Despite various presentations and descriptions of pes cavus, not all incarnations are characterised by an abnormally high medial longitudinal arch, gait disturbances, and resultant foot pathology.
12.
In the absence of neurological, congenital, or traumatic causes of pes cavus, the remaining cases are classified as being idiopathic because their aetiology is unknown.
13.
A combination of any or all of these elements can also be seen in a combined type of pes cavus that may be further categorized as flexible or rigid.
14.
Progressive muscle wasting results in weakness of peronei ), gait ataxia, pes cavus, postural tremors and static tremor of the upper limbs, kyphoscoliosis, and foot deformity.
15.
In pure "'pes cavus "', the calcaneus is neither dorsiflexed nor in varus and is highly arched due to a plantarflexed position of the forefoot on the rearfoot.
16.
Foot pain in people with pes cavus may result from abnormal plantar pressure loading because, structurally, the cavoid foot is regarded as being rigid and non-shock absorbent and having reduced ground contact area.
17.
Among the cases of neuromuscular pes cavus, 50 % have been attributed to Charcot-Marie-Tooth disease, which is the most common type of inherited neuropathy with an incidence of 1 per 2, 500 persons affected.
18.
Factors considered influential in the development of pes cavus include muscle weakness and imbalance in neuromuscular disease, residual effects of congenital clubfoot, post-traumatic bone malformation, contracture of the plantar fascia, and shortening of the Achilles tendon.
19.
"' Pes cavovarus "', the most common type of pes cavus, is seen primarily in neuromuscular disorders such as Charcot-Marie-Tooth disease and, in cases of unknown aetiology, is conventionally termed idiopathic.
20.
Loss-of-function " CUL4B " mutation events have been discovered in numerous patients with, which is characterized by aggressive outbursts, seizures, relative macrocephaly, central obesity, hypogonadism, pes cavus and tremor . " CUL4B " mutations have also been associated with malformations of cortical development.
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