foot pathology

1. BANGLADESH HEALTH PROFESSIONS
INSTITUTE (BHPI)
School of Prosthetics & Orthotics
3rd Years Student
Prepared By –
Md. Nayeem Hasan
Date: 27 April, 2017

2. WELCOME

3. Special Orthotic Science
CONTENTS:
Introduction.
Types.
Causes.
Problem.
Treatment.
Summary.
Reference.
Date: 27 April 2017

4. Special Orthotic Science
Pes Cavus:
Pes cavus is a human foot type in which the sole of the foot is
distinctly or clearly hollow when bearing weight.
Date: 27 April 2017

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Other Terminology:
High instep.
 High arch.
 Talipes cavus.
 Cavoid foot.
Supinated foot.

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Easy Way to understand:
 Cavus foot is a condition in which the foot has a
very high arch.
A high arch is the opposite of a flat foot.

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Some other diseases related to pes cavus:
 Pes cavovarus.
pes calcaneocavus.

8. Pes cavovarus
Features:
 The calcaneus in varus.
The calcaneus planter flexed.
Forefoot is plantar flexed.
A claw toe deformity.

9. Pes calcaneocavus
Features:
The forefoot is plantar flexed.
 The calcaneus is dorsiflexed.
Large talo-calcaneal angle.

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Sign & Symptom:
High arch.
Hammer toes.
Felling Pain (Standig or Walking).
Pain under the first metatarsal.
Unstable.

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Understanding this condition
• On standing the person will have a high arch.
• The heel may be drawn towards the inner side and the toes may be
drawn inwards.
• Some people with pes cavus have clawed toes.
• The symptoms vary depending on the severity of the condition.
• Shoes may be very difficult to fit, especially around the ankle.
• Stiffness of the feet.
• Some patients may suffer from ankle sprains very easily.

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Causes:
Weakness and imbalance in neuromuscular
disease.
Residual effects of congenital clubfoot.
 Post-traumatic bone malformation.
Congenital.
Contracture of the plantar fascia.

13. Continue
Diseases (Polio , Cerebral Palsy , Muscular dystrophy ,
Spinal cord Tumors)
Trauma (Crush , Knee replacement , Burn)
Shortening of the Achilles tendon.

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Problem:
Metatarsalgia.
Pain under the first metatarsal Head.
Plantar fasciitis.
Painful callosities.
Ankle arthritis.
Achilles tendonitis.
pain. (calf pain, knee pain and hip pain)
Instability.

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•Treatment:
Polypropylene Shell – semirigid.
Deep Heel Cup.
EVA Cover to Toes.
Valgus Extension.
Heel Lift .
Insoles.

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Clinical Goal for Orthotic Treatment:
Increase plantar surface contact area.
Resist excessive supination.
Resist both excessive pronation and
supination forces.

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Summary:
Pes cavus is a pathological condition which we
can identify easily and this condition creat many
problem in human being.By doing some
modificate orthotic device solve the all problem
and make the patient comfortable ambulation.

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21. I know many questions is also waiting for me:

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Reference:
• https://en.wikipedia.org/wiki/Pes_cavus#Types.
• Jahss MH. Evaluation of the cavus foot for orthopedic treatment. Clin Orthop
Relat Res 1983; 181: 52-63
• McCluskey WP, Lovell WW, Cummings RJ. The cavovarus foot deformity.
Etiology and management. Clin Orthop Relat Res 1989; 247: 27–37
• https://www.net/JimCofano/cavus-high-archedfoot.
• Text book Human Foot Pathology
• Clinical pathology.