A narrative review of cavus foot deformity in children, covering anatomy, pathomechanics, neurologic etiologies, clinical and radiographic evaluation, and a full spectrum of surgical options from plantar fascia release to triple arthrodesis — with emphasis on how underlying etiology and deformity flexibility drive treatment selection.
When you see a child with cavus foot, your first move is a thorough neurologic exam and the Coleman block test: if the hindfoot corrects on the block, treat the forefoot; if it stays in varus, plan combined forefoot and hindfoot correction.
Avoid triple arthrodesis in sensory-impaired feet — the long-term data show progressive osteoarthritis and poor functional outcomes, particularly in progressive neuromuscular disease.
A narrative review of cavus foot deformity in children, covering anatomy, pathomechanics, neurologic etiologies, clinical and radiographic evaluation, and a full spectrum of surgical options from plantar fascia release to triple arthrodesis — with emphasis on how underlying etiology and deformity flexibility drive treatment selection.
When you see a child with cavus foot, your first move is a thorough neurologic exam and the Coleman block test: if the hindfoot corrects on the block, treat the forefoot; if it stays in varus, plan combined forefoot and hindfoot correction.
Avoid triple arthrodesis in sensory-impaired feet — the long-term data show progressive osteoarthritis and poor functional outcomes, particularly in progressive neuromuscular disease.