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Pes Cavus Calcaneal Pitch

Pes Cavus Calcaneal Pitch. Pes cavus describes a foot with a high arch that maintains its shape and fails to flatten out with weight bearing. Calcaneal pitch is an angle of the calcaneus and the inferior aspect of the foot, with different sources giving different reference points.

Pes Cavus Workup: Imaging Studies, Other Tests
Pes Cavus Workup: Imaging Studies, Other Tests from img.medscapestatic.com
By majority, the components of pes cavus are an increased calcaneal pitch and varus of the hindfoot, plantar flexion of the medial forefoot, and adduction of the entire forefoot. Pes cavus or claw foot, is a high arch of the foot that does not flatten with weight bearing. This deformity does not flatten on weight bearing.

Calcaneal pitch (calcaneal inclination angle):

Dorsiflexion osteotomies of the cuboid and cuneiforms. Intersection of a line running along the undersurface of rigid medial and lateral cavus. If calcaneal inclination is increased, then by default talar declination is decreased. > 30° = hindfoot varus.


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