The close packed position of the transverse tarsal joint is full supination, while open packed (resting) position is midway between the extremes of the total range of motion. The joint’s capsular pattern is dorsiflexion, followed by plantar flexion, adduction and medial rotation.

The Midtarsal joint rotates at two axes due to its anatomy, making its motion complex. The longitudinal axis (image 'A' below) lies about 15° superior to the horizontal plane and about 10° medial to the longitudinal plane.

Normal movement and timing of movement in the subtalar joint are important, because subtalar position influences the MTJ alignment and the foot's relative flexibility or rigidity. For example, someone whose subtalar joint pronates excessively during loading response (green tracing) does not experience normal subtalar supination during late stance.

Chopart joint complex injuries—specifically, midtarsal sprains—are relatively common in the setting of inversion-type ankle injuries and typically present as avulsion injuries across the calcaneocuboid joint and impaction injuries at the talonavicular joint.

Midtarsal joint range of motion: For pedagogical reasons, the midtarsal joint can be considered as functioning about two axis of motion (evidence is clear that this joint does not, in reality, move about two axes) .