Kinematics of the ankle/foot complex, II:​ pronation and supination

Lundberg, Arne; Svensson, Ola K.; Bylund, Carin; Goldie, Ian; Selvik, Göran

Affiliations

¹Departments of Orthopaedic Surgery, Karolinska Hospital, Stockholm

²Kinesiology Research Group, Department of Anatomy, Karolinska Institute

³Department of Diagnostic Radiology, Karolinska Institute

⁴Department of Anatomy, Lund University, Lund, Sweden

Abstract

The influence of pronation and supination of the foot on the joints of the ankle/foot complex was analyzed three dimensionally by roentgen stereophotogrammetry in eight healthy volunteers. Radiopaque markers were introduced into the tibia, talus, calcaneus, navicular, medial cuneiform, and first metatarsal bones. The subjects stood on a platform that was tilted in 10°-steps from 20° of pronation to 20° of supination. Pairs of x-ray exposures were made in each position. Calculation of resulting joint deviations from the neutral position showed that the largest amounts of motion occurred in the talonavicular joint followed by the talocalcaneal joint, in the latter case mainly in supination. The joints proximal and distal to the medial cuneiform also participated substantially in the total motion registered. The tibia showed an average of 0.2° of external rotation for each degree of supination of the foot.

Links

DOI: 10.1177/107110078900900508

PubMed: 2731838

WoS: A1989U238000007

Cited Works (3)

Year	Entry
1941	Manter JT. Movements of the subtalar and transverse tarsal joints. Anat Rec. August 1941;80(4):397-410.
1948	Levens AS, Inman VT, Blosser JA. Transverse rotation of the segments of the lower extremity in locomotion. J Bone Joint Surg. October 1948;30A(4):859-872.
1976	Inman VT. The Joints of the Ankle. Baltimore, MD: Williams & Wilkins; 1976.

Cited By (26)

Year	Entry
1995	Beaugonin M, Haug E, Munck G, Cesari D. A preliminary numerical model of the human ankle under impact loading. International Conference on Pelvic and Lower Extremity Injuries Proceedings; 1995.277-289.
2004	Haug E, Choi H-Y, Robin S, Beaugonin M. Human models for crash and impact simulation. In: Ayache N, ed. Computational Models for the Human Body. Amsterdam, The Netherlands: Elsevier B.V; 2004:231-452. Ciarlet PG, ed. Handbook of Numerical Analysis; vol 12.
2012	Meyer EG, Wei F, Button K, Powell JW, Haut RC. Determination of ligament strain during high ankle sprains due to excessive external foot rotation in sports. In: Proceedings of the 2012 International IRCOBI Conference on the Biomechanics of Injury. September 12-14, 2012; Dublin, Ireland.277-287.
1999	Shams T, Beach D, White RP, Rangarajan N, Haffner M, Eppinger R, Kuppa S, Beebe M. Development and design of Thor-Lx: the Thor lower extremity. In: Proceedings of the 43rd Stapp Car Crash Conference. October 25-27, 1999; San Diego, CA. Warrendale, PA: Society of Automotive Engineers:141-160. SAE 99SC09.
2002	Funk JR, Srinivasan SCM, Crandall JR, Khaewpong N, Eppinger RH, Jaffredo AS, Potier P, Petit PY. The effects of axial preload and dorsiflexion on the tolerance of the ankle/subtalar joint to dynamic inversion and eversion. Stapp Car Crash J. 2002;46:245-265. SAE 2002-22-0013.
1989	Lundberg A. Kinematics of the ankle and foot: in vivo roentgen stereophotogrammetry. Acta Orthop Scand. 1989;60(suppl 223):1-26.
2011	Wei F, Hunley SC, Powell JW, Haut RC. Development and validation of a computational model to study the effect of foot constraint on ankle injury due to external rotation. Ann Biomed Eng. February 2011;39(2):756-765.
2001	Hunt AE, Smith RM, Torode M, Keenan A-M. Inter-segment foot motion and ground reaction forces over the stance phase of walking. Clin Biomech (Bristol, Avon). August 2001;16(7):592-600.
2008	Lundgren P, Nester C, Liu A, Arndt A, Jones R, Stacoff A, Wolf P, Lundberg A. Invasive in vivo measurement of rear-, mid- and forefoot motion during walking. Gait Post. July 2008;28(1):93-100.
1993	Nigg BM, Cole GK, Nachbauer W. Effects of arch height of the foot on angular motion of the lower extremities in running. J Biomech. August 1993;26(8):909-916.
2007	Arndt A, Wolf P, Liu A, Nester C, Stacoff A, Jones R, Lundgren P, Lundberg A. Intrinsic foot kinematics measured in vivo during the stance phase of slow running. J Biomech. 2007;40(12):2672-2678.
2008	Imhauser CW, Siegler S, Udupa JK, Toy JR. Subject-specific models of the hindfoot reveal a relationship between morphology and passive mechanical properties. J Biomech. 2008;41(6):1341-1349.
2023	Bassett KE, Charles SK, Bruening DA. The signed helical angle: a technique for characterizing midfoot motion during gait. J Biomech. October 2023;159:111791.
1996	Komenda GA, Myerson MS, Biddinger KR. Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Joint Surg. 1996;78A(11):1665-1676.
2012	Wei F, Post JM, Braman JE, Meyer EG, Powell JW, Haut RC. Eversion during external rotation of the human cadaver foot produces high ankle sprains. J Orthop Res. September 2012;30(9):1423-1429.
1994	Stefanyshyn DJ, Engsberg JR. Right to left differences in the ankle joint complex range of motion. Med Sci Sports Exer. May 1994;26(5):551-555.
2004	Imhauser CW. The Development and Evaluation of a 3-Dimensional, Image-Based, Patientspecific, Dynamic Model of the Hindfoot [PhD thesis]. Philadelphia, PA: Drexel University; August 2004.
2009	Villwock MR. Rotational Traction At the American Football Shoe-Surface Interface and Its Application to Ankle Injury [Master's thesis]. East Lansing, MI: Michigan State University; September 2009.
2012	Wei F. Biomechanical Investigations and Computational Modeling of the Human Ankle [PhD thesis]. East Lansing, MI: Michigan State University; 2012.
2015	Button KD. Biomechanical Response of the Ankle to Excessive External Rotation [PhD thesis]. East Lansing, MI: Michigan State University; 2015.
2003	Tomaro JE. Subtalar Joint Ratios in Standing and During Gait in Subjects With Overuse Injuries [PhD thesis]. University of Pittsburgh; 2003.
1997	Morag E. Structural and Functional Factors That Determine Regional Peak Pressures Under the Foot During Walking [PhD thesis]. State College, PA: Pennsylvania State University; May 1997.
2002	Mündermann A. Posting Versus Custom-Molding of Foot Orthotics: Effects on Biomechanical Variables and Comfort [PhD thesis]. Calgary, AB: University of Calgary; December 2002.
2005	Valderrabano V. Ankle Osteoarthritis: Biomechanical and Orthopaedic Aspects [PhD thesis]. Calgary, AB: University of Calgary; December 2005.
2011	Rodrigues P. Consequence of Functioning At the End Range of Joint Motion: Implications on Anterior Knee Pain [PhD thesis]. University of Massachusetts at Amherst; May 2011.
2000	Funk JR. The Effect of Active Muscle Tension on the Axial Impact Tolerance of the Human Foot/ankle Complex [PhD thesis]. Charlottesville, VA: University of Virginia; August 2000.