For talocrural distraction, what is the force hand placement?

• A. Web space over talus
• B. Wrapped around calcaneus
• C. Hands intertwined over dorsal foot
• D. Fingers around navicular

Answer: (C)

Distraction of the talocrural joint relies on a stable, long-axis pull transmitted from the hands through the foot to separate the tibia/fibula from the talus. Intertwining the hands over the dorsal surface of the foot provides a broad, secure grip that shares the load between both hands and directs the traction along the leg’s axis. This contact minimizes slipping and maintains a neutral ankle position while you apply steady force. In contrast, using a web-space over the talus offers a smaller contact area and can slip; wrapping around the calcaneus changes the direction of pull toward the heel and risks unintended subtalar movement; fingers around the navicular target midfoot rather than the ankle joint itself, reducing effectiveness for the talocrural joint. So the intertwined-dorsal-foot hand position best achieves clean, axial distraction of the talocrural joint.