Imaging of the Pes Cavus Deformity

Abstract

Direct-type cavus foot deformities are most commonly encountered and are primarily sagittal plane deformities. Direct deformities should be delineated from rarer triplane pes cavovarus deformities. The lateral weight-bearing radiograph is the cornerstone of imaging evaluation of direct pes cavus foot deformity. The apex of Meary talo-first metatarsal angle on the lateral radiograph represents the pinnacle of the cavus deformity and assists in subclassification of the deformity. With routine application, ancillary radiographic imaging techniques, such as the modified Saltzman view or the modified Coleman block test, can give valuable insight into deformity assessment and surgical planning.

Keywords: Calcaneal inclination angle; Cavovarus deformity; Direct pes cavus deformity; Meary angle; Modified Coleman block test; Modified Saltzman view; Sagittal plane deformity.