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The Journal of Bone and Joint Surgery (American) 84:S62-S69 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Scientific Exhibits

Surgical Treatment of Adult Idiopathic Cavus Foot with Plantar Fasciotomy, Naviculocuneiform Arthrodesis, and Cuboid Osteotomy

A Review of Thirty-nine Cases

Sandro Giannini, MD, Francesco Ceccarelli, MD, Maria Grazia Benedetti, MD, Cesare Faldini, MD and Gianluca Grandi, MD

Corresponding author:
Sandro Giannini, MD
Orthopaedic Department, Istituto Ortopedico Rizzoli, Via G. Pupilli 1, 40136, Bologna, Italy. E-mail address: giannini@ior.it

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Definition
Idiopathic cavus foot (ICF) is a complex deformity that can be morphologically defined as a dorsiflexed and varus hindfoot, a plantar flexed forefoot, and subsequent elevation of the plantar arch frequently associated with claw deformity of the toes 1 ( Fig. 1 ). In addition, ICF can be also functionally defined as a foot in a persistent or prevalent state of supination 2 .


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  		Fig. 1: The typical morphologic appearance of a cavus foot.

 
Etiology
The etiology of ICF is yet unknown. However, ICF should be considered to be a deformity caused by a neurologic disorder that we are not able to diagnose. Although an accurate neurologic (clinical and electrophysiological) evaluation can identify the cause of cavus foot deformity in some patients 3,4 , Lelievre maintained that ICF is caused by a neurologic disorder in which the only symptom is the cavus foot 5 .

Pathogenesis
The exact pathogenesis of ICF is not yet clear. Ombredanne and Mathieu 6 . . . [Full Text of this Article]


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