Eleswarapu Ananth S, Yamini Bakhtiar, Bielski Robert J
Pediatr Ann. 2016 Jun 1;45(6):e218-22. doi: 10.3928/00904481-20160426-01.
The cavus foot is a deformity characterized by abnormal elevation of the medial arch of the foot. Unique among foot deformities, cavus typically occurs secondary to a spinal cord or neuromuscular pathology, with two-thirds of patients having an underlying neurologic diagnosis. Thus, recognition of cavus foot and appropriate evaluation are essential in the primary care setting. Patients may present with unstable gait, frequent ankle sprains, or pain along the metatarsal heads or the lateral border of the foot. The diagnosis can be confirmed with a lateral weight-bearing radiograph, with several key measurements defining a pes cavus alignment. A thorough history and physical examination should be performed to look for possible secondary causes. The first step in the treatment of cavus deformity is to address the underlying cause. After that, a variety of treatment options are available to alleviate the pain and dysfunction caused by this deformity. [Pediatr Ann. 2016;45(6):e218-e222.].
高弓足是一种以足内侧弓异常抬高为特征的畸形。在足部畸形中，高弓足较为独特，通常继发于脊髓或神经肌肉病变，三分之二的患者有潜在的神经学诊断。因此，在初级保健环境中识别高弓足并进行适当评估至关重要。患者可能表现为步态不稳、频繁脚踝扭伤或沿跖骨头或足外侧缘疼痛。通过负重侧位X线片可确诊，有几个关键测量值可确定高弓足的对线情况。应进行全面的病史和体格检查以寻找可能的继发原因。治疗高弓足畸形的第一步是解决潜在病因。在此之后，有多种治疗选择可减轻这种畸形引起的疼痛和功能障碍。[《儿科年鉴》。2016年；45(6):e218-e222。]
