A previous study by these authors showed that the calcaneus follows a uniqu
e path of unresisted coupled motion relative to the tibia Juring passive fl
exion and that most of this motion occurred at the ankle level. Subtalar mo
tion in the intact ankle complex was observed only when perturbations from
this path were induced by the application of force to the calcaneus. Relati
ve motion of the bones of the ankle complex was tracked by stereophotogramm
etry in seven specimens. Anatomical landmarks, reference frames and joint a
ngles were defined by standard techniques. Sequential moments were applied
to the calcaneus about the long axis of the tibia. Measured movements at su
btalar level demonstrated plantarflexion coupled to supination and internal
rotation (inversion) and dorsiflexion coupled to pronation and external ro
tation (eversion). These movements were resisted and were fully recovered w
hen the external load was removed. Subtalar motion diminished as the ankle
approached maximal dorsi- and plantarflexion. Two clearly distinguished mea
n axes of rotation were observed for inversion and eversion runs. The axes
of inversion and eversion of the subtalar complex changed orientation along
a preferred and repeatable path. The subtalar joint complex occupied only
a single stable position in the unloaded state and with no range of unresis
ted motion. It is inferred that mobility was possible only by the stretchin
g and lengthening of the ligaments and the indentation of the articular sur
faces, requiring the application of loads. The subtalar joint complex behav
es like a flexible structure. (C) 2001 Elsevier Science Ltd. All rights res
erved.