How to Manage Pes Cavus in Children and Adolescents?

Overview

Journal EFORT Open Rev

Specialty Orthopedics

Date 2021 Jul 16

PMID 34267941

Citations 3

Authors

Ignacio Sanpera

Sandra Villafranca-Solano

Carmen Munoz-Lopez

Julia Sanpera-Iglesias

Affiliations

Soon will be listed here.

Abstract

Pes cavus in its different forms is not a pathological entity, but rather the manifestation of multiple diseases.Cavovarus, a form of cavus foot, should never be considered a physiological deformity. A neurological condition should always be excluded.The evolution of pes cavovarus is unpredictable because of the large number of conditions involved in its aetiology, as well as their variable degree of expression. About 66% of cavovarus feet are the result of subtle neurological diseases, which only become evident later in life.Although surgery may not change quality of life, recent studies suggest that it may improve foot posture and reduce walking instability.The aim of treatment is to preserve a painless, plantigrade, mobile foot. Management consists of correcting bone deformity while preserving movement, and the wise use of rebalancing techniques. Arthrodesis should only be a salvage procedure. Cite this article: 2021;6:510-517. DOI: 10.1302/2058-5241.6.210021.

Citing Articles

Is there a place for dorsal hemiepiphysiodesis of the first metatarsal in the treatment of pes cavovarus?.

Domingues L, Norte S, Thusing M, Neves M J Pediatr Orthop B. 2024; 34(2):151-156.

PMID: 39302844 PMC: 11776887. DOI: 10.1097/BPB.0000000000001209.

The Gradual Correction of Rigid Pes Cavus Using Midfoot Osteotomy Combined with Ilizarov Methods.

Li Y, Qin B, Li J, Yin S, Ren Y, Wu Y Orthop Surg. 2024; 16(9):2242-2251.

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Two-stage corrective operation for the treatment of pes cavovarus in patients with spina bifida.

Padgett A, Kothari E, Conklin M World J Orthop. 2024; 15(7):618-626.

PMID: 39070932 PMC: 11271695. DOI: 10.5312/wjo.v15.i7.618.

The Effect of Foot Rehabilitation Protocol in Adults With Congenital Deformity of Foot: An Analytical Case Series.

Sharath H, Rathi S, Kolhe P Cureus. 2024; 16(4):e59102.

PMID: 38803723 PMC: 11129531. DOI: 10.7759/cureus.59102.

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