Craig:

Kevin wrote in response to Angela:

<< Have you looked at the position of the subtalar joint (STJ) axis at all in
 these children's feet? >>

Craig replied:
 
 <>

Kevin replies:

Craig, your observation here exactly coincides with many similar clinical
observations which I made during my Biomechanics Fellowship at CCPM in
1984-85.  It was because I could find no other explanation for the patient's
cause of pronation that I began to become very excited by the clinical
significance of subtalar joint (STJ) axis location on the function of the foot
(this is when I started examining every foot I saw with my palpation
technique). This excitement was due to the fact that I now could understand,
from a physics standpoint, why some feet which had relatively normal
"biomechanical measurements" could have feet which functioned with such
abnormality during gait.  I greatly appreciate you bringing this subject up
since most podiatrists don't appreciate the significance of how seemingly
small and subtle differences in STJ axis location can radically alter the
function of a foot during weightbearing activities.
 
Craig continues: 

<>

Kevin replies:

Excellent work!  Just because other practitioners don't understand the
significance of STJ axis deviation theory doesn't mean that it shouldn't be
taught.  Thanks for spreading the knowledge to your students.

Sincerely,

Kevin 

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Kevin A. Kirby, D.P.M.
Assistant Clinical Professor of Biomechanics
California College of Podiatric Medicine

Private Practice:

2626 N Street  
Sacramento, CA  95816 
Voice:  (916) 456-4768   Fax:  (916) 451-6014
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