The normal tripod weight-bearing structure of the foot becomes unbalanced in a cavus foot leading to frequent episodes of ankle instability or painful calluses on the sole of the foot. It is more common to have an acquired flat foot versus an acquired high arch. Pes cavus foot is a less efficient shock absorber, while being placed under constant tension. Pes cavovarus as a late consequence of peroneus longus tendon laceration. Plantar release in the correction of deformities of the foot in childhood.
It is more common to have a genetic high arch versus acquired. Review of a surgical approach using selective soft-tissue procedures. If you have high arches, it is very likely that someone on either side of the family have the same feet. Owing to high arch altitude against the ground, the ball and the heel of the foot. This foot and ankle care condition signifies an arch that remains elevated and isn’t flattened out upon imposition of weight. The therapeutic management of the cavus foot is diverse: pedicure, soles (in order to increase the contact surface on the ground), adaptation of the shoes (small heel, increase in size) or even orthopedic shoes made to measure, rehabilitation exercises (extension of the posterior chain). Pes cavus (high arch) is commonly related to genetics. Pes Cavus, Latin compound term for hollow foot, also stands for Talipes Cavus, supinated foot or high instep. By majority, the components of pes cavus are an increased calcaneal pitch and varus of the hindfoot, plantar flexion of the medial forefoot, and adduction of the entire forefoot. In case of suspected neurological cause, we prescribe an Electro-Myogram, an MRI of the lumbar-sacral spine. Pes cavus describes a foot with a high arch that maintains its shape and fails to flatten out with weight bearing. The pre-therapeutic check-up contains standard and specific x-rays of the ankle axis. If there is significant deformation, walking on the lateral edge of the foot may lead to the development of osteoarthritis. The cavus foot can be manifested by pain in the front or back of the foot, from discomfort to shoes wearing, claw toes, repetitive ankle sprains, cutaneous-metatarsal thickening. Most often, the heel moves inward (varus cavus foot), and the forefoot looks outwards (pronation): “helical” foot. It does not correct itself with growth but is often well tolerated. Another clinical indication of pes cavus, the peek-a-boo heel, is described in a 2005 paper by Manoli and Graham (The Subtle Cavus Foot, ‘the Underpronator,’ a Review, Foot and Ankle International).With this sign, the medial heel pad can be seen easily when looking straight-on from the front with the patient standing and the feet aligned directly ahead. It results in pressure being placed on the heel.
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. Pes cavus is the presence of an abnormally high arch that can occur in either one or both feet and develop at any age. Pes cavus and pes cavovarus are often used interchangeably as the most common manifestation of the cavus foot is the cavovarus presentation. There is often a range of other foot deformities also present - eg, claw toes, increased calcaneal angle.The cavus foot or exaggeration of the arch (the middle of the foot does not touch the ground, as dug) is always pathological (including related to nervous disorders to be discarded). Pes cavus is an orthopedic condition that manifests in both children and adults. Patients often complain of pain, instability, difficulty walking or running and also problems with footwear.