Pes Cavus

Abnormally high arch of the foot

Aetiology

  • Can be idiopathic but is often related to neuromuscular conditions including Hereditary Senory and Motor Neuropathy, cerebral palsy, polio(unilateral) and spinal cord tethering from spina bifida occulta

Clinical presentation

  • Pain in the arch of the foot
  • Claw toes often accompany pes cavus
      • notion image

Investigations

  • WB x-ray of foot
  • MRI spine if tumour is suspected

Management

  • Soft tissue releases and tendon transfer if supple, or calcaneal osteotomy if more rigid
  • Severe cases may require arthrodesis