First described by Steindler (1929) as the “supinatory, compensatory torsion of the forefoot in pes valgus”. Often mistaken for forefoot varus.
An acquired soft tissue contracture of the forefoot in a supinated/inverted postion about the joints of the midfoot.
Assumed to be caused by any pronatory force of the rearfoot that causes the forefoot to assume an inverted position relative to the rearfoot. Overtime the soft tissue will adapt to this position (Davis’s law). May also be due to a lack of a functioning windlass mechanism – lack of windlass function could result in a dorsiflexion of the medial column. [read more]