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įorefoot driven pes cavus is most often caused by neurological diseases and is the result of muscular imbalances. In the cavus foot, flexion of one element of the tripod, the first ray, leads to tilting and overload of the other two elements. The foot normally forms a tripod with the first metatarsal head, calcaneus, and fifth metatarsal head forming the three points of contact with the ground. The cavovarus foot can be the result of forefoot driven pathology (a flexed first ray), a deformity of the hindfoot, or some combination of both pathologies.
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With the understanding that most cases are related to these underlying neurological processes, it becomes necessary to not only understand the intricacies of the care of the foot deformity itself but to ensure that adequate patient history, family history, clinical exam, radiographic exam, and other necessary testing is performed to ensure that the clinician has adequately diagnosed the underlying cause before initiation of treatment. Pes cavus is frequently a manifestation of an underlying neurological process, but there has been literature that discusses a subset of patients in whom a more subtle form of the cavus foot may present without an underlying disease process. Pes cavus is a deformity that is typically characterized by cavus (elevation of the longitudinal plantar arch of the foot), plantar flexion of the first ray, forefoot pronation, and valgus, hindfoot varus, and forefoot adduction. Pes cavus and pes cavovarus are often used interchangeably as the most common manifestation of the cavus foot is the cavovarus presentation. Pes cavus is an orthopedic condition that manifests in both children and adults. Review interprofessional team strategies for improving care coordination and communication to advance pes cavus and improve outcomes.Outline the management options available for pes cavus.Describe the evaluation of pes cavus conditions.Identify the etiology of pes cavus in the different populations it is likely to occur.This activity reviews the evaluation and management of patients with pes cavus conditions by an interprofessional team. The cavovarus foot is the primary manifestation of cavus and results in pathological malposition of the foot, usually as a result of underlying muscular imbalances as a result of neurologic conditions. It is defined primarily by the elevation of the longitudinal arch of the foot: a high arched foot.
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