Case 9 Cavus Deformity
Case 9
Cavus
Deformity
What happened ? Any history of
trauma ?
Birth and
Developmental delays ?
Look- Standing
Patient
Comment on
Footwears
Exposure upto umbilicus
Alignment - Front
– leg , foot and toes look normal with normal overlying skin
Side -
knee fully extended
Equinus
deformity
Arch
Accentuated on Right Side
Back
– Calf symmetrical with normal overlying skin
heel has normal varus
Gait Medial
Arch on Right side is in Accentuated
Squating heel at the
same level
Check Lumbar region before lying down
the patients
Lie
down Patient
After lying down
check plantar surface of the feet.
Feel
Temperature
Superficial
Palpation – leg , ankle , hindfoot, forefoot
Deep Palpation – tibia, Medial Malleolus ,
Calcaneum,First Metatarsal , Phalanges , other Metatarsals , Navicle , Lateral
Malleolus, Fibula
Movement
Plantarflexion
/ Dorsiflexion – cup the heel during measurement
Inversion
/ Eversion- lock talus
LLD
Measure
Foot Size –
Medial
Side Medial Malleolus to Heel Tip
Medial Malleolus to
Ist MT Head
Lateral
Side Lateral Malleolus – Heel Tip
Lateral Mallolus to 5th
MT head
Ligamentous
Stability – MCL
LCL
Neurovascular Assessment
Sensory
Examination
Motor
Examination
Power
of the Muscles – TA
/ EHL /EDC ;
TP/ Gastrosoleus / FHL;
Peronei
Reflexes
Vascular
Examination – DPA / PTA
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