Pes cavus foot surgery. Practice essentials pes cavus is a descriptive term for a foot morphology characterized by high arch of the foot that does not flatten with weightbearing. The problem with having a high arched foot is that it places too much weight on the ball and heel of the foot. The cavus can range from being slightly high to severely deformed causing a patient to walk on the outside of the foot. Cavus foot surgery in severe cases cavus foot surgery is necessary to lower the arch.
It can affect one or both feet. Pes cavus is caused by muscle imbalances in the lower leg and foot that draws the front of the foot or sometimes draws the heel downward making the arch higher than normal. Metatarsals are damaged during normal use. Reconstructive surgery for pes cavus surgically correcting a cavovarus foot can be performed in a number of ways.
The high arch can lead directly to. In a purely sagittal plane pes cavus deformity the apex of the forefoot and hindfoot talus and first metatarsal intersect at the naviculocuneiform joints and cuboid bone. The goal of this procedure is to improve function and alleviate pain and to decrease the risk of other injuries such as broken bones and repeated ankle sprains. Treatment ranges from changes in shoes to surgeries depending on the amount of deformity and related problems.
Structurally the arch is too high to flex and absorb the shock of a normal step so the bones of the heel eg. 1 n no specific radiographic definition. The goal of pes cavus surgery is to provide symptomatic relief while addressing the apex and planes of deformity 67. It usually begins during childhood and may be associated with neurological conditions such as muscular dystrophy or spina bifida but not always.
Cavus foot is often present at birth although it can develop at any age. This alteration in your foots weight bearing surface can often lead to pain and instability. While the cause of a high arched foot it often unknown a cavus could be caused by nerve disease clubfoot or injury. A cavus foot also called pes cavus is one that has a very high arch.
Calcaneus and the ball of the foot eg. Most of the corrections involve tendon transfers and capsular and fascial releases which are not visualized on x rays.
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