Fig. 2A–C.

(A) Clinical photograph of a 4-year-old boy 3 years after bilateral posteromedial plantar releases for idiopathic clubfeet. At rest, the feet are straight and well-corrected. (B) When the feet are actively dorsiflexed there is dynamic supination of the feet. This causes him to walk on the lateral aspect of his feet. It produces no symptoms at this time but does result in asymmetrical shoe wear. (C) Two years following tibialis anterior tendon transfer active dorsiflexion procedures a smooth arc of motion without dynamic supination.