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foot deformitis (pes cavus(hollow foot or rigid foot) (on examination…
foot deformitis
pes cavus(hollow foot or rigid foot)
causes
poliomyelitis
talipes equinovarus
neurological such spina bifida
ms imbalance
congenital
shapes
longitudinal arches are accentuated
metatarsal heads lower in relation to hindfoot
dropping of forfoot at tarsometatarsal jiont
soft tissue of solev are abnormally short
persistence
heal is normal,at least initiatly
claw toes due to dropping of forefoot combined with pull of extensor tendons
bone alter their shape
on examination
painful callosities benath the metatarsal heads
osteoarthritic changes
loss of metatarsal arch
longitudinal arch high on lat.&medial
forefoot is thickened and shaped
metatarsal heads are prominent on sole
leads to
less shock absorption
difficulity to do stress activity(long running,ballet)
rigid foot
require a cushioning shoe
it may be genatic or run in families
pes planus(flat foot o mobile foot)
causes
ligament laxity
Dropping of talar head
ms weakness
paralysis
trauma:follow fracture of calcaneus
postural deformity(med.rotation of the hip
congenital
pronated foot
lead to
little or no problem
need a contral shoe to avaid problem in prolonged stree situations
types