pes cavus การใช้

• Pes cavus is also evident in people without neuropathy or other neurological deficit.
• Also, a significant chance of developing pes planus or pes cavus exists.
• The cause and deforming mechanism underlying pes cavus is complex and not well understood.
• By adulthood, Charcot-Marie-Tooth disease can cause painful foot deformities such as pes cavus.
• Individuals with pes cavus frequently report foot pain, which can lead to a significant limitation in function.
• Similarly, weak dorsiflexors are overpowered by stronger plantarflexors, causing a plantarflexed first metatarsal and anterior pes cavus.
• There have previously been reports of an association between excessive plantar pressure and foot pathology in people with pes cavus.
• High arched feet ( pes cavus ) or flat arched feet ( pes planus ) are classically associated with the disorder.
• People with pes cavus sometimes though not always have difficulty finding shoes that fit and may require support in their shoes.
• Radiological analysis of pes cavus in Charcot-Marie-Tooth disease shows the forefoot is typically plantarflexed in relation to the rearfoot.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• "' 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.
• 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.