Evidence map›Paper›PMID 42706892›Full record

ArticleJournal of anatomy2026

The impact of footwear on human talar trabecular architecture.

Hannah N Farrell, Andrea Luková, Sebastian Bachmann, Karley Spriggs, Alexander Synek, Dieter H Pahr, Zewdi J Tsegai

Abstract read
In one paragraph

Article in Journal of anatomy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hannah N FarrellDepartment of Organismal Biology and Anatomy, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0009-0004-7692-088X
Andrea LukováDepartment of Human Origins, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany.ORCID https://orcid.org/0009-0001-9843-336X
Sebastian BachmannInstitute of Lightweight Design and Structural Biomechanics, TU Wien, Wien, Austria.ORCID https://orcid.org/0000-0002-6533-3602
Karley SpriggsDepartment of Organismal Biology and Anatomy, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0009-0002-9115-0559
Alexander SynekInstitute of Lightweight Design and Structural Biomechanics, TU Wien, Wien, Austria.
Dieter H PahrInstitute of Lightweight Design and Structural Biomechanics, TU Wien, Wien, Austria.
Zewdi J TsegaiDepartment of Organismal Biology and Anatomy, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-9041-4829

Funding

H2020 Marie Skłodowska-Curie Actions 101025719SYNTHESYS+ Project 823827University of Chicago
6 · The paper itself

Abstract

The evolution of habitual bipedalism was a defining milestone in human history, yet fossil evidence indicates substantial variation in how bipedality was practiced. Trabecular bone, which responds throughout life to joint loading and orientation, offers a powerful way to investigate these differences. Interpreting variation in fossil hominins, however, requires a reliable baseline of intraspecific variation in modern humans, accounting for differences in lifestyle, mobility, and habitual behaviors. Many modern skeletal collections derive from postindustrial populations whose activity patterns, footwear use, and health profiles differ markedly from past populations, potentially biasing interpretations. Thus, habitually shod, postindustrial humans may not be the best proxy for the loading environments experienced by early hominins, whereas unshod individuals provide a closer approximation of barefoot locomotion. To explore the effects of footwear on internal bone structure, we examined trabecular architecture in the talus of habitually shod (N = 40) modern humans (Homo sapiens) from recent donation-based skeletal collections and habitually unshod (N = 16) individuals from the Andaman Island, Khoisan, and Aka populations, representing diverse ecological and subsistence contexts, using high-resolution micro-computed tomographic scans. Trabecular parameters-including bone volume fraction (BV/TV), relative BV/TV (rBV/TV), trabecular thickness (Tb.Th), separation (Tb.Sp), number (Tb.N), and degree of anisotropy (DA)-were quantified using canonical holistic morphometric analysis (cHMA). Shod individuals exhibited higher mean BV/TV and greater variability in BV/TV, suggesting that the talus remains heavily loaded due to its central role in weight bearing during bipedal gait, and that different types of footwear create variable force distributions across the ankle. The spatial distribution of rBV/TV revealed further differences between the groups: shod individuals showed higher rBV/TV in the medial and posterior talus, consistent with more dorsiflexed and medially loaded ankle postures, whereas unshod individuals had elevated rBV/TV in the talar head and neck, potentially reflecting loading associated to squatting or climbing. Shod individuals also exhibited higher mean DA indicating more strongly organized and directionally constrained trabeculae. Mean BV/TV was likewise higher in the shod group and primarily driven by greater trabecular thickness, as trabecular separation and number were broadly similar between groups, suggesting loading differences associated with footwear primarily influence BV/TV and trabecular anisotropy. By establishing clear patterns of trabecular variation between shod and unshod modern humans, this study provides a robust comparative framework for interpreting locomotor behavior in fossil hominins, while highlighting the need to further disentangle the effects of footwear from differences in body size, stature, subsistence strategy, and other aspects of lifestyle among human populations. Recognizing how habitual behavior influences internal bone architecture is essential for reconstructing past movement patterns and understanding the evolutionary pathways of bipedalism.

Indexed as

footwearlocomotionmodern humantalustrabecular bone

Identifiers

PMID42706892
PMCPMC13551078

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.