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Semin Musculoskelet Radiol 2003; 07(1): 067-074
DOI: 10.1055/s-2003-41086
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Foot and Ankle Biomechanics

Jeffrey D. Towers1,2 , Christopher T. Deible1 , Sara K. Golla1
  • 1Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA
  • 2Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
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Publication History

Publication Date:
30 July 2003 (online)

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ABSTRACT

With the advent of imaging advancements there has been renewed interest in the foot and ankle. However, many of the basic functions and biomechanical considerations of the bones, joints, and specialized tissues of the normal and dysfunctional foot and ankle remain unfamiliar to many radiologists. This article focuses on the basic biomechanics, normal alignment, and common alignment disorders of the foot and ankle that are relevant to radiologists.

KEYWORDS

Foot biomechanics - foot alignment disorders - ankle biomechanics

REFERENCES

  • 1 Cochran G VB. Functional biomechanics. In: A Primer of Orthopaedic Biomechanics New York: Churchill Livingstone 1982: 251
    Google Scholar
  • 2 Condie D N. Biomechanics. In: Helal B, Rowley D, Cracchiolo A, Myerson M, eds. Surgery of Disorders of the Foot and Ankle London: Lippincott-Raven 1996: 37-46
    Google Scholar
  • 3 Mow V C, Flatow E, Foster R. Biomechanics. In: Simon SR, ed. Orthopaedic Basic Science Rosemont, IL: American Academy of Orthopaedic Surgery 1994: 397-446
    Google Scholar
  • 4 Simon S R. Kinesiology. In: Simon SR, ed. Orthopaedic Basic Science Rosemont, IL: American Academy of Orthopaedic Surgery 1994: 583-592
    Google Scholar
  • 5 Michelson J D. Foot and ankle biomechanics. In: Mizel MS, Miller RA, Scioli MW, eds. Orthopaedic Knowledge Update Rosemont, IL: American Academy of Orthopaedic Surgeons 1998: 1-10
    Google Scholar
  • 6 Chan C W, Rudins A. Foot biomechanics during walking and running.  Mayo Clin Proc . 1994;  69 448-461
    CrossrefPubMedGoogle Scholar
  • 7 Sammarco G J. Anatomy. In: Helal B, Rowley D, Cracchiolo A, Myerson M, eds. Surgery of Disorders of the Foot and Ankle London: Lippincott-Raven 1996: 1-30
    Google Scholar
  • 8 Saltzman C L, Nawoczenski D A. Complexities of foot architecture as a base of support.  J Orthop Sports Phys Ther . 1995;  21 354-360
    PubMedGoogle Scholar
  • 9 Rockar Jr A P. The subtalar joint: anatomy and joint motion.  J Orthop Sports Phys Ther . 1995;  21 361-372
    PubMedGoogle Scholar
  • 10 Bohay D R, Manoli Jr A. Subtalar joint dislocations.  Foot Ankle Int . 1995;  16 803-808
    PubMedGoogle Scholar
  • 11 Wright I M, Douglas J. Biomechanical considerations in the treatment of navicular disease.  Vet Rec . 1993;  133 109-114
    PubMedGoogle Scholar
  • 12 Green D R, Brekke M. Anatomy, biomechanics, and pathomechanics of lesser digital deformities.  Clin Podiatr Med Surg . 1996;  13 179-200
    PubMedGoogle Scholar
  • 13 Katcherian D A. Pathology of the first ray. In: Mizel MS, Miller RA, Scioli MW, eds. Orthopaedic Knowledge Update Rosemont, IL: American Academy of Orthopaedic Surgeons 1998: 151-161
    Google Scholar
  • 14 Donati N L. Deformities of the lesser toes and metatarsophalangeal joint disorders. In: Mizel MS, Miller RA, Scioli MW, eds. Orthopaedic Knowledge Update Rosemont, IL: American Academy of Orthopaedic Surgeons 1998: 163-173
    Google Scholar
  • 15 Coughlin M J. Subluxation and dislocation of the second metatarsophalangeal joint.  Orthop Clin North Am . 1989;  20 535-551
    PubMedGoogle Scholar
  • 16 Fortin P T, Myerson M S. Second metatarsophalangeal joint instability.  Foot Ankle Int . 1995;  16 306-313
    PubMedGoogle Scholar
  • 17 Myerson M S, Shereff M. The pathological anatomy of claw and hammer toes.  J Bone Joint Surg Am . 1989;  71-A 45-49
    PubMedGoogle Scholar
  • 18 Karr S D. Subcalcaneal heel pain.  Orthop Clin North Am . 1994;  25 161-175
    PubMedGoogle Scholar
  • 19 Wapner K L, Hecht P J. Heel pain. In: Mizel MS, Miller RA, Scioli MW, eds. Orthopaedic Knowledge Update Rosemont, IL: American Academy of Orthopaedic Surgeons 1998: 175-183
    Google Scholar
  • 20 Bowman M W. Athletic injuries of the midfoot and hindfoot. In: Garrett WE, Speer K, Kirkendell D, eds. Principles and Practice of Orthopaedic Sports Medicine Philadelphia: Lippincott Williams & Wilkins 2000: 893-944
    Google Scholar
  • 21 Gross M T. Lower quarter screening for skeletal malalignment-suggestions for orthotics and shoewear.  J Orthop Sports Phys Ther . 1995;  21 389-405
    PubMedGoogle Scholar
  • 22 Gross R H. Foot and ankle injuries and disorders.  Adolesc Med . 1998;  9 599-609
    PubMedGoogle Scholar
  • 23 Kilmartin T E, Wallace W A. The scientific basis for the use of biomechanical foot orthoses in the treatment of lower limb sports injuries-a review of the literature.  Br J Sports Med . 1994;  28 180-184
    PubMedGoogle Scholar
  • 24 McPoil T G, Hunt G C. Evaluation and management of foot and ankle disorders: present problems and future directions.  J Orthop Sports Phys Ther . 1995;  21 381-388
    PubMedGoogle Scholar
  • 25 Chandler T J, Kibler W B. A biomechanical approach to the prevention, treatment and rehabilitation of plantar fasciitis.  Sports Med . 1993;  15 344-352
    PubMedGoogle Scholar
  • 26 Milan K R. Injury in ballet: a review of relevant topics for the physical therapist.  J Orthop Sports Phys Ther . 1994;  19 121-129
    PubMedGoogle Scholar
  • 27 Menetrey J, Fritschy D. Subtalar subluxation in ballet dancers.  Am J Sports Med . 1999;  27 143-149
    PubMedGoogle Scholar
  • 28 Cavanagh P R, Ulbrecht J S. Biomechanics of the foot in diabetes mellitus. In: Levin ME, O'Neal L, Bowker J, eds. The Diabetic Foot St. Louis, MO: Mosby-Year Book 1993: 199-232
    Google Scholar
  • 29 Brand P W. The diabetic foot. In: Ellenberg M, Rifkin H, eds. Diabetes Mellitus: Theory and Practice New Hyde Park, NY: Medical Examination Publishing 1983: 829-849
    Google Scholar
  • 30 Mantas J P, Burks R T. Lisfranc injuries in the athlete.  Clin Sports Med . 1994;  13 719-730
    PubMedGoogle Scholar
  • 31 Tomaro J E, Butterfield S L. Biomechanical treatment of traumatic foot and ankle injuries with the use of foot orthotics.  J Orthop Sports Phys Ther . 1995;  21 373-380
    PubMedGoogle Scholar
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