Cavovarus of one foot with planovalgus deformity of the contralateral foot (Wind swept heels)

NewsBot · Apr 8, 2023

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Cavovarus deformity of one foot with planovalgus
deformity of the contralateral foot (Wind-swept heels):
A case report
Sami A Nogod, et al
J Musculoskelet Surg Res, doi: 10.25259/JMSR_20_2023

Normal alignment of the arches and adequate stability is essential for the foot to function correctly. Pes planus and
pes cavus are fairly common foot deformities, but it is uncommon to see both in the same patient simultaneously.
This study aimed to describe the clinical presentation and prognosis of an uncommon combination of bilateral
foot abnormalities named “windswept heels” resembling windswept knees. A 43-year-old female employee
experienced frequent pain in her right foot and swelling and pain in her left foot, mainly when walking barefoot.
She had a severe cavovarus deformity of the right foot with pressure callosities on the lateral side, clawing of
the toes, and a positive Coleman’s block test. With the loss of the medial arch, severe heel valgus, and forefoot
abduction, the left foot developed a planovalgus deformity. The left foot’s talus-first metatarsal angle and the right
foot’s calcaneal inclination angle increased on weight-bearing radiographs. The left foot underwent staged surgical
treatments, including medial sliding calcaneal osteotomy, gastrocnemius recession, and cotton osteotomy. For
the right foot, lateral sliding calcaneal osteotomy, plantar fasciotomy, and peroneus longus tendon transfer. The
American Orthopaedics Foot and Ankle Society Score (AOFAS) was used to measure the clinical and functional
outcomes. At 1 year, her AOFAS scale was 85 compared to 59 before surgery. Since this presentation resembles the
windswept knee deformity, we propose calling this disorder windswept heel deformity
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