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The Windlass and Reverse Windlass Effects were first described 65 years ago by John H. Hicks in his classic paper on the biomechanics of the plantar fascia in 1954 (Hicks JH: The mechanics of the foot. II. The plantar aponeurosis and the arch. J Anatomy. 88:24-31, 1954). Hicks noted that hallux dorsiflexion, in both live feet and cadaver feet, produced the mechanical effect of raising of the medial longitudinal arch and plantarflexing the first ray. He also found that during relaxed bipedal stan

Windlass and Reverse Windlass Effects of Hicks The "windlass effect", first described by John Hicks 65 years ago, involves dorsiflexion of the hallux, which, in turn, causes raising of the medial longitudinal arch. Hicks described that in both living and cadaver feet that the plantar fascia, by winding around the "drum" of the first metatarsal head with hallux dorsiflexion, was the primary cause of medial arch raising with hallux dorsiflexion (Hicks JH: The mechanics of the foot. II. The plantar

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