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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