Sanpera Ignacio, Villafranca-Solano Sandra, Muñoz-Lopez Carmen, Sanpera-Iglesias Julia
Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain.
Evelina Children's Hospital, London, UK.
EFORT Open Rev. 2021 Jun 28;6(6):510-517. doi: 10.1302/2058-5241.6.210021. eCollection 2021 Jun.
Pes cavus in its different forms is not a pathological entity, but rather the manifestation of multiple diseases.Cavovarus, a form of cavus foot, should never be considered a physiological deformity. A neurological condition should always be excluded.The evolution of pes cavovarus is unpredictable because of the large number of conditions involved in its aetiology, as well as their variable degree of expression. About 66% of cavovarus feet are the result of subtle neurological diseases, which only become evident later in life.Although surgery may not change quality of life, recent studies suggest that it may improve foot posture and reduce walking instability.The aim of treatment is to preserve a painless, plantigrade, mobile foot. Management consists of correcting bone deformity while preserving movement, and the wise use of rebalancing techniques. Arthrodesis should only be a salvage procedure. Cite this article: 2021;6:510-517. DOI: 10.1302/2058-5241.6.210021.
不同形式的高弓足并非一种病理实体，而是多种疾病的表现。高弓内翻足作为高弓足的一种形式，绝不应被视为生理性畸形。必须始终排除神经疾病。由于高弓内翻足病因涉及多种情况及其不同程度的表现，其演变不可预测。约66%的高弓内翻足是由细微的神经疾病导致的，这些疾病在生命后期才会显现出来。尽管手术可能不会改变生活质量，但最近的研究表明，手术可能会改善足部姿势并减少行走不稳。治疗的目的是保持无痛、足底着地、可活动的足部。治疗包括在保留活动能力的同时纠正骨骼畸形，并明智地运用重新平衡技术。关节融合术应仅作为一种挽救性手术。引用本文：2021;6:510 - 517。DOI: 10.1302/2058 - 5241.6.210021。
