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Unilateral Pes Cavus

Discussion in 'General Issues and Discussion Forum' started by toughspiders, Feb 24, 2012.

  1. toughspiders

    toughspiders Active Member

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    In the absence of neurological disorders how prevalent is this?

    I have seen a patient c/o pain in 4th met with some dorsal oedema.

    female 20's

    Normal childhood milestones

    All vaccinations

    Mother says no history of high arched feet or floppiness!!

    H/o stress fracture 2008 - untreated by previous podiatrist.

    XRAY WB and NWB - show healed 2nd met stress fracture. No obvious fracture. Confirms unilateral high arch. (i have not seen the xray as yet)

    Ligament laxity -elbows/knees etc

    genu recurvartum

    genu valgum

    Recently started running as Obese - mild pain prior to this but obviously worse now

    Lower back pain. (Not convinced all normal here) I have advised them to ask physio to review this

    Legs seem to have champagne flute appearance but this is both legs.

    I obviously have a few suspicions here but dont want to jump the gun or unduly concern anyone.

    Thoughts and opinions would be good. I will be seeing them again within the next week or so

    Be gentle please!! Tried to remember as much as i can
  2. Admin2

    Admin2 Administrator Staff Member

    Related thread:
    Other threads tagged with pes cavus
  3. phil

    phil Active Member

    If the 4th metatarsal is painful, then what pathologies could it be?
    If she's had a previous stress fracture, i'd be thinking another stress fracture. Xrays can be inconclusive for a few months.

    From the info you've given, i'd put her in an aircast for a few weeks and let it calm down. Long term- once its healed, custom orthotic with modifications to reduce bending forces on metatarsals.

    What are your suspicions? Neurological conditions? CMT?

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