Cavovarus Foot
synonyms:
Cavovarus Foot ICD-9
Cavovarus Foot Etiology / Epidemiology / Natural History
- often seen in conjunction with Charcot-Marie-Tooth disease
Cavovarus Foot Anatomy
Cavovarus Foot Clinical Evaluation
- Pt ambulates on the lateral side of her foot.
- May cause complaints of lateral ankle instability. (Manoli A, Foot Ankle Int 2005;26:256).
- Determine if deformity is flexible or rigid; static or progressive.
- Evaluate for neuromotor disease.
Cavovarus Foot Xray / Diagnositc Tests
- A/P, Lateral, and Mortise Ankle and A/P, Oblique, Lateral foot xrays indicated. Llateral radiograph shows forefoot equinus and parallelism between the calcaneus and talus.
- joints generally free of degenerative arthritis.
Cavovarus Foot Classification / Treatment
- Lateral closing wedge calcaneal osteotomy to correct the hindfoot varus, dorsiflexing osteotomy of the first metatarsal, and transfer of the peroneus longus tendon to the peroneus brevis to correct forefoot equinus. Steindler striping is often necessary to correct the cavus deformity. (Sammarco GJ, Foot Ankle Clin 2001;6:533).
- Arthrodesis should be reserved for joints that have degenerative changes or deformities that cannot be corrected by other means.
Cavovarus Foot Associated Injuries / Differential Diagnosis
Cavovarus Foot Complications
Cavovarus Foot Follow-up Care
Cavovarus Foot Review References
- McCluskey WP, Lovell WW, Cummings RJ: The cavovarus foot deformity: Etiology and management. Clin Orthop 1989;247:27-37.
- Holmes JR, Hansen ST Jr: Foot and ankle manifestations of Charcot-Marie-Tooth disease. Foot Ankle 1993;14:476-486
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