{"id":16843,"date":"2023-03-17T17:42:17","date_gmt":"2023-03-17T16:42:17","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=16843"},"modified":"2023-03-17T18:39:02","modified_gmt":"2023-03-17T17:39:02","slug":"peu-cavo-conceptes-basics","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/peu-cavo-conceptes-basics\/","title":{"rendered":"Peu cavo: Conceptes b\u00e0sics"},"content":{"rendered":"\r\n

El peu cavo posseeix una morfologia caracteritzada per un augment de l’altitud i
l’amplitud de l’arc longitudinal del peu. Per aquest motiu la superf\u00edcie de suport es veu
disminu\u00efda sobretot en l’arc longitudinal extern, on \u00e9s habitual la pres\u00e8ncia del
trencament de l’istme. Normalment, \u00e9s asimptom\u00e0tic, per\u00f2 pot ocasionar fatiga,
esquin\u00e7os de repetici\u00f3 del peu o turmell, punts d’hiperpressi\u00f3 aix\u00ed com afectaci\u00f3
muscular\u00a0i\/o\u00a0fascial.
L’etiologia del peu cavo \u00e9s variada:
– Malaltia neurol\u00f3gica.
– Idiop\u00e0tica
– Hipert\u00f2nica (esportistes i ballarines)
– Peu cavo cong\u00e8nit (poc com\u00fa)
– Secundari a traumatismes.<\/p>\r\n


Les neuropaties heredit\u00e0ries sensitivomotores, com el Charcot-Marie-Tooth, i les
atr\u00f2fies musculars espinals distals s\u00f3n les afeccions neuromusculars que amb major
freq\u00fc\u00e8ncia causen peus\u00a0cavos. Tamb\u00e9 cursen amb aquesta afectaci\u00f3 malalties
neurol\u00f2giques d’altra etiologia com la poliomielitis, la par\u00e0lisi cerebral, l’at\u00e0xia de
Friedrich o les distr\u00f2fies musculars.<\/p>\r\n

La simptomatologia i la cl\u00ednica del peu\u00a0cavo\u00a0\u00e9s la seg\u00fcent:
– Rigidesa
– Dits en urpa
– Dolor en zones de pressi\u00f3 plantar (sobretot en els caps dels metatarsians o
puntes dels dits en urpa).
– Fascitis\u00a0plantars
– Tal\u00e0lgies
– Hiperqueratosi, helomes
– Inestabilitat\u00a0de peu\u00a0i turmell<\/p>\r\n


Es pot classificar en anterior, posterior o mite, segons la seva disposici\u00f3 en el pla
sagital. El peu cavo anterior\u00a0\u00e9s\u00a0la forma m\u00e9s freq\u00fcent. En aquest peu el desequilibri
entre els m\u00fasculs que\u00a0traccionen\u00a0el peu tendeix a verticalitzar els metatarsians,
principalment el primer, cosa que fa que els seus caps es trobin marcadament
descendits en refer\u00e8ncia al tal\u00f3. El peu cavo posterior\u00a0apareix\u00a0en la par\u00e0lisi del tr\u00edceps
sural i, a conseq\u00fc\u00e8ncia de la manca de tracci\u00f3 de l’Aquil\u00b7les, el calcani es verticalitza i
ascendeix per la part anterior. Les formes mixtes es presenten quan la caiguda del
primer metatarsi\u00e0 \u00e9s m\u00e9s acusada respecte dels altres, perqu\u00e8 el\u00a0retropeu\u00a0es col\u00b7loca
en gran supinaci\u00f3 per compensar-la i secund\u00e0riament el calcani es verticalitza.
Segons la posici\u00f3 del tal\u00f3 al pla frontal, el peu\u00a0cavo\u00a0pot ser\u00a0cavo\u00a0var, cavo valg o cavo
neutre.<\/p>\r\n


Pel que fa al tractament \u00e9s aconsellable un suport plantar\u00a0retrocapital, que
aconsegueix redistribuir les c\u00e0rregues a la planta del peu, de manera que
el\u00a0recolzament\u00a0disminueix sota els caps dels metatarsians i una part es transfereix a la
zona distal de la di\u00e0fisi, aix\u00ed com un augment de l’estabilitzaci\u00f3 del peu i el turmell.<\/p>\r\n

Alhora, l’elevaci\u00f3 dels caps metatarsians provocar\u00e0 una disminuci\u00f3 de la posici\u00f3 en
urpa dels dits, que tamb\u00e9 estaran m\u00e9s c\u00f2modes amb un cal\u00e7at de pala alta i ampla. En
el peu cavo, el principal problema pel pacient \u00e9s el dolor plantar. Una ortesi de
suport\u00a0retrocapital\u00a0tamb\u00e9 pot\u00a0aconseguir\u00a0un alleugeriment simptom\u00e0tic. Si el
tractament conservador \u00e9s insuficient, i als peus\u00a0cavos\u00a0que presentin una alteraci\u00f3
important de la biomec\u00e0nica del peu o del dolor que ocasioni una alteraci\u00f3 funcional i
un impediment de l’activitat di\u00e0ria, es planteja el tractament quir\u00fargic.<\/p>\r\n

\r\n\r\n<\/p>\r\n

\"Peu<\/figure>\r\n

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\"Peu<\/figure>\r\n

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\"Peu<\/figure>\r\n

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\"Peu<\/figure>\r\n

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\"Peu\r\n
OLYMPUS DIGITAL CAMERA<\/figcaption>\r\n<\/figure>\r\n

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\"Peu<\/figure>\r\n

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\"Peu<\/figure>\r\n

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\"Peu<\/figure>","protected":false},"excerpt":{"rendered":"

El peu cavo posseeix una morfologia caracteritzada per un augment de l’altitud il’amplitud de l’arc longitudinal del peu. Per aquest motiu la superf\u00edcie de suport es veudisminu\u00efda sobretot en l’arc longitudinal extern, on \u00e9s habitual la pres\u00e8ncia deltrencament de l’istme. Normalment, \u00e9s asimptom\u00e0tic, per\u00f2 pot ocasionar fatiga,esquin\u00e7os de repetici\u00f3 del peu o turmell, punts d’hiperpressi\u00f3 […]<\/p>\n","protected":false},"author":3,"featured_media":16837,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[293,346,306],"tags":[],"class_list":["post-16843","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divulgacio","category-icp-ca","category-patologia-ca"],"yoast_head":"\nPeu cavo: Conceptes b\u00e0sics - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peu cavo: Conceptes b\u00e0sics - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"El peu cavo posseeix una morfologia caracteritzada per un augment de l’altitud il’amplitud de l’arc longitudinal del peu. Per aquest motiu la superf\u00edcie de suport es veudisminu\u00efda sobretot en l’arc longitudinal extern, on \u00e9s habitual la pres\u00e8ncia deltrencament de l’istme. 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Posseeix els t\u00edtols de M\u00e0ster i Postgrau en Cirurgia Podol\u00f2gica (UB), Postgrau en Biomec\u00e0nica (UB) i Llicenciatura en Antropologia. Condecorat amb la Gran Creu al M\u00e8rit Acad\u00e8mic atorgada per la AICT el 2011.\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/author\\\/icp\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Peu cavo: Conceptes b\u00e0sics - Institut Catal\u00e0 del Peu","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"ca_ES","og_type":"article","og_title":"Peu cavo: Conceptes b\u00e0sics - Institut Catal\u00e0 del Peu","og_description":"El peu cavo posseeix una morfologia caracteritzada per un augment de l’altitud il’amplitud de l’arc longitudinal del peu. 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