Saxena Amol, Kim Will
Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA 94301, USA.
J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):312-4. doi: 10.7547/87507315-93-4-312.
Ankle equinus has been proposed to be associated with lower-extremity pathology. Physiologically normal measurements have been quantified in various populations. Forty high-school athletes (16 girls and 24 boys) without a history of ankle injury had ankle dorsiflexion measured with the knee extended and flexed by an experienced evaluator using a goniometer with the subjects supine. The group mean +/- SD dorsiflexion for the right ankle was 0.35 degrees +/- 2.2 degrees with the knee extended and 4.88 degrees +/- 3.23 degrees with the knee flexed. The values for the left ankle were -0.6 degrees +/- 2.09 degrees and 4.68 degrees +/- 3.33 degrees, respectively. There were no statistically significant differences between limbs using the Student t-test. In girls, values for right and left ankle dorsiflexion were 0.19 degrees +/- 2.1 degrees and -0.7 degrees +/- 2.3 degrees, respectively, with the knee extended and 4.88 degrees +/- 3.59 degrees and 4.88 degrees +/- 3.07 degrees, respectively, with the knee flexed. In boys, these values were 0.46 degrees +/- 2.3 degrees and -0.5 degrees +/- 1.98 degrees with the knee extended and 4.88 degrees +/- 3.04 degrees and 4.54 degrees +/- 3.55 degrees with the knee flexed. There were no statistically significant differences between boys and girls. Ankle dorsiflexion in asymptomatic adolescent athletes is approximately 0 degrees with the knee extended and just less than 5 degrees with the knee flexed.
踝关节马蹄足被认为与下肢病理状况有关。已对不同人群的生理正常测量值进行了量化。四十名无踝关节损伤史的高中运动员(16名女生和24名男生),由经验丰富的评估人员在受试者仰卧位时,使用角度计测量其膝关节伸直和屈曲时的踝关节背屈情况。右侧踝关节在膝关节伸直时的组平均背屈角度±标准差为0.35°±2.2°,膝关节屈曲时为4.88°±3.23°。左侧踝关节的相应值分别为-0.6°±2.09°和4.68°±3.33°。使用学生t检验,双下肢之间无统计学显著差异。女生中,右侧和左侧踝关节在膝关节伸直时的背屈角度分别为0.19°±2.1°和-0.7°±2.3°,膝关节屈曲时分别为4.88°±3.59°和4.88°±3.07°。男生中,这些值在膝关节伸直时为0.46°±2.3°和-0.5°±1.98°,膝关节屈曲时为4.88°±3.04°和4.54°±3.55°。男生和女生之间无统计学显著差异。无症状青少年运动员的踝关节背屈在膝关节伸直时约为0°,膝关节屈曲时略小于5°。