Pronation of the foot with many overuse injuries in running including medial tibial stress syndrome, or shin splints, and knee pain Hintermann states, “Individuals with injuries typically have pronation movement that is about two to four degrees greater than that of those with no injuries.” He adds however, that between 40% and 50% of runners who overpronate do not have overuse injuries. This suggests that although pronation may have an effect on certain injuries, it is not the only factor influencing their development. The design principles of foot orthoses are founded on knowledge of the functional anatomy of the foot. Pronation of the foot
Medial knee injuries knee is then flexed to 20°. Making sure the tibia remains in neutral rotation, a varus force is used to ensure there is no medial compartment gapping of the knee. The sMCL graft is then tightened and fixed with a bioabsorbable screw. The final step of reconstruction ligament fixation is the proximal tibial attachment of the sMCL. This soft-tissue attachment can be reproduced with a suture anchor placed 12.2 mm distal to the medial joint line (average location), directly medial to the anterior arm of the semimembranosus tibial attachment. Once this aspect of the sMCL is secured to the suture