Kitaoka H B, Lundberg A, Luo Z P, An K N
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905, USA.
Foot Ankle Int. 1995 Aug;16(8):492-9. doi: 10.1177/107110079501600806.
We studied 15 cadaver feet to determine three-dimensional motion of selected tarsal bones under axial loading at three different loading levels. We determined the motion of individual joints and also the rotation of the tarsal bones in relation to the tibia. Joint rotations increased consistently with higher loads. The naviculartalar joint had the greatest total screw axis rotation, which averaged 9.4 degrees +/- 2.2 degrees at 667 N of load, followed by the first metatarsal-navicular (mean, 7.2 degrees +/- 1.5 degrees), talartibial (mean, 5.2 degrees +/- 1.6 degrees), and calcaneal-talar (mean, 4.4 degrees +/- 1.7 degrees) joints. The observed changes indicate the need for assessment of foot and ankle alignment clinically and radiologically while the patient is weightbearing.
我们研究了15具尸体足,以确定在三种不同负荷水平的轴向负荷下所选跗骨的三维运动。我们确定了各个关节的运动以及跗骨相对于胫骨的旋转。关节旋转随着负荷增加而持续增加。舟楔关节的总螺旋轴旋转最大,在667 N负荷下平均为9.4度±2.2度,其次是第一跖楔关节(平均7.2度±1.5度)、距胫关节(平均5.2度±1.6度)和跟距关节(平均4.4度±1.7度)。观察到的变化表明,在患者负重时,需要从临床和放射学角度评估足踝对线情况。