All about Pes cavus

Pes cavus: 


Unilateral:

 Trauma+Tumour
  • Trauma= Spinal cord trauma + fracture malunion talar/calcaneal + consequences of Anterior compartment syndrome + Burn 
  • Tumour= Spinal cord tumour (* if no H/O traume, need to look for spinal cord tumour)

Bilateral :

 HSMN+ Freidrich's Ataxia + Syriongomyelia +   (Atrophy + Dystrophy + Palsy + Paresis)

Atrophy= Spinal muscular atrophy , Dystrophy = Muscular Dystrophy, Palsy = Cerebral palsy , Hereditary spastic paraparesis

Mechanism:  

imbalance among : 
1. Weak : Anterior tibialis+ Peroneus muscle  +  2. Antagonised by Posterior tibialis + Peroneus longus

Pes cavus means long term neuropathy, hence chance of underlying aetiology is congenital.

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