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Kleipool RP, Stufkens SAS, Dahmen J, Vuurberg G, Streekstra GJ, Dobbe JGG, Blankevoort L, Knupp M. Difference in orientation of the talar articular facets between healthy ankle joints and ankle joints with chronic instability. J Orthop Res 2022; 40:695-702. [PMID: 33913551 PMCID: PMC9291144 DOI: 10.1002/jor.25068] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 03/31/2021] [Accepted: 04/26/2021] [Indexed: 02/04/2023]
Abstract
Since both the talocrural and subtalar joints can be involved in chronic ankle instability, the present study assessed the talar morphology as this bone is the key player between both joint levels. The 3D orientation and curvature of the superior and the posteroinferior facet between subjects with chronic ankle instability and healthy controls were compared. Hereto, the talus was segmented in the computed tomography images of a control group and a chronic ankle instability group, after which they were reconstructed to 3D surface models. A cylinder was fitted to the subchondral articulating surfaces. The axis of a cylinder represented the facet orientation, which was expressed by an inclination and deviation angle in a coordinate system based on the cylinder of the superior talar facet and the geometric principal axes of the subject's talus. The curvature of the surface was expressed as the radius of the cylinder. The results demonstrated no significant differences in the radius or deviation angle. However, the inclination angle of the posteroinferior talar facet was significantly more plantarly orientated (by 3.5°) in the chronic instability group (14.7 ± 3.1°) compared to the control group (11.2 ± 4.9°) (p < 0.05). In the coronal plane this corresponds to a valgus orientation of the posteroinferior talar facet relative to the talar dome. In conclusion, a more plantarly and valgus orientated posteroinferior talar facet may be associated to chronic ankle instability.
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Affiliation(s)
- Roeland P. Kleipool
- Department of Medical Biology, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Academic Center for Evidence‐Based Sports Medicine (ACES)AmsterdamThe Netherlands
| | - Sjoerd A. S. Stufkens
- Academic Center for Evidence‐Based Sports Medicine (ACES)AmsterdamThe Netherlands,Department of Orthopedic Surgery, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research CenterAmsterdamThe Netherlands
| | - Jari Dahmen
- Academic Center for Evidence‐Based Sports Medicine (ACES)AmsterdamThe Netherlands,Department of Orthopedic Surgery, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research CenterAmsterdamThe Netherlands
| | - Gwendolyn Vuurberg
- Academic Center for Evidence‐Based Sports Medicine (ACES)AmsterdamThe Netherlands,Department of Orthopedic Surgery, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research CenterAmsterdamThe Netherlands,Department of Radiology and Nuclear medicine, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Department of Radiology and Nuclear medicineRijnstate ZiekenhuisArnhemThe Netherlands
| | - Geert J. Streekstra
- Department of Biomedical Engineering and Physics, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands
| | - Johannes G. G. Dobbe
- Department of Biomedical Engineering and Physics, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands
| | - Leendert Blankevoort
- Academic Center for Evidence‐Based Sports Medicine (ACES)AmsterdamThe Netherlands,Department of Orthopedic Surgery, Amsterdam UMCUniversity of Amsterdam, Amsterdam Movement SciencesAmsterdamThe Netherlands,Amsterdam Collaboration on Health & Safety in Sports (ACHSS), AMC/VUmc IOC Research CenterAmsterdamThe Netherlands
| | - Markus Knupp
- Mein Fusszentrum, BaselUniversity of BaselSwitzerland
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Lenz AL, Strobel MA, Anderson AM, Fial AV, MacWilliams BA, Krzak JJ, Kruger KM. Assignment of local coordinate systems and methods to calculate tibiotalar and subtalar kinematics: A systematic review. J Biomech 2021; 120:110344. [PMID: 33744722 DOI: 10.1016/j.jbiomech.2021.110344] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 02/18/2021] [Accepted: 02/22/2021] [Indexed: 12/14/2022]
Abstract
The introduction of biplane fluoroscopy has created the ability to evaluate in vivo motion, enabling six degree-of-freedom measurement of the tibiotalar and subtalar joints. Although the International Society of Biomechanics defines a standard method of assigning local coordinate systems for the ankle joint complex, standards for the tibiotalar and subtalar joints are lacking. The objective of this systematic review was to summarize and appraise the existing literature that (1) defined coordinate systems for the tibia, talus, and/or calcaneus or (2) assigned kinematic definitions for the tibiotalar and/or subtalar joints. A systematic literature search was developed with search results limited to English Language from 2006 through 2020. Articles were screened by two independent reviewers based on title and abstract. Methodological quality was evaluated using a modified assessment tool. Following screening, 52 articles were identified as having met inclusion criteria. Methodological assessment of these articles varied in quality from 61 to 97. Included articles adopted primary methods for defining coordinate systems that included: (1) anatomical coordinate system (ACS) based on individual bone landmarks and/or geometric shapes, (2) orthogonal principal axes, and (3) interactive closest point (ICP) registration. Common methods for calculating kinematics included: (1) joint coordinate system (JCS) to calculate rotation and translation, (2) Cardan/Euler sequences, and (3) inclination and deviation angles for helical angles. The methods each have strengths and weaknesses. This summarized knowledge should provide the basis for the foot and ankle biomechanics community to create an accepted standard for calculating and reporting tibiotalar and subtalar kinematics.
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Affiliation(s)
- Amy L Lenz
- Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States
| | - Marisa A Strobel
- Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, United States
| | - Abigail M Anderson
- Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, United States
| | - Alissa V Fial
- Research & Instruction Services, Marquette University, 1355 W. Wisconsin Ave, Milwaukee, WI 53201, United States
| | - Bruce A MacWilliams
- Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States; Motion Analysis Center, Shriners Hospitals for Children-Salt Lake City, 1275 Fairfax Rd., Salt Lake City, UT 84103, United States
| | - Joseph J Krzak
- Physical Therapy Program, Midwestern University, 555 31st St., Downers Grove, IL 60515, United States; Motion Analysis Center, Shriners Hospitals for Children-Chicago, 2211 N Oak Park Ave, Chicago, IL 60707, United States
| | - Karen M Kruger
- Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, United States; Motion Analysis Center, Shriners Hospitals for Children-Chicago, 2211 N Oak Park Ave, Chicago, IL 60707, United States.
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Precision of determining bone pose and marker position in the foot and lower leg from computed tomography scans: How low can we go in radiation dose? Med Eng Phys 2019; 69:147-152. [DOI: 10.1016/j.medengphy.2019.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 03/29/2019] [Accepted: 05/13/2019] [Indexed: 11/19/2022]
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