Nester Christopher J, Findlow Andrew H
Centre for Rehabilitation and Human Performance Research, University of Salford, Salford, England.
J Am Podiatr Med Assoc. 2006 Jan-Feb;96(1):24-31. doi: 10.7547/0960024.
Recent debate and literature have provided impetus to the growing body of thought that we should not model the midtarsal joint as having two simultaneous axes of rotation but as having a single instantaneous axis of rotation. Building on this concept, we present new reference terminology and propose that descriptions of midtarsal joint kinetics and kinematics relate to moments and motion in the cardinal body planes as defined by the x-, y-, and z-axes of the local reference system of the calcaneus. This replaces the existing terminology that describes the oblique and longitudinal axes for the midtarsal joint. The purpose of the new terms of reference and terminology is to aid in the communication of ideas and concepts regarding the biomechanics of the midtarsal joint among clinicians and between researchers and clinicians. It will also allow integration of the midtarsal joint into the emerging biomechanical model of the lower limb, promote consistency in discussions of the joint, and ease understanding of the interrelationships between the kinetics and the kinematics of the articulations in the foot and lower limb and their relationship to pathology and clinical practice.
最近的辩论和文献推动了越来越多的观点，即我们不应将中跗关节建模为具有两个同时存在的旋转轴，而应建模为具有单个瞬时旋转轴。基于这一概念，我们提出了新的参考术语，并建议中跗关节动力学和运动学的描述与跟骨局部参考系统的x、y和z轴所定义的基本身体平面中的力矩和运动相关。这取代了现有的描述中跗关节斜轴和纵轴的术语。新的参考术语和术语的目的是帮助临床医生之间以及研究人员和临床医生之间交流有关中跗关节生物力学的想法和概念。它还将使中跗关节能够融入新兴的下肢生物力学模型，促进对该关节讨论的一致性，并便于理解足部和下肢关节的动力学和运动学之间的相互关系及其与病理学和临床实践的关系。
