Subtle cavus foot deformity is ubiquitous, yet it continues to be commonly missed. Simple physical examination maneuvers can provide information that allows well-planned nonoperative care and selection of operative procedures to correct the underlying cause as well as presenting pathology.
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References
1.
. AlvineF: Varus tipping. Presented at the Advanced Total Ankle Arthroplasty Course, Rosemont, IL, February 2000.
2.
. BealsTCBohayDLeeCManoliA2nd: Tarsal coalitions presenting with cavovarus foot deformities. Presented at the Annual Meeting, American Orthopaedic Foot and Ankle Society, Fajardo, Puerto Rico, July 8-10, 1999.
3.
. BealsTCManoliA2nd: Late varus instability with equinus deformity. Foot Ankle Surg.4:77–81, 1998.
4.
. BealsTCManoliA2nd: The peek-a-boo heel sign in the evaluation of hindfoot varus. Foot6:205–206, 1996.
. BordelonRL: Orthotics, shoes, and braces. Orthop Clin North Am.20:751–757, 1989.
7.
. BrandesCBSmithRW: Characterization of patients with primary peroneus longus tendinopathy: a review of twenty-two cases. Foot Ankle Int.21:462–468, 2000.
8.
. CarlsonREFlemingLLHuttonWC: The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot Ankle Int.21:18–25, 2000.
9.
. ChadhaHPomeroyGCManoliA2nd: Radiologic signs of unilateral pes planus. Foot Ankle Int.18:603–604, 1997.
10.
. ColemanSSChesnutWJ: A simple test for hindfoot flexibility in the cavovarus foot. Clin Orthop.123:60–62, 1977.
11.
. DiGiovanniCWKuoRTejwaniN: Isolated gastrocnemius tightness. J Bone Joint Surg.84A:962–970, 2002.
12.
. DyalCMFederJDelandJTThompsonFM: Pes planus in patients with posterior tibial tendon insufficiency: asymptomatic versus symptomatic foot. Foot Ankle Int.18:85–88, 1997.
13.
. FaciszewskiTBurksRTManasterBJ: Subtle injuries of the Lisfranc joint. J Bone Joint Surg.72A:1519–1522, 1990.
14.
. FortinPTGuettlerJHManoliA2nd: Idiopathic cavovarus foot and lateral ankle instability: recognition and treatment implications relating to ankle arthritis. Foot Ankle Int.23:1031–7, 2002.
15.
. HarrisRIBeathT: Army foot survey: an investigation of foot ailments in Canadian soldiers. Ottawa, National Research Council of Canada, 1947.
. KeatingEMFarisPMRitterMAKaneJ: Use of lateral heel and sole wedges in the treatment of medial osteoarthritis of the knee. Ortho Rev.22:921–924, 1993.
18.
. KimDHBerkowitzDM: Fibular position in relation to ankle stability. Foot Ankle Int, 25: (in press), 2004.
19.
. KlaueK: Planovalgus and cavovarus deformity of the hindfoot. A functional approach to management. J Bone Joint Surg.79B:892–895, 1997.
20.
. LedouxWRShoferJBAhroniJH: Biomechanical differences among pes cavus, neutrally aligned, and pes planus feet in subjects with diabetes. Foot Ankle Int.24:845–50, 2003.
21.
. Lloyd-RobertsGCSwannMCatterallA: Medial rotation osteotomy for severe residual deformity in clubfoot. A preliminary report on a new method of treatment. J Bone Joint Surg.56B:37–43, 1974.
. ManoliA2ndGrahamBG: Foot Morphology in a Pedorthic Practice. Presented at the Annual Meeting of the Michigan Orthopaedic Society, Mackinac Island, MI, June, 19, 2004.
. ManoliA2ndSmithDGHansenSTJr: Scarred muscle excision for the treatment of established ischemic contracture of the lower extremity. Clin Orthop.292:309–314, 1993.
26.
. McKenzieDCClementDBTauntonJE: Running shoes, orthotics, and injuries. Sports Med.2:334–347, 1985.
27.
. MessierSPPittalaKA: Etiologic factors associated with selected running injuries. Med Sci Sports Exerc.20:501–505, 1988.
28.
. MortonDJ: The Human Foot: its evolution, physiology and functional disorders. Morningside Heights: New York, Columbia University Press, 1935.
29.
. MoscaVS: The Cavus Foot. J. Pediatr. Orthop.21:423–424, 2001.
30.
. OgataKYasunagaMNomiyamaH: The effect of wedges on the thrust of osteoarthritic knees. Int Orthop.21:308–312, 1997.
31.
. OlsonTRSeidelMR: The evolutionary basis of some clinical disorders of the human foot: a comparative survey of the living primates. Foot Ankle3:322–41, 1983.
32.
. PinneySJHansenSTSangeorzanBJ: The effect on ankle dorsiflexion of gastrocnemius recession. Foot Ankle Int.23:26–29. 2002.
33.
. PomeroyGCManoliA2nd: A new operative approach for flatfoot secondary to posterior tibial tendon insufficiency: a preliminary report. Foot Ankle Int.18:206–212, 1997.
34.
. PomeroyGCPikeRHBealsTCManoliA2nd: Acquired flatfoot in adults due to dysfunction of the posterior tibial tendon. J Bone Joint Surg.81A:1173–1182, 1999.
. PriceBDPriceCT: A simple demonstration of hindfoot flexibility in the cavovarus foot. J Pediatr Orthop.17:18–19, 1997.
37.
. RenneJW: The iliotibial band friction syndrome. J Bone Joint Surg.57A:1110–1111, 1975.
38.
. SammarcoGJTaylorR: Cavovarus foot treated with combined calcaneus and metatarsal osteotomies. Foot Ankle Int.22:19–30, 2001.
39.
. SammarcoGJTaylorR: Combined calcaneal and metatarsal osteotomies for the treatment of cavus foot. Foot Ankle Clin.6:533–543, 2001.
40.
. SaraphVZwickEBUitzW: The Baumann procedure for fixed flexion contracture of the gastrocsoleus in cerebral palsy. J Bone Joint Surg.82B:535–540, 2000.
41.
. SasakiTYasudaK: Clinical evaluation of the treatment of osteoarthritic knees using a newly designed wedged insole. Clin Orthop.221:181–187, 1987.
42.
. SaxenaAKrisdakumtornTEricksonS: Proximal fourth metatarsal fractures in athletes: similarity to proximal fifth metatarsal injury. Foot Ankle Int.22:603–608, 2001.
43.
. ScrantonPEMcDermottJERogersJV: The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int.21;657–664, 2000.
44.
. SilverRLde la GarzaJRangM: The myth of muscle balance. A study of relative strengths and excursions of normal muscle about the foot and ankle. J Bone Joint Surg.67B:432–437, 1985.
45.
. SolisGHennessyMSSaxbyTS: Pes cavus: a review. Foot Ankle Surg.6(3);145–153, 2000.
46.
. StueckerRDBennettJT: Tarsal coalition presenting as a pes cavo-varus deformity; report of three cases and review of the literature. Foot Ankle14:540–544, 1993.
47.
. ThompsonFMHamiltonWG: Problems of the second metatarsophalangeal joint. Orthopedics10:83–89, 1987.
48.
. TohyamaHYasudaKKanedaK: Treatment of osteoarthritis of the knee with heel wedges. Int Orthop.15:31–33, 1991.