Normal Angular Relationships of the Hindfoot & Forefoot

View Angle Newborn 2 Years 4 Years Birth to 9 Years
AP
Talocalcaneal
42°  (27-56°) 40° (26-50°) 34°(24-44°) 15 - 56°
AP  Calcaneal-fifth metatarsal -1° -10 to 14°
AP Talar-first metatarsal 20° 13° 10° -9 to 31°
Lateral Talocalcaneal 39° (23-55°) 41° (27-56°) 44° (31-57°) 23 - 56°
Lateral Talocalcaneal w/ maximum dorsiflexion 45° (35-56°) 44° (33-54°) 33° (32-52°) 25 - 55°
Lateral Tibiocalcaneal 77° 71° 67° 56 - 95°
Lateral Tibiocalcaneal w/ maximum dorsiflexion 42° 46° 50° 25 - 73°
Lateral Tibiotalar 115° 114° 113° 86 -145°
Lateral Talar-first metatarsal 19° 21° -7 to 39°
Lateral Talar-horizontal 34° 31° 30° 14 - 55°
  Talocalcaneal index 76° 82° 80° 45 - 103°
 

Vanderwilde R, Staheli LT, Chew DE, Malagon V: Measurements on radiographs of the foot in normal infants and children.  J Bone Joint Surg 70A:407, 1988.  Modified by from Ozonoff MB. Pediatric Orthopedic Radiology. W.B. Saunders Company: Philadelphia. 1992.  (Used with permission from M.B. Ozonoff;  publisher's permission requested)


 
 
 
 



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