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Diagnosis and Treatment of Cavus Foot

요족의 진단과 치료

  • Suh, Jae Wan (Department of Orthopaedic Surgery, Dankook University Hospital) ;
  • Choi, Woo Jin (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Lee, Jin Woo (Department of Orthopaedic Surgery, Yonsei University College of Medicine)
  • 서재완 (단국대학교병원 정형외과) ;
  • 최우진 (연세대학교 의과대학 정형외과학교실) ;
  • 이진우 (연세대학교 의과대학 정형외과학교실)
  • Received : 2016.05.11
  • Accepted : 2016.05.23
  • Published : 2016.06.15

Abstract

The cavus foot is a deformity characterized by an elevated medial longitudinal arch and a hindfoot varus with plantarflexed 1st ray. The etiology of cavus foot is usually related to neuromuscular disease or idiopathic cause. Thorough clinical and radiographic evaluation is required for differentiating etiology of the cavus. Most cases of cavus foot are stable and slowly progressive deformities which can initially be managed with conservative treatment including orthoses and physical therapies. Determining whether the deformity is flexible or rigid, the apex of the deformity and any muscle imbalances in foot and ankle is important for achievement of an adequately balanced plantigrade foot. Treatment should include systematic preoperative planning for selection of appropriate procedures for maintaining a functional and flexible foot with combinations of soft-tissue release, osteotomy, tendon transfer, and arthrodesis.

Keywords

References

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