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PES CAVUS DEFORMITY (CAVUS FOOT) Print

PES CAVUS DEFORMITY (CAVUS FOOT)

Pes Cavus foot deformity is charecterized with incrase in the height of foot arch. İncreased arch height caauses change in the foot sole pressure areas. Heel and metatarsal beads areas get more force pressures and so pain, callosities and ulcers may be seen in the heel and metarsal head areas.

What causes cavus foot?

Cavus foot deformity is commonly seen in neurological diseases. However, the cavus foot can be occasionaly primary as an idiopathic deformity.

Which neurological diseases may cause cavus deformity?

Charcot-Marie-Tooth disease, muscular dystrophies, cerebral palsy, poliomiyelitis, stroke patients may have cavus foot deformity. Since some of the neurologic.diseases can be progressive in nature, differential diagnosis is very important to take necessary steps in te treatment.

Which symptomes are common in Pes Cavus Deformity?

Most patients complain about the pain. Pain is usually located on the metatarsophalengial joint plantar site, heel, lateral sole, and dorsum of the foot. Pain can be secondary to  the excessive fore pressures from the deformity, callosities and ulcers as well as shoe fitting problems.

How is foot cavus deformity evaluated?

Diagnostic wor-up foot cavus deformity begins with physical examination and radiological evaluation. Once, the cavus foot diagnosis is confirmed, your orthopedic surgeon may ask for MRI of the spine, EMG study, Blood Tests, and Neurology consultation.

What is the treatment choices?

On early onset of Pes Cavus deformity, stetchening exercises, custom made insoles, shoe modificatios may be sufficient. In advance stages, surgery is usually required to correct the cavus foot.

What types of surgeries is performed in Pes Cavus Deformity?

Teatment choice depends on the deformity severity and whether the deformity is flexible or rigid. In the deformities that could be corrected passively, soft tissue surgeries and tendon transfers are preferred to balance the foot. However, rigid cavus foot deformities require bone surgeries like osteotomy and/or joint fusions.

Key Words: ankle, foot deformity, cavus,cavus foot, pes cavus, plantar fasiotomy,tendon transfers.

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