Pes Cavus Deformity Surgery

  • 112.00 Pound £
  • Fecha de publicación: Febrero 28, 2016
    • Sy6 3ux, Rushbury, NA, United States

Overview
Pes cavus occurs in up to 15% of the population, of which 60% will develop foot pain (Burns 2005). Common complaints associated with pes cavus include pain under the metatarsal heads and the heel, lateral ankle sprains, and footwear issues. Custom orthoses should be designed to address the pathomechanics of problematic cavus foot based on the evidence in the literature.

Causes
Cavus foot is may be caused by a neurologic disorder or other medical conditions. For example, disorders such as cerebral palsy, Charcot-Marie-Tooth disease, spina bifida, polio, muscular dystrophy, or stroke may cause an abnormally high arch foot. In other cases, this structure may result from genetically inherited genes. Furthermore, what?s referred as ?drop foot? may also be present in conjunction to a cavus foot. This is when certain muscles do not function properly, leaving the foot essentially dragging when stepping and with other compensatory muscles essentially lifting the foot higher than normal and dropping it to the ground when walking. Foot drop is generally a sign of an underlying neurologic condition or possibly traumatically induced. Distinguishing the origin of a cavus foot is important because whether a neurological condition is present or not, the treatment plan will be dictated accordingly.Symptoms
indications of the presence of pes cavus include the nature of the symptoms presented, such as metatarsalgia-type pain and callusing under the ball of the foot, pain along the lateral column of the foot, lateral ankle instability and recurrent inversion sprains, plantar fasciitis, and stress fractures of the lesser metatarsals.

Diagnosis
Diagnostic testing often includes magnetic resonance imaging (MRI) if one suspects a peroneal tendon problem or ankle instability. Perform electromyography and nerve conduction velocity testing if you suspect Charcot Marie Tooth. If a high suspicion of muscular dystrophy is present, perform a sural nerve biopsy.

Non Surgical Treatment
Do plenty of static stretching, especially of the calf muscles and the sole of the foot. This will loosen the muscles and other structures in the foot making it more flexible and able to cope with the demands of walking. Take steps to avoid injury such as correct shoe selection, strengthening and stretching exercises. See a specialist who can fit orthotic inserts for a Pes Cavus foot. These are insoles which are worn in the shoes and help correct any biomechanical problems of the foot. They can be custom made or often bought off the shelf ready made. With a high arch it is probably best to see a professional for advice. Many off the shelf insoles are ideal for over pronation or rolling in but not so effective for supinating feet or rolling out.

Surgical Treatment
There are numerous surgical approaches aimed at correcting the deformity and rebalancing the foot. Surgical procedures fall into three main groups.

Soft-tissue procedures
Plantar fascia release, achilles tendon lengthening, tendon transfer.

Osteotomy
Metatarsal, midfoot or calcaneal

Bone stabilising procedures
Triple arthrodesis.

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