Pes Cavus Deformity

It is a deformity characterized by the increase in the foot arch. The heel and comb bones are overloaded due to the increase in the foot arch. As a result, standing pain, nails and wounds are seen.

What are the causes of standing cavus deformity?
In the standing cavus deformity, the cause is often neurological diseases and rarely the foot arch can be observed structurally.

What are the diseases leading to the Pes Cavusun Deformity?
Charcot-Marie-Tooth disease, muscular dystrophies, cerebral palsy, poliomyelitis, stroke; pes cavus deformity is the most common diseases. Differential diagnosis should be made when pes cavus deformity is seen because some of these diseases are in progressive nature.

What are the findings of Pes Cavus Deformity?
Foot pain is the most important finding in foot deformity. In particular, heel and foot with the comb at the base of the fingers where the joints of the foot, compression, calluses, pain due to possible wounds and foot arch elevation in the middle of the foot with foot pressure on the back of the foot is seen. In addition, paws on the soles of the feet, wounds, and toes may also be seen. Heel and foot turn and frequent ankle sprains are seen. Low foot deformity can be seen in pes cavus deformities of neurological origin.

What is the diagnosis of standing cavus deformity?
Diagnosis of standing cavus deformity is made by physical examination and radiographs. After a diagnosis of cavus deformity, your doctor may ask for a detailed physical examination, as well as EMG, MRI and blood tests to investigate the underlying neurological disorders. In some cases, it is desirable to evaluate a neurologist.

How is the treatment done in pes cavus deformity?
In the early stage, stretching exercises, use of insoles and shoe modifications are made. In more advanced cases, deformity is corrected with surgical treatments.

What types of surgeries are applied in the Pes cavus deformity?
The most important point in the surgical treatment of the standing cavity deformity is whether the foot is flexible. Tendon transfers and soft tissue interventions are often required in a passive normal foot, while rigid feet often require bone surgery.