physical activity if he is diagnosed with level 2 flat feet? Is a deferment from the army required in this case? Doctors also ask themselves these questions when drawing conclusions about suitability for combat service. Because if an accident occurs in a military unit due to the negligence of a doctor, then he will have to answer. But commanders are not very happy when lame and sick people are sent to their service.

How does the disease affect the patient's health?

Flat feet is a deformity of the foot with an arch. The disease in many cases is acquired and not hereditary. It can develop for many reasons:

  • from work, standing;
  • if you wear the wrong shoes;
  • when a person suffers from obesity.

Symptoms of flat feet include the following:

  • pain when walking;
  • limbs cramp;
  • shoes wear out quickly on the inside;
  • the foot widens in the toes;
  • legs tingle if you have to walk a lot.

Professional orthopedists distinguish the following types of foot deformities:

  • transverse flatfoot causes deformation of the finger bones;
  • rachitic with acute shortage vitamin D;
  • traumatic occurs as a result of fractures of the leg bones;
  • paralytic occurs when the muscles of the foot are paralyzed;
  • longitudinal is characterized by a change in the inner arch of the foot.

There are the following degrees of flat feet:

  1. Flatfoot of the 1st degree is diagnosed if the angle of deviation from the norm of the first toe is less than 20 degrees. With this diagnosis, a person gets tired when he does heavy physical activity or walks for a long time. So-called corns form under the fingers (2 - 4).
  2. Flat feet of 2nd degree is called moderate. The finger is deviated from normal position within 20 - 35 degrees. The patient often experiences pain and burning sensations in the feet. It is difficult for a person to walk constantly in shoes. There are seals on a large surface of the sole.
  3. Level 3 flatfoot is a deviation of the toe by 35 - 50 degrees. The thumb seemed to be dislocated. The patient's pain is constant. Corns take up even more space. The disease can be complicated by the development of bursitis - inflammation of the periarticular bursa.
  4. Level 4 flat feet are diagnosed when the toe deviates more than 50 degrees.

Only a doctor can determine the degree of flatfoot. medical institution. Finding out at home if you have a problem with your feet will help diagnostic method plantography. Apply paint to the sole and stand on a white sheet. If there is a faint imprint on the inside of the foot, you should make an appointment with a doctor. Professional specialist will send you for an x-ray and measure the angle of deviation.

Combined flatfoot is diagnosed when the disease has signs of both longitudinal and transverse flatfoot.

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Will a young man with level 2 flat feet be drafted into the army?

Parents of young people of military age are interested in whether they will be accepted into the army if they have 2nd degree flat feet. Flat feet of the 3rd or 4th degree is the cause of severe pain, and standard shoes are not suitable for patients with this disease. It will be difficult for such a young man to carry out physical exercise.

If, during a medical examination, a conscript is diagnosed with flat feet of the 1st and 2nd degrees, he will be called up for service. Severe pain syndrome is observed with longitudinal flatfoot of 3rd degree and transverse flatfoot of 3rd or 4th degree. In this case, the disease is accompanied by other serious problems:

  • pain syndrome;
  • arthrosis of the joints;
  • contracture of the toes.

A man or youth with grade 3-4 flat feet is given a military ID. He is included in the reserve, where the entry “limited use” is placed. With flat feet of 2nd degree, fitness category B-3 is issued. This is mainly a non-combatant service. A man in the army can serve as a builder, a janitor or a cook. Flat feet are confirmed by x-ray. To determine the extent of the disease, the Friedland podometric method is used. According to it, the height of the foot should be multiplied by 100 and divided by the length of the foot. A result between 29 and 31 is considered the norm.

An X-ray of the foot will show pathological changes. For longitudinal flat feet:

1st degree - the arch angle is 131 - 140 degrees, the height of the arch is 25 - 35 mm. There is no deformation of the foot bones.

2nd degree - the arch angle is 141 - 155 degrees, the height of the arch is 24 -17 mm. The following changes can be seen on the x-ray: the talus bone becomes shorter, the neck is not pronounced. On the dorsum of the foot, in the place where the ligamentous apparatus is located, there are changes characteristic of deforming arthrosis. Pathologies can also occur in the area of ​​the talonavicular joint.

Grade 3 - The arch angle is 156 degrees or more, and the arch height is below 17 cm. The protrusion on the surface of the heel bone increases greatly. The transverse arch becomes flat. The heel deviates.

With transverse flatfoot, which we know by the growth of “bones” on thumbs, the following changes are observed:

  • 1st degree - angle between metatarsal bones: 1 and 2 is 10 -12 degrees.
  • 2nd degree - the angle between the metatarsal bones: 1 and 2 is 13 -15 degrees.
  • 3rd degree - the angle between the metatarsal bones: 1 and 2 is 16 -20 degrees.
  • 4th degree - the angle between the metatarsal bones: 1 and 2 is more than 20 degrees.

Flat feet are a common reason for recognizing young men of military age as having limited fitness. However, second-degree flatfoot is not considered a basis for establishing this fitness category, so people with this disease are usually called up. Conscripts who have been diagnosed with flat feet during the passage medical commission“B” is established, which prescribes certain restrictions when performing relevant duties to, but does not completely relieve them.

Legal regulation

Flat feet of the second degree corresponds to paragraph 68 of the Schedule, which is an appendix to the Regulations on military medical examination, approved by the Government of the Russian Federation. This paragraph contains the following subparagraphs:
a) flat feet, other foot deformities with significant dysfunction;
b) flat feet associated with moderate impairment functions;
c) foot deformities, flat feet with minor dysfunction;
d) objective data that does not indicate dysfunction.

Compliance of a conscript’s illness with the first named subparagraph entails complete exemption from military duties, that is, such a conscript is assigned category “D” - unfit for service. Identification of the second or third subparagraphs at the medical commission leads to the establishment of category “B” - limited to military service. In this case, you won’t have to join the army either.

What category does second degree flatfoot belong to?

Flat feet of the second degree always refers to the last subparagraph of paragraph 68 of the Schedule of Diseases, which is expressly indicated in the explanations contained in this. In this case, the specific type of this disease does not matter, since longitudinal and transverse flatfoot of this degree do not cause dysfunction. That is why, in the presence of this disease, a conscript can only count on the establishment of category “B”, which does not exempt him from direct execution military duty. In this case, flat feet of the third or fourth degree is an unconditional basis for exemption from service, since such a person, upon undergoing a surgical examination, is recognized as limitedly fit for the army.

Upon reaching adulthood, almost every young person is interested in whether they will be accepted into the army with flat feet, which flat feet will be accepted, and which will be subject to a deferment. This pathology is quite common. At different degrees As the disease progresses, the severity of a person’s condition differs. But anyway increased loads on the foot are contraindicated; you should also not run with flat feet. But it is impossible to serve in the army without performing regular physical activity. In addition, treatment is necessary for flat feet, as the disease can lead to complications. The patient must wear orthopedic shoes or insoles. This explains why people with flat feet are not accepted into the army.

The legislative framework

The legislation of his country will help you figure out whether a young man will be drafted into the army or not. In Russia, this is regulated by Regulation No. 123 of February 25, 2003. This document contains diseases that make a person unfit for military service. Flat feet is a disease musculoskeletal system, information about which is described in detail.

In Ukraine, it is also necessary to refer to the “Disease Schedule”; flat feet are indicated in the section devoted to diseases of the musculoskeletal system and connective tissue- Article No. 62. The latest current edition is dated August 14, 2008.

In Belarus, conscripts will be helped by a document approved by Decree of the Ministry of Self-Defense and the Ministry of Health No. 51/170 of December 20, 2010. Regarding flat feet, information is provided in Article No. 68 “Instructions on determining health requirements. "

In any of these documents, the same information is indicated regarding conscripts with stage 1, 2 and 3 disease. This is apparently due to the fact that the view of the suitability of conscripts in these countries takes its roots from the legislation of the USSR.

Most often, conscripts are interested in whether they are accepted into the army with grade 3 flat feet, since this disorder is quite serious. Sections on diseases of the musculoskeletal system include information about whether scoliosis can be treated.

Division of flat feet into groups in army medicine


The disease is divided into 4 groups. Whether a person’s disease belongs to one group or another depends on what degree of disease is diagnosed, as well as the presence of concomitant pathologies. Group “A” corresponds to a person’s condition associated with serious functional changes caused by flattening of the arch of the foot. In this case, the person is classified as category “D,” which means he is unsuitable for military service.

Group “B” includes the patient’s condition and degrees of flatfoot, in which the functions of a person’s foot are moderately impaired

Conscripts with such violations are classified as category “B”. This means that due to health reasons the person is not fit for service in peacetime (limited fit). A person with such a violation can be called up for service only in the event of military action. Group "B" places a person in the same category "B".

If the disorder belongs to group “D”, this means that the pathology is present, but no functional disorders have been detected. In this case, the conscript is assigned to category “B-3”. This means that the person is fit for military service, but the legislation of Russia and Belarus provides for the exclusion of certain branches of the military.

Degrees of development, types of flat feet and their relationship with groups


To determine the degree of flatfoot and place accurate diagnosis, the doctor must consider the following factors:

  1. X-ray. Diagnostic procedure carried out in a standing position when the foot is under load. After receiving the image, the radiologist writes a description of it - this is the basic information on the basis of which the doctor can determine whether a person is fit or not. The description indicates the angle and height of the longitudinal arch.
  2. Determination of the Böhler angle. This indicator indicates the degree of deformation of the heel bone.
  3. CT scan. The study is carried out in the coronal plane. As a result, it is possible to study the condition of the subtalar joint.
  4. Study of the position of the first toe and its metatarsal bone. This value is determined by the angle of deviation from the normal position.

The different types of diagnosis of flat feet depend on many associated factors. Conscription is possible if the person’s condition is compatible with physical activity. They distribute diagnoses and decide whether they can be recruited into the army into the following categories:

  1. 1st and 2nd degree flat feet, developing against the background of 1st degree deforming arthrosis. The diagnosis is classified in this category if the person does not have contracture of the fingers and exostoses.
  2. Flat feet of the 2nd degree, accompanied by arthrosis of the second degree.
  3. With third degree flat feet.
  4. Flattening of the foot, which makes wearing military boots impossible. This category includes plano-valgus foot, equinovarus flatfoot, varus, equine, hollow, calcaneal.

This division shows that a person will be considered fit for military service if he is diagnosed with flat feet of the 1st or 2nd degree of the longitudinal or transverse type, which is not burdened concomitant diseases. In more severe cases a person can be released peacefully or war time- depending on the complexity of the disease.

An orthopedic surgeon should determine the degree of flatfoot and the complexity of the patient’s condition.

The diagnosis is made based on research. Only after a diagnosis approved by a doctor can the military commissar decide whether a person is fit or unfit for service.

Controversial issues


Sometimes conscripts are faced with controversial situations when a person is drafted into the army, although he has legal grounds not to serve. To such controversial situations relate:

  1. The military commissar decides that the conscript is fit without a preliminary diagnosis, only on the basis of the description of the photograph. If the doctor does not make a diagnosis, then this situation can be regarded as a refusal medical care. The conscript can complain to higher authorities and obtain a diagnosis.
  2. The doctor at the local clinic sends a conscript to the military registration and enlistment office when the question arises about whether someone with flat feet will be drafted into the army. In this case, you can also complain to the doctor to get treatment.
  3. There is a suspicion that the doctor deliberately makes a diagnosis that does not correspond to the actual state of health. Perhaps the doctor reduces the degree of development of the disease. In such a situation, a person can be considered fit even if he is actually unfit. It is best to go to another clinic for examination by another doctor. After receiving confirmation of a more complex diagnosis, you can file a complaint against the doctor, and as a last resort- sue.

A person with flat feet can only perform properly selected physical activities. Therefore, if a person’s health does not allow him to serve in the army, but the military registration and enlistment office decides that he is fit, then his rights must be defended. Running is not recommended even with pathology on one leg, if its degree is sufficient for the person not to serve.

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ATTENTION! All information on this site is for reference or popular information only. Diagnosis and prescription of medications require knowledge of the medical history and examination by a physician. Therefore, we strongly recommend that you consult a doctor regarding treatment and diagnosis, and not self-medicate.

Flat feet of the third degree and the army: are these things compatible?

Flat feet 3rd degree


Flat feet 2nd degree


Flat feet 1st degree


Conclusion


There is no point in thinking that a conscript will be released from the army because of flat feet diagnosed in childhood, because this requires that the diagnosis include the 3rd degree of this disease. A person suffering from this degree of disease knows about it. It is unlikely to be discovered by chance during an examination. Therefore, it makes sense to carefully study the Schedule of Diseases and carry out comprehensive examination body for potential diseases in a particular young man, and not start the examination by checking for flat feet, relying on rumors and misconceptions. In this matter, organizations whose profile is legal assistance conscripts. due to the fact that they cooperate with medical specialists who know the 2017 Schedule of Diseases at an expert level.

Comments:


Vladimir, St. Petersburg

The article contains all necessary information for conscripts with flat feet and arthrosis of the foot joints. Articles from the Schedule of Diseases on foot diseases are presented, as well as fitness categories corresponding to the severity of the diseases.

How is flatfoot diagnosed?

IN medical practice There are different requirements for diagnosing foot disease. When undergoing a military medical examination, to confirm the diagnosis of flat feet and the degree of deformation, X-rays of both feet are taken in frontal and lateral projections, performed under load (standing). Studying x-rays taken in two projections allows us to classify flat feet according to the type and degree of foot deformation.

Longitudinal flatfoot - Army


Longitudinal flatfoot is a deformity in which the foot touches the floor with most of the sole and the length of the foot increases (dropped arch).

People with longitudinal flat feet of the 3rd degree of any foot are not accepted into the army.

How are the degrees of longitudinal flatfoot determined?

The degree of longitudinal flatfoot is determined by a profile radiograph in a standing position under load.

Normally, the arch angle is 125-130 degrees, the height of the arch is 39 mm.

Degrees of longitudinal flatfoot - categories of suitability for military service

Longitudinal flatfoot 1st degree:

angle of the longitudinal internal arch: from 131° to 140°

vault height: from 35 mm. up to 25 mm.

Longitudinal flatfoot 2nd degree:

angle of the longitudinal internal arch: from 141° to 155°

vault height: from 24 mm. up to 17 mm.

Longitudinal flatfoot 3rd degree:

angle of the longitudinal internal arch: from 155°

vault height: up to 17 mm.

Transverse flatfoot - Army


Transverse flatfoot is a foot deformity in which there is a flattening of the transverse arch, support anterior section falls on the heads of all five metatarsal bones, the metatarsal bones diverge, and the length of the feet decreases; deformation of the 1st toe is also observed in the form of outward deviation, while middle finger deformed in a hammer shape.

Those with transverse flat feet of degree 3 or higher are not accepted into the army.

How is the degree of transverse flatfoot determined?

The degree of transverse flatfoot is determined by a radiograph of the fore and middle sections of the foot in a direct projection, performed under load (standing).

Degrees of transverse flatfoot - categories of suitability for military service

Article 68 of the Schedule of Diseases

Transverse flatfoot 1st degree:

angle between 1-2 metatarsal bones: from 10° to 12°,

First finger deflection angle: from 15° to 20°;

Transverse flatfoot 2nd degree:

angle between 1-2 metatarsal bones: from 12° to 15°,

first finger deflection angle: from 20 to 30

Transverse flatfoot 3rd degree:

angle between 1-2 metatarsal bones: from 15° to 20°,

First finger deflection angle: from 30° to 40°;

Transverse flatfoot 4 degrees:

angle between 1-2 metatarsal bones: from 20°,

angle of deviation of the first finger: from 40°;

Flat feet and arthrosis of the foot joints - Army


Arthrosis of the foot joints is a disease in which inflammatory processes soft tissues and destruction of cartilaginous (connective) tissues in joints.

Those with grade 3 transverse or longitudinal flatfoot and severe pain syndrome, exostoses, contracture of the toes and the presence of arthrosis in the joints of the midfoot are not accepted into the army.

How is the stage of arthrosis of the foot joints determined?

The stage of arthrosis is determined by x-rays of the foot; the narrowing of the joint space and marginal bone growths from the edge of the joint space are measured.

Stages of deforming arthrosis of the foot joints

Article 68 of the Schedule of Diseases

Arthrosis stage 1

Less than 50 percent narrowing of the joint space

Marginal bone growths not exceeding 1 mm from the edge of the joint space

Arthrosis stage 2

Narrowing of the joint space by more than 50 percent Marginal bone growths exceeding 1 mm from the edge of the joint space Deformation and subchondral osteosclerosis of the articular ends of the articulating bones

Arthrosis stage 3

The joint space is not visible on the x-ray. Pronounced marginal bone growths. Gross deformation and subchondral osteosclerosis of the articular ends of the articulating bones.

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Degrees of flat feet and conscription into the army

Not every parent with newborn sons thinks about the need to perform plantography and x-rays on the child in advance and identify the degree of flatfoot. arthrosis and scoliosis for military service. As it turns out, a boy needs to treat such a foot pathology from a very early age, since legislators in leading countries - Russia, Ukraine and Belarus - annually change and tighten the requirements for the health of conscripts. According to the requirements, those who were previously given an exemption from conscription and enrolled in the reserves are not exempt from conscription.

But in a small child, recognizing the presence of flat feet is not so easy. The younger the child, the more his foot prints will resemble 1-2 tbsp. flat feet. In preschool age, it is better to conduct an examination directly with an orthopedic doctor. He will be able to more accurately diagnose and prescribe treatment.

From the very first steps of a child, you need to pay attention to signs of flat feet. as well as scoliosis:

  1. turning the toes of the feet outward (“clubfooted walking” or valgus flatfoot) and the inability to maintain a parallel position of the legs and feet due to muscle weakness;
  2. stepping with the inner part of the foot, which makes the gait unique and noticeable;
  3. misalignment of the shoulders and pelvis, stoop and curvature of the spine.

Closer to conscription age, parents and teenagers themselves are concerned about the question of whether they will be recruited into the army with 3rd degree flat feet, complete with arthrosis, and 2nd degree scoliosis. In their legislative documents as of January 1, 2014, the leading countries: Russia, Ukraine and Belarus were unanimous on issues relating to 1-3 degrees of flat feet and the conscription of boys into the army. The article on foot deformities states that only 3-4 tbsp. flat feet are unavoidable. Category B-3 is replenished with diseases of the 2nd degree: deforming arthrosis and flat feet.

For guys with flat feet and varying degrees of complexity of the disease, putting a lot of stress on their legs, walking and running a lot is contraindicated. However, neither legislators nor the army take these contraindications into account. Therefore, the ranks of the army are replenished with stooped conscripts with 2nd degree scoliosis without dysfunction, which requires treatment in adolescence, dystrophy and encephalopathy, and not only with 1st and 2nd degree flat feet and arthrosis.

When conscripts undergo a medical examination, doctors at military registration and enlistment offices do not detect diseases, and guys with scoliosis, arthrosis and flat feet are not sent to clinics for examination in order to have grounds to release them and not conscript them into the army. The medical commission only conducts an examination, but does not make a diagnosis. Before coming to the military registration and enlistment office, conscripts must be examined by doctors for a year and have with them all the necessary certificates and a package of documents, which will provide the basis for the military registration and enlistment office to conduct a more thorough examination of diseases: arthrosis, flat feet and scoliosis.

How is foot disease classified in the army and what do diagnoses include?

The army classifies the disease into 4 degrees, according to which it assigns conscripts to groups.

Group “A” includes flat feet with the presence of serious functional impairments. The conscript is included in category “D” and due to his unfitness for service, he will not be drafted into the army.

The diagnosis includes such foot deformities as complete, cauda equina, calcaneal and varus, equinovarus and plano-valgus due to trauma or diseases that prevent the use of military shoes for wearing.

Group “B” includes conscripts from the 3rd-4th grade. transverse or 3rd art. longitudinal flatfoot with moderate functional impairment: exostoses (spike-like benign bone and cartilaginous formations on the surface of the bone), severe pain, arthrosis in the center of the foot and contractures of the fingers. The diagnosis includes the above-described degrees of flat feet.

Such conscripts are classified as category “B” and sent to the reserve with a military ID, as being of limited fitness (unfit in peacetime). During hostilities, they are drafted into the army.

Group “B” also includes guys with flat feet if there is a slight functional impairment of the legs (ankles). Namely: there are no symptoms of arthrosis (deformation of the bone joints of the center of the foot) and valgus position of the heel bone with longitudinal flatfoot of 2-3 degrees. In addition to flat feet 2 tbsp. the diagnosis includes stage 2. arthrosis and scoliosis. Such conscripts are also classified as category “B” and are not accepted into the army in peacetime.

Group “G” includes conscripts with transverse or longitudinal flat feet of the 2nd degree, which is objectively confirmed visually and by photograph. They will be in the “B-3” category; they will be drafted into the army, but not into all branches of the military. The diagnosis includes osteoarthritis, arthrosis, deforming arthrosis of the 1st stage. without exostosis and contracture of the fingers at 1-2 tbsp. flat feet.

Diagnosis confirmation


To confirm all degrees of the disease, along with concomitant pathologies, the conscript is sent for an x-ray and a photograph of the feet on both legs (standing) is taken in a side and straight view. Next, the radiograph is studied and the pathology of the foot is classified, assigned to a certain degree of deformity and group. Only an orthopedic surgeon can determine the degree of pathology. The military commissar must determine, in accordance with the doctor's diagnosis, the level of suitability of the conscript for the army.

Longitudinal flatfoot includes:

  • The first degree with an internal longitudinal arch with an angle of -131-140˚ and a height of 25-35 mm.
  • The second degree – with an angle of 141-155˚ and a height of –17-24 mm.
  • Third degree - with an angle of 155˚ and a height of up to 17 mm.

The army takes guys with 1-2 degrees of flat feet, but in peacetime they don’t take guys with 3 degrees.

Transverse flatfoot includes:

  • The first degree with the angle of the 1st and 2nd metatarsal bones is 10-12˚, the angle of deviation of the first toe is 15-20˚. Fitness category – “A”.
  • Second degree at an angle of 12-15˚, the thumb deviates at an angle of 20-30˚. Fitness category – “B-3”.
  • Third degree at an angle of 15-20˚, the thumb is deviated by 30-40˚. Fitness category – “B”.
  • The fourth degree at an angle of 20˚, and a thumb angle of 40˚.

Flat foot against the background of arthrosis of the joints

With arthrosis of the center of the foot, the tissues of the cartilages that connect the joints become inflamed and destroyed, this leads to pain, contractures of the fingers, exostoses against the background of longitudinal or transverse flatfoot of the 3rd degree. Therefore, conscripts are not taken into the army.

  1. The first is that the joint gap is narrowed to 50%, bone growths from the edge of the joint gap are less than 1 mm.
  2. The second – the gap is narrowed by more than 50%, the growth is more than 1 mm. There is deformity and subchondral osteosclerosis at the ends of the joints where the bones articulate.
  3. Third - the joint gap is absent on the x-ray, marginal bone growths are pronounced, gross deformity and subchondral osteosclerosis are present.

As for the second degree of scoliosis, with the absence of functional impairments, conscripts have been accepted into the army since 2013, which is permitted by the Regulations on Military Medical Examination, approved by the regulations of the Russian government. What the spring conscription will be like in 2015 worries parents and their sons. Many parents are against their sons being drafted into the army. Also, the conscript male generation is looking for different ways to evade service. Those who enroll in studies, which they do not leave for years, those who are ready to pay off. But the good news is that there are still those who want to fulfill their civic duty.

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Will people with flat feet be accepted into the army in 2017?

All residents Russian Federation without exception, they know or have heard that young people with flat feet are unfit to serve in the army. How things stand with this in 2017, whether people with flat feet are now being recruited into the army, where all these rumors came from, let’s look into it in detail.

Beginning with kindergarten, all children are regularly tested for flat feet, because this disease can cause serious complications in the future and should be identified as early as possible in order to take corrective curative measures while the body is still in the growth stage. As a rule, many children’s test results are not ideal, so the information that “I have some degree of flat feet” remains in the memory of almost all boys. However, childhood flatfoot is far from the same as flatfoot in an adult. At a young age, this disease is easily corrected, does not affect the quality of life, and with timely intervention disappears by the age of 16-18 years.

Also, since the 90s, there has been an urban legend in Russia that people with flat feet are not allowed into the army. This myth is very vague, does not include clarifications about the degree of the disease, and so on. Despite this, 95% of young people in high school have an unconditional confidence in their heads that their childhood flat feet, diagnosed 10 years ago, will provide them with a military ID in health. But already in the 10th grade of school, when young men register for military service at the military commissariat, this confidence dissipates. This is because the surgeon categorizes the future conscript as “fit,” which means “absolutely healthy.”

Why is this happening? Here it is necessary to turn to the primary source, namely to the regulatory documents, the main one in this matter is the 2017 Schedule of Diseases. This document includes all diseases that are not accepted into the army, the degree of disease, the methodology and procedure for confirmation, including flat feet of the first, second, third degree. IN in this case We are interested in article 68 of this document. It states that even with “ minor violations functions" caused by this disease, the conscript will receive exemption from the army. But not everything is so simple, let's look at the commentary to article 68 and figure out what degree of flat feet people are not allowed into the army?

Flat feet 3rd degree


The document clearly states that with flat feet of the 3rd degree, in particular longitudinal, as well as transverse of the 3rd or 4th degree, the conscript should be given category “B” and issued a military health card. This should happen regardless of the degree pain syndrome caused by this disease, the pain can be pronounced or insignificant, but the presence pain is an important factor for classification under this article. The simultaneous presence of a diagnosis of “deforming arthrosis” of the joints of the foot is not mandatory for exemption under Article 68, but if such a diagnosis is present simultaneously with the third degree, flat feet will be clearly classified in category “B”, so in general we can say that experts do not have The question is whether people with 3rd degree flat feet are accepted into the army.

Flat feet 2nd degree

Probably the most interesting part of the Schedule of Diseases for many conscripts, because this diagnosis is more widespread than the third degree of this disease. And indeed, before, people with level 2 flat feet were not accepted into the army. However, amendments to some laws and regulations, in particular the Schedule of Diseases, adopted 2 years ago, radically changed the situation. The current version of the document clearly states that conscripts with these diagnoses will be considered fit for military service with only minor restrictions. In other words, to elite troops where required ideal condition health, such a young man will not be accepted to serve, but in ordinary military units (more than 80%) they will be accepted without problems. The times when the answer to the question “whether people with level 2 flat feet are accepted into the army” was negative are long gone. Of course, amendments may be made to the law, but no such amendments are planned for the coming year.

Flat feet 1st degree

As you might have already guessed, if the second degree of flat feet is not a contraindication for service, then the first degree will not create any interference either. The document states this: flat feet of the first degree does not interfere with service in a military unit (for more details, see the category of fitness for military service). The list of illnesses was compiled so that it included diagnoses that actually interfere with service or could become complicated in the process and negatively affect the soldier’s health. Accordingly, it should not be the case that a young man runs, plays football, plays sports, but his card says “flat feet,” and in the end he is given a military ID card due to his health. It is from these considerations that this normative document. Thus, if a conscript does not experience pain when walking, you should not hope for an “easy” release from the army due to flat feet.

Conclusion


There is no point in thinking that a conscript will be released from the army because of flat feet diagnosed in childhood, because this requires that the diagnosis include the 3rd degree of this disease. A person suffering from this degree of disease knows about it. It is unlikely to be discovered by chance during an examination. Therefore, it makes sense to carefully study the Schedule of Diseases and conduct a comprehensive examination of the body for potential diseases in a particular young man, and not start the examination by checking for flat feet, relying on rumors and misconceptions. In this matter, organizations whose profile is legal assistance to conscripts will be useful, due to the fact that they cooperate with medical specialists who know the 2017 Schedule of Diseases at an expert level.