Journal of the American Podiatric Medical Association, Vol 86, Issue 10 474-486, Copyright © 1996 by American Podiatric Medical Association

JOURNAL ARTICLE

Functional motion of the medial column joints of the foot during propulsion

RD Phillips, EA Law and ED Ward
College of Podiatric Medicine and Surgery, University of Osteopathic Medicine and Health Sciences, Des Moines, IA, USA.

Motion in the ankle, subtalar, midtarsal, and first metatarsophalangeal joints has been well documented. However, motion in the first metatarsocuneiform, the first cuneonavicular, and the first interphalangeal joint has not been addressed. Motion in these joints has not been documented because many believe that little motion occurs at these joints, and because of the difficulty in assessing motion at these joints. Using two-dimensional motion analysis, the authors present sagittal plane ranges of motion occurring in the first metatarsophalangeal joint, the first metatarsocuneiform joint, the medial cuneonavicular joint, and the first interphalangeal joint during the propulsive period of gait. This pilot study indicates that sagittal plane motion between the navicular and calcaneus and between the first metatarsal and first cuneiform are very mild and inconsistent. However, plantarflexion motion between the first cuneiform and the navicular is significant and comprises most of the plantarflexion motion of the first ray during propulsion. Motion in the first interphalangeal joint is slight during the first 80% of the propulsive period but shows slight-to-moderate dorsiflexion during the last 20% of the propulsive period of gait.

This article has been cited by other articles:

				P. V. Munuera, G. Dominguez, and J. M. Castillo Radiographic Study of the Size of the First Metatarso-Digital Segment in Feet with Incipient Hallux Limitus J Am Podiatr Med Assoc, November 1, 2007; 97(6): 460 - 468. [Abstract] [Full Text] [PDF]

				P. V. Munuera, G. Dominguez, I. C. Palomo, and G. Lafuente Effects of rearfoot-controlling orthotic treatment on dorsiflexion of the hallux in feet with abnormal subtalar pronation: a preliminary report. J Am Podiatr Med Assoc, July 1, 2006; 96(4): 283 - 289. [Abstract] [Full Text] [PDF]

				J. S. Paton The relationship between navicular drop and first metatarsophalangeal joint motion. J Am Podiatr Med Assoc, July 1, 2006; 96(4): 313 - 317. [Abstract] [Full Text] [PDF]

				S. E. Munteanu and A. D. Bassed Effect of Foot Posture and Inverted Foot Orthoses on Hallux Dorsiflexion J Am Podiatr Med Assoc, January 1, 2006; 96(1): 32 - 37. [Abstract] [Full Text] [PDF]

				S. M. Sanicola, T. B. Arnold, and L. Osher Is the Radiographic Appearance of the Hallucal Tarsometatarsal Joint Representative of Its True Anatomical Structure? J Am Podiatr Med Assoc, October 1, 2002; 92(9): 491 - 498. [Abstract] [Full Text] [PDF]

				A.-M. Keenan and C. M. Tanner The Effect of High-Dye and Low-Dye Taping on Rearfoot Motion J Am Podiatr Med Assoc, May 1, 2001; 91(5): 255 - 261. [Abstract] [Full Text]

				W. M Glasoe, H J. Yack, and C. L Saltzman Anatomy and Biomechanics of the First Ray Physical Therapy, September 1, 1999; 79(9): 854 - 859. [Full Text] [PDF]