Krause Fabian G, Wing Kevin J, Younger Alastair S E
Department of Orthopedics, University of British Columbia, Vancouver, British Columbia V6Z 2A5, Canada.
Foot Ankle Clin. 2008 Jun;13(2):243-58, vi. doi: 10.1016/j.fcl.2008.02.003.
Differential muscle weakness can cause a cavus foot deformity. Presenting complaints in the hindfoot may include ankle instability, secondary arthritis, or peroneal tendonitis. Presenting complaints in the forefoot may include stress fractures, callus formation over the lateral border of the foot, claw toes, first ray overload, and metatarsalgia. More general presenting complaints can include a drop-foot gait, decreased walking tolerance, and difficulty with shoe or orthotic fitting. To surgically correct the foot shape, soft tissue contractures need to be released, bone deformity corrected, and muscles balanced to optimize their strength and prevent recurrence of the deformity. This article reviews the diagnosis and management of the cavovarus foot secondary to longstanding muscle imbalance.
肌肉力量差异可导致高弓足畸形。后足出现的症状可能包括踝关节不稳、继发性关节炎或腓骨肌腱炎。前足出现的症状可能包括应力性骨折、足外侧缘胼胝形成、爪形趾、第一跖骨过度负荷和跖痛症。更常见的症状可能包括足下垂步态、步行耐力下降以及鞋子或矫形器适配困难。为了通过手术矫正足部形态，需要松解软组织挛缩、矫正骨畸形并平衡肌肉，以优化其力量并防止畸形复发。本文综述了长期肌肉失衡继发的高弓足的诊断和治疗。
