de César Paulo César, Alves Jairo André de Oliveira, Gomes João Luiz Ellera
Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Porto Alegre, RS, Brazil, Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Acta Ortop Bras. 2014;22(6):312-4. doi: 10.1590/1413-78522014220600659.
To evaluate the association between the height of the medial longitudinal arch of the foot and non-contact injuries of the anterior cruciate ligament.
One hundred and five patients were included in this case-control study. The case group consisted of 52 patients with non-contact injury of the anterior cruciate ligament. Fifty-three individuals with no history of symptoms regarding to feet or knees comprised the control group. An anthropometric assessment of the bony arch index was performed, which consisted of measuring the ratio of the height between the navicular bone to the ground and the distance from the most posterior support point of the calcaneus to the first metatarsal-phalangeal joint. Gender, height, weight, body mass index and the frequency of sports practice were also evaluated.
Subjects in the case group had significantly higher medial longitudinal arches than individuals in the control group.
Individuals with rupture of the anterior cruciate ligament had higher arches than the corresponding controls, suggesting an association between a high medial longitudinal arch of the foot and injury of the anterior cruciate ligament. Level of Evidence III, Case-Control Study.
评估足内侧纵弓高度与前交叉韧带非接触性损伤之间的关联。
本病例对照研究纳入了105名患者。病例组由52例前交叉韧带非接触性损伤患者组成。53名无足部或膝部症状病史的个体组成对照组。对骨弓指数进行人体测量评估,包括测量舟骨与地面之间的高度比以及跟骨最后支撑点到第一跖趾关节的距离。还评估了性别、身高、体重、体重指数和运动练习频率。
病例组受试者的内侧纵弓明显高于对照组个体。
前交叉韧带断裂的个体比相应对照组的足弓更高,提示足内侧纵弓高度与前交叉韧带损伤之间存在关联。证据级别III,病例对照研究。