Subtalar joint motion (open chain)

oblique axis of left subtalar joint

Subtalar joint motion (pronation or supination) occurs around a single, oblique axis (pictured here for the left foot).

Because the joint's axis is oblique, we observe a component of subtalar motion no matter which of the three reference planes (sagittal, frontal, or transverse) that we use as our point of view.

open chain movement of right subtalar joint The arrows in this transverse plane (cross-sectional) view of the right foot illustrate the three components of open chain movement in the right subtalar joint. The line represents the subtalar joint axis.

compare with closed chain motion

Plane of movement

PRONATION

SUPINATION

FRONTAL

abduction

adduction

SAGITTAL

dorsiflexion

plantar flexion

TRANSVERSE
(cross-section of foot)

eversion

inversion


Subtalar joint axis

oblique axis of right subtalar joint

The figures supply the mean values for the angulation of the subtalar joint axis in two planes.

Investigators first located the axis empirically by examining cadaver specimens. The axis may be a line that connects the points at which the talus contacts the navicular anteriorly and the calcaneus inferiorly. Similarly, biomechanists identify the radioulnar joint axis as a line that connects the two points at which the radius and ulna contact one another. Kendall (1993) use the same reasoning to define the hip joint's mechanical axis as a line that connects the femur's points of articulation with the pelvis and tibia.


Muscle action

The gastrocnemeus and soleus, and each of the foot's extrinsic muscles attach distal to the talus and, therefore, produce motion at the subtalar joint. Muscles whose lines of application pass on the subtalar joint axis' lateral side produce pronation. Muscles whose lines of application pass on the axis' medial side produce supination. The latter group includes the gastrocnemeus and soleus, which attach near the calcaneus' midline, on the medial side of the joint axis (Rockar, 1995, p.372).
References: Rockar, P.A. (1995). The subtalar joint: Anatomy and joint motion. Journal of Orthopedic and Sports Physical Therapy, 21, 361-372.

Last updated 4-18-01 Dave Thompson PT
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