title: The cavus foot.
abstract: The cavus, or high-arched, foot can present in either childhood or adulthood as a function of muscle imbalance. Neurologic, traumatic, and idiopathic processes have been identified, along with residual clubfoot, as the primary causes of adult cavus foot deformity. A thorough history and physical examination is important and can help identify the underlying cause of deformity. Conservative treatment modalities are always used first, with surgical intervention reserved for refractory cases. The goal of surgery is to correct muscle imbalance, which can be achieved via tendon transfers, corrective osteotomies, and, in the most severe cases, fusion.
authors.affiliation: Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA. Electronic address: Andrewjrosenbaum@gmail.com.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Rosenbaum
authors.affiliation: Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA.
authors.forename: Jordan
authors.initials: J
authors.lastname: Lisella
authors.affiliation: Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA.
authors.forename: Nilay
authors.initials: N
authors.lastname: Patel
authors.affiliation: Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA.
authors.forename: Nani
authors.initials: N
authors.lastname: Phillips
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000379:methods; D002607:Charcot-Marie-Tooth Disease / Q000150:complications; D003131:Combined Modality Therapy / Q000379:methods; D019468:Disease Management; D005528:Foot / Q000503:physiopathology / Q000601:surgery; D005530:Foot Deformities / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D061826:Foot Orthoses; D006801:Humans; D009460:Neurologic Examination / Q000379:methods; D010027:Osteotomy / Q000379:methods; D010808:Physical Examination / Q000379:methods; D026741:Physical Therapy Modalities; D004856:Postural Balance; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome
keywords: Cavovarus foot; Cavus foot; Charcot-Marie-Tooth disease; Coleman block testing; Meary’s angle; Triple arthrodesis; “Peek-a-boo” sign