Maddocks Megan, Constantinou Demitri
*Department of Exercise Science and Sports Medicine Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
J Am Podiatr Med Assoc. 2025 Jan-Feb;115(1). doi: 10.7547/23-221.
Foot and ankle injuries are common in dance and well documented in ballet. Commonly used injury surveillance tools do not depict the foot and ankle in much detail and are often considered as a single anatomical structure. The foot and ankle houses some of the body's most complex anatomy, and because of the incidence of injuries to these areas in dancers, and different management, a more detailed approach should be taken to reflect the complexity of the area for more accurate research and clinical application. This article proposes and demonstrates that the foot and ankle be broken down into more in detail when selected on a body chart.
There is a conventional whole-body chart available in the Research Electronic Data Capture (RedCap) program that allows a selection of the foot and ankle. As part of a study of injuries in dancers, a custom chart was developed within this platform to expand on that selection by including smaller parts from the dorsal, medial, and plantar aspects.
All dance research needs to be more detailed regarding injuries to the foot and ankle for better clinical applications. Notable structures of clinical importance for ballroom and Latin American dancers are the first metatarsophalangeal joint, plantar fascia, and Achilles tendon. Such detail was determined using the newly developed chart and would not have been possible using conventional notations. Further, this chart provides a much clearer injury and clinical picture, which may differ in female ballet dancers who are dancing en pointe and other dance styles.
Gathering detailed information using this chart will allow for the development of existing injury surveillance platforms and the advancement of foot and ankle injury research in dancers and may be transferable to other sports.
足踝部损伤在舞蹈中很常见，在芭蕾舞领域也有充分记录。常用的损伤监测工具并未详细描绘足踝部，且常将其视为单一解剖结构。足踝部包含人体一些最复杂的解剖结构，鉴于舞者这些部位的损伤发生率及不同的处理方式，应采用更详细的方法来反映该区域的复杂性，以便进行更准确的研究和临床应用。本文提出并证明，在人体图表上选择足踝部时，应将其进一步细分。
研究电子数据采集（RedCap）程序中有一个传统的全身图表，可用于选择足踝部。作为一项关于舞者损伤研究的一部分，在此平台内开发了一个定制图表，通过纳入来自背侧、内侧和足底方面的较小部位来扩展该选择范围。
所有舞蹈研究都需要在足踝部损伤方面更加详细，以实现更好的临床应用。对于交际舞和拉丁舞舞者具有临床重要性的显著结构包括第一跖趾关节、足底筋膜和跟腱。这些细节是使用新开发的图表确定的，使用传统标注则无法做到。此外，该图表提供了更清晰的损伤和临床情况，这在跳足尖舞的女性芭蕾舞舞者和其他舞蹈风格中可能有所不同。
使用此图表收集详细信息将有助于现有损伤监测平台的发展以及舞者足踝部损伤研究的推进，并且可能适用于其他运动项目。
