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PES CAVUS
INSIDE THIS ISSUE:
• A characteristic midfoot
bump is seen clinically REVIEW
at the apex of the de-
formity with anterior
BONE SURGERY displacement osteotomy for SOFT TISSUE SURGERY
cavus
anterior cavus
1. Dwyer– lateral closing 1. Plantar fasciotomy
• The Coleman lateral wedge osteotomy of the 4. Akron Midtarsal Dome Os-
block test differentiates calcaneus used to treat a teotomy– Biplane osteotomy 2. Steindler Stripping
a fixed heel varus from fixed heel varus in which a 1 cm lateral
a varus secondary to a curved wedge of bone is 3. Hibbs– EDL transferred to
2. Cole Midtarsal Osteotomy– removed
plantarflexed 1st ray V midfoot dorsiflexory 3rd cuneiform
wedge osteotomy for ante- 5. Dorsiflexory Osteotomy of the
• Soft tissue procedures rior cavus 1st Metatarsal 4. Jones– EHL transferred to
are reserved for chil- 1st met head
dren 5-10 years old 3. Japas Midtarsal Osteot- 6. Triple arthrodesis
omy– A midfoot V plantar 5. Tendon transfers