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Journal of the American Podiatric Medical Association
Volume 96 Number 1 24-31 2006
Copyright © 2006 American Podiatric Medical Association

Clinical and Experimental Models of the Midtarsal Joint

Proposed Terms of Reference and Associated Terminology

Christopher J. Nester, PhD * and Andrew H. Findlow, BSc(Hon) *

* Centre for Rehabilitation and Human Performance Research, University of Salford, Salford, England.

Corresponding author: Christopher J. Nester, PhD, Centre for Rehabilitation and Human Performance Research, University of Salford, Brian Blatchford Bldg, Salford M6 6PU, England.

Abstract

Recent debate and literature have provided impetus to the growing body of thought that we should not model the midtarsal joint as having two simultaneous axes of rotation but as having a single instantaneous axis of rotation. Building on this concept, we present new reference terminology and propose that descriptions of midtarsal joint kinetics and kinematics relate to moments and motion in the cardinal body planes as defined by the x-, y-, and z-axes of the local reference system of the calcaneus. This replaces the existing terminology that describes the oblique and longitudinal axes for the midtarsal joint. The purpose of the new terms of reference and terminology is to aid in the communication of ideas and concepts regarding the biomechanics of the midtarsal joint among clinicians and between researchers and clinicians. It will also allow integration of the midtarsal joint into the emerging biomechanical model of the lower limb, promote consistency in discussions of the joint, and ease understanding of the interrelationships between the kinetics and the kinematics of the articulations in the foot and lower limb and their relationship to pathology and clinical practice. (J Am Podiatr Med Assoc 96(1): 24–31, 2006)






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Copyright © 2006 by the American Podiatric Medical Association.