Ankle joint dorsiflexion. Establishment of a normal range

1993 ◽  
Vol 83 (5) ◽  
pp. 251-254 ◽  
Author(s):  
BD Baggett ◽  
G Young
Keyword(s):  
Ankle Joint ◽  
Clinical Relevance ◽  
Poor Correlation ◽  
Normal Range ◽  
Measuring Systems ◽  
Ankle Joint Dorsiflexion ◽  
Direct Measurements

Various values have been proposed as the required amount of ankle joint dorsiflexion, but a normal range has not been established. The authors establish a normal range based on direct measurements and compare the standard nonweightbearing method of measuring ankle joint dorsiflexion with a weightbearing method. The normal range for ankle joint dorsiflexion was established as 0 degrees to 16.5 degrees nonweightbearing and 7.1 degrees to 34.7 degrees weightbearing. A statistically significant (p < 0.01) difference exists between the two measuring systems. In addition, the study shows poor correlation between the two measurements. This lack of correlation brings into question the clinical relevance of the standard nonweightbearing measurement.

scholarly journals Accessibility to Talar Dome in Neutral Position, Dorsiflexion, or Noninvasive Distraction in Posterior Ankle Arthroscopy

2019 ◽  
Vol 40 (8) ◽  
pp. 978-986 ◽  
Author(s):  
Lena Hirtler ◽  
Katarina Schellander ◽  
Reinhard Schuh
Keyword(s):  
Minimally Invasive ◽  
Ankle Joint ◽  
Clinical Relevance ◽  
Arthroscopic Treatment ◽  
Osteochondral Lesions ◽  
Neutral Position ◽  
Matched Pairs ◽  
Talar Dome ◽  
Statistical Comparison ◽  
Posterior Ankle Arthroscopy

Background: Osteochondral lesions of the talus are frequent pathologies of the ankle joint. Especially through arthroscopy, the treatment is kept as minimally invasive as possible. However, there are some drawbacks as to the reachability because of the high congruency of the ankle joint. Here, either noninvasive distraction or maximal dorsiflexion may be an option for better access to the lesion. The purpose of this study was to evaluate maximal dorsiflexion compared to neutral position or noninvasive distraction of the ankle joint in the arthroscopic reachability of the talar dome. The hypothesis of this study was that maximal dorsiflexion would allow for greater accessibility of the talar dome compared to neutral position or noninvasive distraction of the joint. Methods: Twenty matched pairs (n=40) of anatomical ankle specimens were used. The effects of neutral position, maximal dorsiflexion, and noninvasive distraction of the ankle joint on arthroscopic accessibility of the ankle joint were tested. After disarticulation of the talus, reach was measured and compared between the 3 positions. Results: In neutral position, 13.7±1.2 mm of the talar dome was reached laterally and 14.0±1.0 mm medially. In maximal dorsiflexion, the distance was 19.0±1.1mm laterally and 19.8±1.4 mm medially, and in noninvasive distraction it was 16.1±1.5 mm laterally and 15.7±1.0 mm medially. The statistical comparison showed a significantly better reach in dorsiflexion laterally ( P = .003) and medially ( P = .026). Conclusion: Accessibility of the talar dome in maximal dorsiflexion was superior to that in neutral position or noninvasive distraction. Clinical Relevance: Results of this study may allow for better planning in arthroscopic treatment of osteochondral lesions of the talus.

EFFECTS OF CHRONIC RENAL DISEASE ON THYROID HORMONE METABOLISM

1977 ◽  
Vol 84 (4) ◽  
pp. 750-758 ◽  
Author(s):  
J. F. Finucane ◽  
R. S. Griffiths ◽  
E. G. Black ◽  
C. L. Hall
Keyword(s):  
Renal Disease ◽  
Chronic Renal Disease ◽  
Normal Subjects ◽  
Free Thyroxine ◽  
Poor Correlation ◽  
Serum Concentrations ◽  
Hormone Metabolism ◽  
Normal Range ◽  
Thyroid Hormone Metabolism ◽  
Urine Concentrations

ABSTRACT Serum concentrations of total and free thyroxine and triiodothyronine together with urine losses of unconjugated thyroid hormones have been measured in normal subjects and in patients with renal disease. Serum total hormone values in the hypothyroid range were common in the renal group and correlated inversely with the degree of renal impairment but not with renal loss of hormone which in the case of thyroxine exceeded the average normal daily loss ten-fold. The euthyroid state of patients with renal disease was best reflected by serum free thyroxine concentration which in every case was within the normal range. Poor correlation was apparent between the respective urine concentrations of albumin and thyroxine, and the reasons for this are discussed.

Manipulation method for the treatment of ankle equinus

2000 ◽  
Vol 90 (8) ◽  
pp. 385-389 ◽  
Author(s):  
HJ Dananberg ◽  
J Shearstone ◽  
M Guillano
Keyword(s):  
Achilles Tendon ◽  
Ankle Joint ◽  
Clinical Entity ◽  
Foot And Ankle ◽  
Compound A ◽  
Ankle Joint Dorsiflexion ◽  
Manual Manipulation

Ankle equinus is a well-known clinical entity that has previously been shown to compound a variety of foot and ankle conditions. Treatments for this disorder have included surgery to lengthen the Achilles tendon and daily stretching. This article describes a method of manual manipulation that can immediately and substantially increase ankle joint dorsiflexion. Patients treated with manipulation in the current study demonstrated nearly twice as much dorsiflexion motion as that demonstrated by patients in a prior study who were treated with a 5-minute daily stretching program for 6 months.

scholarly journals Author Correction: Clinical measures of foot posture and ankle joint dorsiflexion do not differ in adults with and without plantar heel pain

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Karl B. Landorf ◽  
Michelle R. Kaminski ◽  
Shannon E. Munteanu ◽  
Gerard V. Zammit ◽  
Hylton B. Menz
Keyword(s):  
Ankle Joint ◽  
Heel Pain ◽  
Plantar Heel Pain ◽  
Ankle Joint Dorsiflexion ◽  
Foot Posture ◽  
Clinical Measures

A weightbearing technique for the measurement of ankle joint dorsiflexion with the knee extended is reliable

2009 ◽  
Vol 12 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Shannon E. Munteanu ◽  
Andrea B. Strawhorn ◽  
Karl B. Landorf ◽  
Adam R. Bird ◽  
George S. Murley
Keyword(s):  
Ankle Joint ◽  
Ankle Joint Dorsiflexion

Interrater and Intrarater Reliability in the Measurement of Ankle Joint Dorsiflexion is Independent of Examiner Experience and Technique Used

2011 ◽  
Vol 101 (5) ◽  
pp. 407-414 ◽  
Author(s):  
Paul Jeong Kim ◽  
Ruth Peace ◽  
Jamie Mieras ◽  
Tanya Thoms ◽  
Denise Freeman ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Clinical Experience ◽  
Interrater Reliability ◽  
Assessment Tool ◽  
Intrarater Reliability ◽  
Interclass Correlation Coefficient ◽  
Ankle Joint Dorsiflexion ◽  
Interclass Correlation ◽  
Asymptomatic Individuals ◽  
A Prospective Study

Background: Goniometric measurement is currently being used as a diagnostic and outcomes assessment tool for ankle joint dorsiflexion. Despite its common use, its interrater and intrarater reliability has been questioned. Methods: This is a prospective study examining whether the experience of the examiner or the technique used affects the interrater and intrarater reliability for measuring ankle joint dorsiflexion. Fourteen asymptomatic individuals (8 male and 6 female) with a mean age of 28.2 years (range, 23–52) were enrolled into this study. The years of clinical experience of the five examiners averaged 10.4 years (range, 0–26). Four examiners used a modified Root, Weed and Orien method of measuring ankle joint dorsiflexion. The fifth examiner utilized a nonstandardized technique. A standard goniometer was used for bilateral measurements of ankle joint dorsiflexion with the knee extended and flexed. All five examiners repeated each measurement three times during each of the three sessions, with each session spaced at least 1 week apart. Results: The interclass correlation coefficient reveals a moderate intrarater and poor interrater reliability in ankle joint dorsiflexion measurements using a standard goniometer. More importantly, further analysis indicates that the use of a standardized technique for measurement of ankle joint dorsiflexion or years of clinical experience does not increase the intrarater or interrater reliability. Conclusions: The utility of the goniometric measurement of ankle joint dorsiflexion may be limited. (J Am Podiatr Med Assoc 101(5): 407–414, 2011)

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