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Gepubliceerd in: Journal of Foot and Ankle Research 1/2008

Open Access 01-09-2008 | Oral presentation

Direct in vivo quantification of the 3D talocrural and subtalar finite helical axes

Auteur: Frances T Sheehan

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2008

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Introduction

In an attempt to understand the etiology of ankle joint injury and degeneration, numerous models have been created as a means to estimate ankle joint forces. Due to a lack of non-invasive in vivo measurement techniques, the kinematics required to drive these models have typically been acquired in cadavers or using external markers to infer internal bone motion. This has left some uncertainty as to the validity of these models. Thus, the purpose of this study was to non-invasively quantify the 3D in vivo finite helical axes (FHA) of the subtalar and talocrural joints.

Methods

Twenty healthy subjects (25.9 ± 4.1 years, 70.3 ± 12.8 kg, 174.1 ± 7.7 cm) participated in this IRB approved study. Subjects were placed supine in a 1.5 T MR imager (LX; GE Medical Systems, Milwaukee, WI, USA) after obtaining informed consent. An MRI-compatible device was used to apply a plantarflexion (PF) load. This device allowed natural 3D motion at both joints of the hindfoot. While subjects cyclically plantar-flexed and dorsiflexed their ankle at 35 cycles/min, aided by an auditory metronome, fast-PC MR images (anatomic and x, y, and z velocity images, temporal resolution = 72 ms, imaging time = 2:48) were collected [1]. The sagittal-oblique imaging plane contained the tibia, calcaneus, and talus. The 3D time dependent tibial, talar and calcaneal attitudes were quantified through integration of the velocity data [1]. From these data the FHAs were determined.

Results

The ratio of the talocrural to subtalar angular velocities varied greatly between subjects. This ratio ranged from 1.1 to 4.5. Talocrural joint rotation occurred primarily about the medial-lateral axis (Figure 1A and 1C) during plantar-flexion. Yet the FHA was not oriented solely in the M-L direction and rotation of talocrural FHA with minimal displacement during PF was seen across all subjects. The subtalar FHA was directed primarily in the anterior-posterior direction (Figure 1B and 1D). The amount of angulation in the M-L and superior-inferior directions varied during PF and was variable across subjects.

Conclusion

The data from this study clearly confirmed that neither joint is a simple hinge joint and that ankle rotation arose primarily from the talocrural joint. The tendency of the subtalar and talocrural FHAs to rotate and translate will impact the calculation of tendon and ligament moment arms and, thus, alter the moment producing capabilities of the force generating structures at the ankle joint. Future modelling studies should investigate the sensitivity of the model outputs to variations in the FHA direction and location.
Open AccessThis article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Literatuur
1.
go back to reference Sheehan FT, et al: Foot & Ankle Int. 2007, 28 (3): 323-3. 10.3113/FAI.2007.0323.CrossRef Sheehan FT, et al: Foot & Ankle Int. 2007, 28 (3): 323-3. 10.3113/FAI.2007.0323.CrossRef
Metagegevens
Titel
Direct in vivo quantification of the 3D talocrural and subtalar finite helical axes
Auteur
Frances T Sheehan
Publicatiedatum
01-09-2008
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2008
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-1-S1-O35

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