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. 2012 Jul 20;4(4):259–266. doi: 10.4021/jocmr984w

Table 2. Anatomical Landmarks for the Four-Segment Model of the Foot and Shank.

Segment Location
Hallux Most distal and dorsal point of the head of the proximal phalanx
Forefoot Head of the fifth metatarsal, dorso-lateral aspect of the fifth metatarso-phalangeal joint
Head of the second metatarsal, dorso-medial aspect of the second metatarso-phalangeal joint
Head of the first metatarsal, dorso-medial aspect of the first metatarso-phalangeal joint
Base of the fifth metatarsal, dorso-lateral aspect of the fifth metatarso-cuboid joint
Base of the second metatarsal, dorso-medial aspect of the second metatarso-cuneiform joint
Base of the first metatarsal, dorso-medial aspect of the first metatarso-cuneiform joint
Calcaneus Lateral calcaneus - midpoint between the lateral malleolus and floor
Medial calcaneus - point between medial malleolus and floor at height of lateral calcaneus marker
Posterior calcaneus - aligned vertically with Achilles tendon at same height as lateral calcaneus marker
Shank Most lateral aspect of lateral malleolus
Most medial aspect of the medial malleolus
Most lateral prominence of lateral epicondyle
Most medial prominence of the medial epicondyle
Most anterior aspect of the tibial tuberosity