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Cavus foot

Megan E R Balsdon, Kristen M Bushey, Colin E Dombroski, Marie-Eve LeBel, Thomas R Jenkyn
The structure of the medial longitudinal arch (MLA) affects the foot's overall function and its ability to dissipate plantar pressure forces. Previous research on the MLA includes measuring the calcaneal-first metatarsal angle using a static sagittal plane radiograph, a dynamic height-to-length ratio using marker clusters with a multisegment foot model, and a contained angle using single point markers with a multisegment foot model. The objective of this study was to use biplane fluoroscopy to measure a contained MLA angle between foot types: pes planus (low arch), pes cavus (high arch), and normal arch...
October 1, 2016: Journal of Biomechanical Engineering
K Heck, A Heck, R Placzek
OBJECTIVE: Pain-free, plantigrade, functional foot through gentle manipulation without extended surgery and with decreased probability of relapse. INDICATIONS: Idiopathic clubfoot; neurogenic and secondary clubfeet. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Simultaneous correction of all components of the clubfoot. Mainly conservative, with serial casts. Slight supination to address the cavus and increasing abduction to align the midfoot bones while putting counter-pressure on the head of the talus...
August 3, 2016: Operative Orthopädie und Traumatologie
Charlene Grech, Cynthia Formosa, Alfred Gatt
BACKGROUND: This study explored the relationship between foot types and corresponding variations in shock attenuating properties of the heel. METHODS: Thirty matched participants were assigned to 3 groups: pronated, neutral, and supinated. A low-mass accelerometer was mounted to the calcaneus of the right leg of each participant. RESULTS: Acceleration at heel strike for supinators was significantly higher than that in individuals with pronated and neutrally aligned feet...
September 2016: Journal of Orthopaedics
Zhanyong Mei, Kamen Ivanov, Guoru Zhao, Huihui Li, Lei Wang
In the study of biomechanics of different foot types, temporal or spatial parameters derived from plantar pressure are often used. However, there is no comparative study of complexity and regularity of the center of pressure (CoP) during the stance phase among pes valgus, pes cavus, hallux valgus and normal foot. We aim to analyze whether CoP sample entropy characteristics differ among these four foot types. In our experiment participated 40 subjects with normal feet, 40 with pes cavus, 19 with pes valgus and 36 with hallux valgus...
June 16, 2016: Medical & Biological Engineering & Computing
Ananth S Eleswarapu, Bakhtiar Yamini, Robert J Bielski
The cavus foot is a deformity characterized by abnormal elevation of the medial arch of the foot. Unique among foot deformities, cavus typically occurs secondary to a spinal cord or neuromuscular pathology, with two-thirds of patients having an underlying neurologic diagnosis. Thus, recognition of cavus foot and appropriate evaluation are essential in the primary care setting. Patients may present with unstable gait, frequent ankle sprains, or pain along the metatarsal heads or the lateral border of the foot...
June 1, 2016: Pediatric Annals
Hosam E Matar, Peter Bierne, Colin E Bruce, Neeraj K Garg
: Complex idiopathic clubfeet are distinguished by significant shortening, rigid equinus with a deep crease above the heel, severe plantar flexion of all metatarsals, a deep plantar crease seven across the full width of the sole of the foot and high cavus with a short and hyperextended big toe. Ponseti has devised a modified technique for treating complex clubfeet. We retrospectively identified 11 children (nine males and two females) with 17 complex clubfeet who were treated with the modified Ponseti method...
April 21, 2016: Journal of Pediatric Orthopedics. Part B
Marcelo Back Sternick, Pierina Kaneno Ishida Formentini, Gustavo Moreira Costa de Souza, Eduardo Cembranelli Teixeira, Ildeu Afonso de Almeida Filho, Sérgio Moreira da Costa
BACKGROUND: Inherited epidermolysis bullosa is a rare disease characterised by mechanical fragility of the skin when under insignificant stress. The main consequences of epidermolysis bullosa, mainly the dystrophic type, despite pseudosyndactyly, are joint contractures and deformities in hands and feet. In this study, we describe our experience treating patients suffering from epidermolysis bullosa, as far as feet deformities are concerned. METHODS: This is a retrospective analysis of a consecutive series of patients presenting feet deformities related to epidermolysis bullosa...
July 2016: International Orthopaedics
David Alcoloumbre, Reggie Hamdy
UNLABELLED: Cavus foot surgeries are relatively common procedures in pediatric orthopedics. Following surgery, the tensile forces exerted on the wound by the newly corrected foot may hinder soft tissue healing and lead to wound dehiscence. Treatments including skin grafting and other plastic surgery procedures have been described in order to manage this complication. However, the effectiveness of conservative treatment regimens in cases of large dehiscence of these wounds has not yet been reported...
December 2015: Plastic and Reconstructive Surgery. Global Open
Kota Watanabe
The orthopedic manifestations in patients with Charcot-Marie-Tooth disease include deformity and dysfunction of the extremities and spine. Conservative treatment is the first choice. Orthosis and rehabilitation can improve function, and are important for the prevention of joint contractures. Foot problems are most commonly observed and require surgical treatment. Foot deformities include pes cavus, cavovarus, claw toes, or drop foot. Single or combined surgeries selected for soft tissues are plantar release, tendon transfer, or Achilles tendon lengthening, and those for bones are osteotomies and joint fusions...
January 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
Hylton B Menz, Alyssa B Dufour, Patricia Katz, Marian T Hannan
BACKGROUND: The foot plays an important role in supporting the body when undertaking weight-bearing activities. Aging is associated with an increased prevalence of foot pain and a lowering of the arch of the foot, both of which may impair mobility. OBJECTIVE: To examine the associations of foot pain, foot posture and dynamic foot function with self-reported mobility limitations in community-dwelling older adults. METHODS: Foot examinations were conducted on 1,860 members of the Framingham Study in 2002-2005...
2016: Gerontology
Veronica Cimolin, Paolo Capodaglio, Nicola Cau, Manuela Galli, Massimiliano Pau, Alessandra Patrizi, Gabriella Tringali, Alessandro Sartorio
This study aimed to characterize the effect of obesity on foot-type and plantar pressure distribution in adolescents. Ten obese adolescents (obese group; BMI: 35.45±4.73 kg/m) and eight normal-weighted adolescents (control group; BMI: 18.67±2.46 kg/m) were recruited. Both groups were evaluated while standing using the Pedar-X in-shoe system. Foot-ground contact was characterized using contact area, peak of force and pressure calculated for the subareas of the foot. The analysis showed that obese participants had significantly higher area of contact in forefoot and midfoot (only in medial area) regions in comparison with the control group, whereas no statistically significant differences were observed for the rearfoot region...
March 2016: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
Nicholas A Beckmann, Sebastian I Wolf, Daniel Heitzmann, Annika Wallroth, Sebastian Müller, Thomas Dreher
BACKGROUND: Charcot-Marie-Tooth disease (CMT), one of the most common hereditary neurologic disorders, often results in debilitating cavovarus foot deformities. The deformities are still not fully understood, and the treatment recommendations are consequently heterogeneous, often including calf muscle or Achilles tendon lengthening. METHODS: We examined 40 patients (80 feet) with CMT and bilateral cavovarus deformities (19 men and 21 women, mean age 33.6 ± 14...
2015: Journal of Foot and Ankle Research
Kristy J Rose, Claire E Hiller, Melissa Mandarakas, Jacqueline Raymond, Kathryn Refshauge, Joshua Burns
BACKGROUND: Functional ankle instability (FAI) is commonly reported by children and adolescents with Charcot-Marie-Tooth disease (CMT), however,, the specific variables associated with FAI remain unknown. An improved understanding of these variables may suggest interventions to improve ankle stability and possibly prevent the long-term complications associated with ankle instability in this population. The aim of this study was to therefore investigate the relationship between FAI and other functional, structural, anthropometric and demographic characteristics in a cross sectional sample of children and adolescents with CMT...
2015: Journal of Foot and Ankle Research
Xiao Mei Shu, Mao Qiang Tian, Juan Li, Long Ying Peng, Xiao Hua Yu
In this report, we describe a three-generation family (the Gelao nationality, a minority ethnic group from Guizhou Province in the southwest China) with one affected member with Charcot-Marie-Tooth neuropathy X type 1 (CMTX1) in each generation. The three affected members carrying the R164W mutation in the Cx32 gene had different clinical symptoms. The proband, a 13-year-old boy presented recurrent episodes of transient central nervous system symptoms and concomitant transient diffuse white matter lesions on magnetic resonance imaging...
December 2015: Neuropediatrics
Jung-Kyu Choi, Eun-Jong Cha, Kyung-Ah Kim, Yonggwan Won, Jung-Ja Kim
From a subject group of pes cavus, the purpose of this study was to evaluate the biomechanical characteristics of lower limbs, based on plantar foot pressure and electromyography (EMG) activities, by the effects on two kind of custom-made insoles. Ten individuals among thirty females with a clinical diagnosis of idiopathic pes cavus (mean age (SD): 22.3 (0.08) years) were selected for the study. The plantar foot pressure data and EMG activities of four lower limb muscles were collected, when subjects walked on a treadmill, under three different experimental conditions...
2015: Bio-medical Materials and Engineering
Anna Sagnelli, Vidmer Scaioli, Giuseppe Piscosquito, Ettore Salsano, Eleonora Dalla Bella, Cinzia Gellera, Davide Pareyson
Spinal and bulbar muscular atrophy is an X-linked neuromuscular disease caused by a trinucleotide CAG repeat expansion in the androgen receptor gene; it is clinically characterized by adult-onset, slowly progressive weakness and atrophy mainly affecting proximal limb and bulbar muscles. Charcot-Marie-Tooth disease type 1A is an autosomal dominant polyneuropathy due to peripheral myelin protein 22 gene duplication and characterized by slowly progressive distal limb muscle weakness, atrophy and sensory loss with foot deformities...
October 2015: Neuromuscular Disorders: NMD
Jae Hoon Ahn, Chi-Young Ahn, Chu-Hwan Byun, Yoon-Chung Kim
Haglund syndrome is characterized by chronic posterior heel pain associated with a posterosuperior calcaneal prominence. We assessed the clinical and radiologic outcomes after operative treatment of Haglund syndrome using the central tendon-splitting approach. Fifteen feet in 15 patients were investigated retrospectively after surgery. Of the 15 patients, 14 were males (93.3%) and 1 was female (6.7%). Their mean age was 33.1 ± 8.2 (range 20 to 50) years. The mean follow-up duration was 3.5 ± 1.5 years (range 24 to 90 months)...
November 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Roberto Di Fabio, Ludovico Lispi, Filippo Maria Santorelli, Claudio Castagnoli, Andrea Matrigale, Alessandra Dentini, Nicoletta Locuratolo, Francesco Fattapposta, Francesco Pierelli
The nerve conduction characteristics of adults with idiopathic pes cavus/hammer toes have not been studied extensively. Among 2048 out-patients (59.5 ± 13.9 years) referring to a laboratory of Neurophysiology in Rome, we recruited 18 patients with idiopathic pes cavus (61.3 ± 12.5 years). Fifty-four age/sex-matched controls were also studied. No nerve conduction differences were observed between patients with and without cavus foot (p > 0.05). The absence of deep tendon reflexes and slight muscle weakness and hypotrophy in the lower limbs were more common in subjects with cavus foot deformity than in controls (p < 0...
December 2015: Neurological Sciences
S Baliga, T Mcmillan, A Sutherland, D Sharan
Poliomyelitis is caused by an enterovirus infection of the anterior horn cells in the spinal cord. Up to 40% of survivors recover full muscle strength, however 60-90% are left with varying degrees of residual paralysis, where the patient suffers from cramping myalgia and lower motor neuron pattern weakness. This study aimed to identify and quantify, in terms of prevalence and severity of the types of joint deformities encountered in polio sufferers. It also aimed to assess the disability caused by such problems...
2015: Open Orthopaedics Journal
J George DeVries, Jeffrey E McAlister
The authors dedicate this article to describing the clinical work-up and etiology for a cavus foot deformity as well as the surgical decision making for correction. Understanding and proper utilization of osteotomies is paramount in the improvement of cavus foot deformities. Also, the authors share their own experiences with preferred techniques for optimal outcomes.
July 2015: Clinics in Podiatric Medicine and Surgery
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