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Forefoot supinatus
Erica L Evans1, Alan R Catanzariti1
1Foot & Ankle Institute, Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, N1, Pittsburgh, PA 15224, USA.
Clinics in Podiatric Medicine and Surgery
|July 2, 2014
Summary
Forefoot supinatus is an acquired soft tissue adaptation causing forefoot inversion in adult acquired flatfoot. It differs from congenital forefoot varus, developing due to subtalar joint pronation.
Area of Science:
- Podiatry
- Orthopedics
- Biomechanics
Background:
- Adult acquired flatfoot is characterized by forefoot supination.
- This condition, known as forefoot supinatus, involves soft tissue adaptation.
- It is often misdiagnosed as forefoot varus.
Purpose of the Study:
- To define forefoot supinatus.
- To differentiate forefoot supinatus from forefoot varus.
- To discuss the acquired nature of forefoot supinatus.
Main Methods:
- Clinical definition and differentiation of foot deformities.
- Analysis of soft tissue adaptation versus congenital osseous deformity.
- Discussion of biomechanical etiology related to subtalar joint pronation.
Main Results:
- Forefoot supinatus is an acquired, reducible soft tissue deformity.
- Forefoot varus is a congenital osseous deformity.
- Both conditions can present with similar clinical findings but have distinct origins.
Conclusions:
- Forefoot supinatus is an acquired adaptation to subtalar joint pronation.
- Distinguishing it from congenital forefoot varus is crucial for accurate diagnosis and treatment.
- Understanding the etiology aids in managing adult acquired flatfoot.
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