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The Journal of Bone and Joint Surgery 79:1398-1401 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Case Report

Cavus Deformity of the Foot Secondary to a Neuromuscular Choristoma (Hamartoma) of the Sciatic Nerve. A Case Report*

GEORGE S. BASSETT, M.D.{dagger}, HECTOR MONFORTE-MUNOZ, M.D.{ddagger}, WENDY G. MITCHELL, M.D.{ddagger} and JON M. ROWLAND, M.D., PH.D.{ddagger}, LOS ANGELES, CALIFORNIA

Investigation performed at Childrens Hospital Los Angeles, University of Southern California School of Medicine, Los Angeles


   Introduction
 
A unilateral cavus deformity of the foot suggests the possibility of an intraspinal lesion such as diastematomyelia or tethered cord syndrome. We report the case of a child who had a progressive equinocavovarus deformity of the foot secondary to a neuromuscular choristoma (hamartoma) involving the sciatic nerve.


   Case Report
 
An eight-year-old boy was referred to us for the evaluation of a painless, progressive unilateral cavovarus deformity of the right foot and a limp. The child was the product of a full-term, uncomplicated pregnancy; he had weighed nine pounds (4.1 kilograms) at birth and had been delivered vaginally. The developmental milestones were normal, and the child had walked independently when he was one year old. The parents first noticed a deformity of the right foot when the boy was four years old, but they did not seek medical attention until he was eight years old. The deformity had progressed in the interim, and . . . [Full Text of this Article]


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 J Am Acad Orthop SurgHome page
R. M. Schwend and J. C. Drennan
Cavus Foot Deformity in Children
J. Am. Acad. Ortho. Surg., May 1, 2003; 11(3): 201 - 211.
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