Supination Deformity of the Forefoot

The flexibility of the transverse arch of the forefoot on the forefoot loading in the flat feet deformity

Background For the flat foot deformity, the custom made foot orthosis supported medial longitudinal arch using the navicular pad. And we experienced many cases that addition the metatarsal pad which supported transverse arch of the forefoot was more effective treatments. However, the flexibility of the transverse arch in the flat foot deformity was unclear. The aim of this study was to clarify ...

The Ponseti method of treatment for congenital clubfoot: importance of maximal forefoot supination in initial casting.

The correction of cavus deformity requires further supination of the forefoot. In the Ponseti method, the initial cast is applied with the forefoot supinated such that the plane of the metatarsal heads is parallel to the long axis of the tibia. This study reviewed Pirani scores of 27 patients with 38 clubfeet treated over an 18-month period by the Ponseti method to evaluate changes in midfoot d...

Osteotomy of the Proximal End of the Radius for Paralytic Supination Deformity in Children.

Arm rotated medially with supination - the ARMS deformity: Description of its surgical correction

Background Patients who have suffered obstetric brachial plexus injury (OBPI) have a high incidence of musculoskeletal complications stemming from the initial nerve injury. The presence of muscle imbalances and contractures leads to typical bony changes affecting the shoulder, known collectively as the SHEAR (Scapular Hypoplasia, Elevation and Rotation) deformity. The SHEAR deformity commonly o...

The supination deformity and associated deformities of the upper limb in severe birth lesions of the brachial plexus.

We reviewed 42 consecutive children with a supination deformity of the forearm complicating severe birth lesions of the brachial plexus. The overall incidence over the study period was 6.9% (48 of 696). It was absent in those in Narakas group I (27.6) and occurred in 5.7% of group II (13 of 229), 9.6% of group III (11 of 114) and 23.4% of group IV (18 of 77). Concurrent deformities at the shoul...