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Tarsus (skeleton)

life science Maturity 11-13 Next article →

The tarsus is a complex cluster of seven articulating bones located in each human foot.

These bones sit between the lower leg and the metatarsus, which leads to the toes. The tarsus is essential for supporting body weight and allowing for sophisticated movement. It is organized into two distinct regions: the hindfoot and the midfoot. The hindfoot consists of the talus and the calcaneus. The midfoot is made of five irregular bones: the cuboid, the navicular, and three cuneiform bones. These midfoot bones form the arches of the foot to act as a shock absorber.

Mechanically, the tarsus functions through several interconnected joints. The talus, or ankle bone, connects superiorly to the tibia and fibula. This connection creates the ankle joint, also known as the talocrural joint. Below the talus lies the subtalar joint, which connects it to the calcaneus, or heel bone. The calcaneus is the largest bone in the tarsus and serves as the primary weight-bearing bone in the heel. The midfoot bones are connected to the hindfoot and forefoot by muscles and the plantar fascia. This network allows the foot to transition between being flexible and being rigid.

The subtalar joint is responsible for complex motions in three different planes. It produces two specific movements called inversion and eversion. Inversion is the inward turning of the foot, while eversion is the outward turning. The axis of rotation for this joint is directed 42 degrees upward from the horizontal plane. It is also oriented 16 degrees medially from the midline of the foot. Interestingly, the subtalar facets form a shape like an Archimedean spiral or a screw. During inversion, the calcaneus rotates clockwise and moves forward along this screw-like axis.

Average subtalar motion involves 20 to 30 degrees of inversion and 5 to 10 degrees of eversion. During a normal walking cycle, the heel strikes the ground in slight inversion. This is quickly followed by eversion of 10 to 15 degrees. Another important structure is the transverse tarsal joint, also called Chopart's joint. This joint is formed by the talonavicular and calcaneocuboid joints. It features two axes of motion to help control foot stability. The talonavicular joint allows for 7 degrees of flexion-extension and 17 degrees of pronation-supination. The calcaneocuboid joint allows for 2 degrees of flexion-extension and 7 degrees of pronation-supination.

The interaction between these joints determines the stiffness of the foot. When the subtalar joint is in eversion, the two joints of the transverse tarsal joint become parallel. This state allows for more movement within the joint. However, when the subtalar joint is in inversion, the axes of the transverse joint become convergent. This convergence locks the joints and makes the midfoot rigid. This ability to switch between a flexible and a rigid state is vital for efficient movement.

Evolutionary history shows that the tarsus has changed significantly over time. Primitive tetrapods, such as Trematops, possessed a tarsus with three distinct rows of bones. The first row had three proximal tarsals named the tibiale, intermedium, and fibulare. The second row contained four centralia bones. The third row consisted of five distal tarsals. In most modern tetrapods, this pattern has been modified through the loss and fusion of bones. In reptiles and mammals, there are typically only two proximal tarsals. These are the calcaneus and the talus.

Different animal groups show unique adaptations of these bones. In mammals, the talus forms a hinge joint with the tibia. The calcaneus has also evolved to form a heel for the Achilles tendon to attach. These specific features are not found in reptiles, which have a simpler bone structure. Birds show an even more extreme change in their tarsus. In birds, the proximal tarsals have fused with the tibia. The distal bones have fused with the metatarsals to create a single tarsometatarsus bone. This evolution effectively gives the bird leg a third segment.

Tarsalia accessoria
Tarsalia accessoria
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