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PES  CAVUS  (CONTRACTED FOOT) PES  CAVUS  (CONTRACTED FOOT)

PES CAVUS (CONTRACTED FOOT) - PowerPoint Presentation

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Uploaded On 2022-06-18

PES CAVUS (CONTRACTED FOOT) - PPT Presentation

Cave Foot INTRODUCTION A foot deformity associated with an increase elevation of medial longitudinal arch so that fore foot lies at a lower level that the hind foot The foot is more shorten amp gradually the dorsal ligament become contracted amp the toes clawed either the past or anterior ID: 920675

amp foot deformity pain foot amp pain deformity hind tendon intrinsic anterior metatarsal arch head medial muscle treatment transfer

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Presentation Transcript

Slide1

PES CAVUS (CONTRACTED FOOT)

Cave Foot

Slide2

INTRODUCTION

A foot deformity associated with an increase elevation of medial longitudinal arch, so that fore foot lies at a lower level that the hind foot.The foot is more shorten & gradually the dorsal ligament become contracted & the toes clawed either the past or anterior bony compartment of medial arch ,may be primarily involved.

The posterior type is associated with equinus hind foot deformity & calcaneal deformity so that it lies more vertical direction producing elevation of the medial arch .

Slide3

Pes Cavus

The anterior type deformity has an equinus deformity of the foot which may be due to muscle imbalance between tibialis posterior peroneus longus &intrinsic muscle.

This may be associated with neurological disorders like peroneus muscular atrophy, frequent

ataxia,spina

bifida or poliomyelitis.

The claw toes are mechanically produced &may fallow an imbalance between long toe intrinsic & weak intrinsic muscle of foot .

Slide4

Pain

Pain is usually caused by excessive press under 2nd& 3rd metatarsal head under which painful callosities develop pain ,The Dorsal surface of the foot.

In the hind foot pain may results from ankle instability & recurrence of sprain of the ankle.

Slide5

Foot Analysis

Slide6

TREATMENT

Only if the foot is symptomatic. Orthotics support There are design to redistribute press more evenly and to relief pain which is usually centred under the metatarsal head &in sole made up of molded cork to increase the area of the foot in contact with the ground consist of the support behind metatarsal head valgus &varus hind foot is corrected by shoes & pronated wedge.

Exercise is mainly design to strengthen the intrinsic muscles of the foot.

Faradic foot bath can also be used.

Slide7

OPERATIVE TREATMENT

If pain persists despite conservative treatment:-Soft tissue release and tendon transfer either tenotomy of extensor tendon or transfer of flexor tendon into extensor.Tendon may be combined arthrodesis of IP joint .Osteotomy of calcaneum may be required to correct varus or valgus deformity of hind foot.

In severe degree anterior wedge osteotomy of the tarsal bone to realign the forefoot may be estimated.