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 MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. 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 Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth