Pediatric Cavus Foot Flashcards
What is pediatric cavus foot
Fixed deformity of forefoot on rearfoot
What is the clinical presentation for pediatric cavus foot
High medial arch
Equinus
Varus heel
Claw toes
What is the usual etiology a pediatric cavus foot
2/3 have a distinct underlying condition
- peroneal muscular atrophy
- poliomyelitis
- spina bifida
- Duchenne muscular dystrophy
- Friedreich’s ataxia
- cerebral palsy
- polymyelitis
What kind of studies should be done on all peds patients with cavus foot
Electrophysiological studies
- NCV, EMG, muscle biopsy
Describe the CIA angle in patient with cavus foot
High
Describe the talar declination angle on peds pt with cavus foot
Low
Describe the MA angle on peds patient with cavus foot
High
What do you see in posterior cavus foot
High CIA
What do you see in anterior local cavus
Plantarflexed 1st MT
What do you see in anterior global cavus
Rigid forefoot valgus
What are the plantar soft tissue release for cavus foot
Steindler stripping
Westin stripping
What is steindler stripping
Transverse division of fascia at calcaneus
Release of Long plantar ligament at CC joint
What are the rearfoot reductions for cavus
- Dwyer Calcabeal wedge - lateral closing wedge
- Koutsugiannis - reversal of slide for hindfoot varus
- Silver
- triple arthrodesis - wedge reduction of each plane
What are the midfoot reductions for cavus foot
- Jappas “V” - shift the midfoot dorsally
- Cole. Anterior wedge
- STATT - transfer TA to lateral cuboid
What are the forefoot reductions for cavus foot
- Jones tenosuspension - isolated transfer of EHL to 1st met neck
- DFWO 1st met base
- DFWO met bases 1,2,3
Rarely 4,5
