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    Pes Cavus

    πŸ—£οΈ
    You will be asked to examine the feet
    image
    • Clear description of the pathology
      • Expose from calves and below
      • From front "Pes Cavus deformity with Peek a boo heels. Associated CLAW toes, big toe is hyperextended due to over-recruitment of EHL"
      • From side
      • From back "Hindfoot in varus, Wasting of muscles of lateral compartments - champagne bottle leg"
      • Medially "very high arch"
      • Describe deformity systematically from hindfoot, mid foot and forefoot
    • LOOK AT SPINE IMMEDIATELY
    • Gait
      • Presence of high stepping gait due to foot drop and weak anterior tibialis muscle
      • Presence of external rotation of the foot - classical of stiff ankle joint
      • Presence of broad based gait in CMT
    • Coleman Block Test
      • Placing a block on the lateral aspect of the foot. Principle is to unload posterior and lateral tripod.
      • If it is varus corrected, then it is forefoot driven OR flexible
      • If it is uncorrected, then it is hindfoot driven or Rigid hind foot
    • Pes Cavus - AT and PB weak, PT and PL for transfers
    • Complete by looking at hands if CMT for dorsal guttering
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