Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA.
Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12208, USA.
Med Clin North Am. 2014 Mar;98(2):301-12. doi: 10.1016/j.mcna.2013.10.008. Epub 2014 Jan 8.
The cavus, or high-arched, foot can present in either childhood or adulthood as a function of muscle imbalance. Neurologic, traumatic, and idiopathic processes have been identified, along with residual clubfoot, as the primary causes of adult cavus foot deformity. A thorough history and physical examination is important and can help identify the underlying cause of deformity. Conservative treatment modalities are always used first, with surgical intervention reserved for refractory cases. The goal of surgery is to correct muscle imbalance, which can be achieved via tendon transfers, corrective osteotomies, and, in the most severe cases, fusion.
高弓足（畸形足）既可见于儿童，也可见于成人，病因多为肌肉失衡。目前已经明确，神经源性、创伤性和特发性因素以及残余马蹄内翻足是导致成人高弓足畸形的主要原因。详细的病史采集和体格检查十分重要，有助于明确畸形的潜在病因。首先采用保守治疗方法，只有在保守治疗无效的情况下才考虑手术干预。手术的目的是纠正肌肉失衡，可以采用肌腱转位、矫形截骨，在最严重的情况下还需要融合。
