Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Anatomy of the Ankle & Foot +++ Dorsal View ++ +++ Lateral View ++ +++ Medial View ++ +++ Physiologic (Osteokinematic) Motions of the Ankle & Foot ++ Table Graphic Jump Location|Download (.pdf)|Print Joint Normal ROM OPP CPP Normal End Feel(s) Capsular Pattern Talocrural Dorsiflex = 20° Plantarflex = 30°–50° Inv = 10°–30° Ev = 10°–20° 10° PF Max DF Elastic (tissue stretch) for all planes Plantarflex > dorsiflex Subtalar Inv/add = 5°–12° Ev/abd = 20°–30° Full pronation Full supination Elastic (tissue stretch) for all planes Inv > ev Midtarsal Inv/ev = 10° Abd/dorsiflex = 10° Add/plantarflex = 20° Abd Add Elastic (tissue stretch) for all planes TMT Dorsiflex = 10° Plantarflex = 10° Pronation Supination Capsular 1st MTP Flex = 75° Ext = 35° 5°–10° ext Maximal ext Capsular Ext > flex 2–5 MTP Flex = 75° Ext = 35° Slight flex Maximal ext Flex/ext = capsular, elastic Abd/add = ligamentous Ext > flex IP Flex = 110° Ext = 25° Slight flex Maximal ext Flex/ext = capsular, elastic Abd/add = ligamentous +++ Accessory (Arthrokinematic) Motions of the Ankle & Foot ++ Table Graphic Jump Location|Download (.pdf)|Print Arthrology Arthrokinematics Talocrural joint Concave surface: Distal tibia/fibula Convex surface: Talus To facilitate ankle dorsiflex: OKC: talus rolls anterior & glides posterior on tibia CKC: tibia rolls & glides anterior To facilitate ankle plantarflex: OKC: talus rolls posterior & glides anterior on tibia CKC: tibia rolls & glides posterior Subtalar joint Concave surface: Anterior calcaneal facet & posterior talus Convex surface: Posterior calcaneal facet & anterior talus To facilitate inv: OKC: anterior calcaneal facet rolls & glides medial while posterior calcaneal facet rolls & glides lateral CKC: talus rolls medial & glides lateral on anterior calcaneal facet while talus rolls & glides medial on posterior calcaneal facet To facilitate eversion: OKC: anterior calcaneal facet rolls & glides lateral while posterior calcaneal facet rolls & glides medial CKC: talus rolls lateral & glides medial on anterior calcaneal facet while talus rolls & glides lateral on posterior calcaneal facet MTP joint Concave surface: Phalanx Convex surface: Metatarsal To facilitate flex: Phalanx rolls & glides plantar on metatarsal To facilitate ext: Phalanx rolls & glides dorsal on metatarsal IP joint Concave surface: Distal phalanx Convex surface: Proximal phalanx To facilitate flex: Distal phalanx rolls & glides plantar on proximal phalanx To facilitate ext: Distal phalanx rolls & glides dorsal on proximal phalanx +++ Ankle & Foot Mobilization Techniques +++ Distal Tibiofibular Glide ++ Indications: ++ To improve all motions of the talocrural joint ++ Patient: ++ Supine with foot supported on table in neutral position Posterior glide in supine, anterior glide in prone ++ Clinician:... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.