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跟腱曲率导致的关节活动度生物力学增益:拐点、旋转中心和跟骨几何排列的作用。

Biomechanical Gain in Joint Excursion from the Curvature of the Achilles Tendon: Role of the Geometrical Arrangement of Inflection Point, Center of Rotation, and Calcaneus.

作者信息

Kinugasa Ryuta, Yamamura Naoto, Takagi Shu, Sinha Shantanu

机构信息

Department of Human Sciences, Kanagawa University, Yokohama 221-8686, Japan.

Department of Mechanical Engineering, The University of Tokyo, Bunkyo-ku, Tokyo 113-8656, Japan.

出版信息

Diagnostics (Basel). 2021 Nov 12;11(11):2097. doi: 10.3390/diagnostics11112097.

DOI:10.3390/diagnostics11112097
PMID:34829443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8618986/
Abstract

The dorsal movement of the Achilles tendon during ankle rotation is restricted by anatomical obstructions. Previously, we demonstrated that the anatomical obstruction provides a gain (gain) in the proximal displacement of the calcaneus compared to the change in the Achilles tendon length. Here, we empirically validate and extend our previous modeling study by investigating the effects of a broad range of obstruction locations on gain. The largest gain could be achieved when the obstruction was located on the most ventral and distal sides within the physiological range of the Achilles tendon, irrespective of the ankle position.

摘要

跟腱在踝关节旋转过程中的背侧运动受到解剖结构的限制。此前,我们证明,与跟腱长度的变化相比,该解剖结构使跟骨近端位移产生了增益。在此,我们通过研究广泛的阻塞位置对增益的影响,对我们之前的建模研究进行了实证验证和拓展。当阻塞位于跟腱生理范围内最腹侧和最远端时,无论踝关节处于何种位置,均可实现最大增益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/a0154f76b306/diagnostics-11-02097-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/a83d55c69d4b/diagnostics-11-02097-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/96828e2d05f1/diagnostics-11-02097-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/a0154f76b306/diagnostics-11-02097-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/a83d55c69d4b/diagnostics-11-02097-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/96828e2d05f1/diagnostics-11-02097-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00cb/8618986/a0154f76b306/diagnostics-11-02097-g003.jpg

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本文引用的文献

1
Histopathological study of the infrapatellar fat pad in the rat model of patellar tendinopathy: A basic study.髌腱病大鼠模型中髌下脂肪垫的组织病理学研究:一项基础研究。
Knee. 2019 Jan;26(1):14-19. doi: 10.1016/j.knee.2018.07.016. Epub 2018 Aug 24.
2
A Multi-modality Approach Towards Elucidation of the Mechanism for Human Achilles Tendon Bending During Passive Ankle Rotation.多模态方法阐明被动踝关节旋转时人跟腱弯曲的机制。
Sci Rep. 2018 Mar 12;8(1):4319. doi: 10.1038/s41598-018-22661-7.
3
The Achilles Tendon in Healthy Subjects: An Anthropometric and Ultrasound Mapping Study.
健康受试者的跟腱:一项人体测量与超声测绘研究。
J Foot Ankle Surg. 2018 Mar-Apr;57(2):285-288. doi: 10.1053/j.jfas.2017.10.005. Epub 2017 Dec 21.
4
Ankle morphology amplifies calcaneus movement relative to triceps surae muscle shortening.踝关节形态相对于比目鱼肌缩短使跟骨运动放大。
J Appl Physiol (1985). 2013 Aug 15;115(4):468-73. doi: 10.1152/japplphysiol.00395.2013. Epub 2013 Jun 6.
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In vivo determination of the Achilles tendon moment arm in three-dimensions.在体三维测定跟腱力臂。
J Biomech. 2012 Jan 10;45(2):409-13. doi: 10.1016/j.jbiomech.2011.10.018. Epub 2011 Nov 4.
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Quantifying the motion of Kager's fat pad.量化卡格脂肪垫的运动。
J Orthop Res. 2009 Nov;27(11):1457-60. doi: 10.1002/jor.20900.
7
Influence of structure on the tissue dynamics of the human soleus muscle observed in MRI studies during isometric contractions.在等长收缩期间MRI研究中观察到的结构对人类比目鱼肌组织动力学的影响。
J Morphol. 2006 May;267(5):584-601. doi: 10.1002/jmor.10421.
8
The functional anatomy of Kager's fat pad in relation to retrocalcaneal problems and other hindfoot disorders.卡格脂肪垫与跟腱后问题及其他后足疾病相关的功能解剖学。
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Limb positioning is critical for defining patellofemoral alignment and femoral shape.肢体位置对于确定髌股关节对线和股骨形状至关重要。
Clin Orthop Relat Res. 2005 May(434):198-206. doi: 10.1097/01.blo.0000155078.52475.63.
10
Anatomy of and abnormalities associated with Kager's fat Pad.卡格脂肪垫的解剖结构及其相关异常。
AJR Am J Roentgenol. 2004 Jan;182(1):147-54. doi: 10.2214/ajr.182.1.1820147.