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Department of Podiatry

The 'Normal' adult foot

"In a normal radiograph, the bones must have normal shape and normal alignment. The density of the soft tissues should be normal and there should be no fractures, tumours, or foreign bodies" (Weissman, 1983). The parameters of what 'normal' entails is ill defined, however the following radiographs could be considered non-pathological. Please note the comments under each radiograph.

Lateral weightbearing x-ray film of the foot and ankle

Note that the tibial position of this radiograph is not in neutral, which would indicate, that although weightbearing, the patient is not in a normal angle and base of gait. Note the os trigonum (accessory bone found just posterior to talus), and the slight hallux extensus (the first ray does not appear to be completely 'normal').

DP (dorsoplantar) views of two left feet

Note that in this radiograph, the amount of metatarsal splay is greater than would be considered 'normal'

Content Approved by: Head of Podiatry

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Last Updated: July 8th, 2003