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. 1989 Aug;60(4):481-2.
doi: 10.3109/17453678909149325.

The heel-tip test for restricted tarsal motion

E M Koeweiden  1 , F M van Empel, J R van Horn, T J Slooff
Affiliations

The heel-tip test for restricted tarsal motion

E M Koeweiden et al. Acta Orthop Scand. 1989 Aug.

Abstract

We describe a simple test that selectively reveals restricted tarsal motion. From functional anatomic data, it is evident that talocalcaneal motion, being essential for intrinsic tarsal mobility, is correlated with rotation of the tibia when tested in a standing person. When supination of the weight-bearing foot generates only a limited external rotation of the tibia, tarsal pathology must be assumed. In 9 feet with a talocalcaneal coalition, axial tibial rotation with the heel-tip test averaged only 8.4 degrees in contrast to an average rotation of 27 degrees in 60 control feet.

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