Talipes Deformities

Talipes Deformities

Overview
Cavus foot is a condition in which the foot has an arch that is much higher than normal. As a result of this high arch, a large amount of weight is placed on the ball and heel of the foot when children walk or stand. Their feet become sore at the top and middle, and they have trouble finding shoes that fit properly. In addition, the high arches cause children?s ankles to roll outward slightly. This instability can lead to frequent ankle sprains.

Causes
The cause and deforming mechanism underlying pes cavus is complex and not well understood. Factors considered influential in the development of pes cavus include muscle weakness and imbalance in neuromuscular disease, residual effects of congenital clubfoot, post-traumatic bone malformation, contracture of the plantar fascia and shortening of the Achilles tendon.'Supinated

Symptoms
One of the more obvious symptoms of a cavus foot is that the arch will appear rather high, even when you?re standing on it. Your toes may curl
inward like the fingers of a fist, a condition referred to as ?claw toes.? Or, the toes may be bent or crooked (aka ?hammertoes?).

Diagnosis
Diagnosis of cavus foot initially includes a review of the patient?s family, past medical and surgical history. Your Weil foot and ankle physician will then examine your feet and lower extremities, looking for a high arch and possible calluses, hammertoes, claw toes, and any other structural abnormalities. The foot and ankle are placed through specified movements, testing for muscle strength and deep tendon reflexes, as well as observing the patient?s walking pattern and coordination movements. The entire limb may be examined if a neurological condition is expected. The surgeon may also study the pattern of wear on the patient?s shoes. X-rays are typically ordered to further assess the condition and underlying bony anatomy and structure. Your Weil foot and ankle physician may possible refer the patient for further testing and/or to a neurologist for further work-up.

Non Surgical Treatment
If you have calluses, the podiatrist will trim your calluses and recommend ways to reduce the pressure and pain. Custom molded orthotics (shoe inserts) may be beneficial. Your physicians may recommend shoe modifications and bracing, if needed. If non-surgical treatment fails to adequately relieve pain and improve stability, surgery may be necessary, especially in cases that are likely to worsen. Treatment for cavus foot is generally more successful at an early stage, when the foot is more flexible. Regular stretching can also strengthen muscle tone and prevent the disorder from progressing.

Surgical Treatment
In severe cases of cavus, surgical intervention is often necessary. The main consideration for surgical planning is the cause of the cavus deformity. Consider whether it is a structural deformity or one caused by an underlying traumatic event such as a peroneal tendon tear or ankle instability. Furthermore, in either a structural or traumatic case, it is important to consider if the cavus is from a plantarflexed first ray only, a calcaneal varus only or a combination of the two deformities together. After considering all the information, one How can we increase our height? plan for surgery.'Pes