Question
A patient presented with a complain of foot pain and shoe fitting problem.The examination of the foot showed the following picture.Identify this condition.
A. Pes cavus
B. Pes planus
C. Vertical talus
D. Flat foot
Show Answer
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Correct Answer » A
Explanation
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Ans; A. Pes cavus
Pes cavus(high arch)
- It is a foot deformity characterised by an abnormally high medial longitudinal arch.
- Pes cavus commonly features a varus (inverted) hindfoot, a plantarflexed position of the first metatarsal, an adducted forefoot, and dorsal contracture of the toes.
Symptoms:
- Foot pain:
- May result from abnormal plantar pressure loading because, structurally, the high arch foot is regarded as being rigid and non-shock absorbent and having reduced ground contact area.
- The range of complaints include metatarsalgia, pain under the first metatarsal, plantar fasciitis, painful callosities, ankle arthritis, and Achilles tendonitis.
- Other symptoms include shoe-fitting problems,lateral ankle instability,lower limb stress fractures,knee pain,iliotibial band friction syndrome,back pain and tripping.
Treatment:
Surgical procedures fall into three main groups:
- soft-tissue procedures (e.g. plantar fascia release, Achilles tendon lengthening, tendon transfer);
- osteotomy (e.g. metatarsal, midfoot or calcaneal);
- bone-stabilising procedures (e.g. triple arthrodesis)
