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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):964-967.
Radiologic Measurement of Pes Cavus.
Yoon, Kisung , Kim, Sang Beom , Park, Kyung A
Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea. 5thpark@hanmail.net
요족의 방사선학적 측정
윤기성, 김상범, 박경아
동아대학교 의과대학 재활의학교실
Abstract
Objective
To determine valuable radiologic criteria in diagnosis of pes cavus.


Method
Thirty eight healthy subjects and twenty seven pes cavus cases were evaluated by radiologic measurements. We evaluated the criteria for longitudinal arch curve by measuring the calcaneal pitch, talocalcaneal angle, talometatarsal angle, metatarsal angle and navicular height I and II.


Results
By comparing the pes cavus with the control group, no significant differences in the talocalcaneal angle, metatarsal angle and navicular height I and II were found. Whereas we found a significant difference between the talometatarsal angle and calcaneal pitch. Talometatarsal angle is more sensitive and specific compared to the calcaneal pitch.


Conclusion
In diagnosis of idiopathic pes cavus, talometatarsal angle is more reliable in the diagnosis of pes cavus. The ultimate diagnostic value of talometatarsal angle in pes cavus is 6o. (J Korean Acad Rehab Med 2003; 27: 964-967)

Key Words: Pes cavus, Radiologic criteria, Talometatarsal angle, Calcaneal pitch


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