Three-Dimensional In Vivo Kinematics of the Subtalar Joint During Dorsi-Plantarflexion and Inversion-Eversion

2009 ◽  
Vol 30 (05) ◽  
pp. 432-438 ◽  
Author(s):  
Akira Goto ◽  
Hisao Moritomo ◽  
Tomonobu Itohara ◽  
Tetsu Watanabe ◽  
Kazuomi Sugamoto
2016 ◽  
Vol 138 (9) ◽  
Author(s):  
Koren E. Roach ◽  
Bibo Wang ◽  
Ashley L. Kapron ◽  
Niccolo M. Fiorentino ◽  
Charles L. Saltzman ◽  
...  

Measurements of joint kinematics are essential to understand the pathomechanics of ankle disease and the effects of treatment. Traditional motion capture techniques do not provide measurements of independent tibiotalar and subtalar joint motion. In this study, high-speed dual fluoroscopy images of ten asymptomatic adults were acquired during treadmill walking at 0.5 m/s and 1.0 m/s and a single-leg, balanced heel-rise. Three-dimensional (3D) CT models of each bone and dual fluoroscopy images were used to quantify in vivo kinematics for the tibiotalar and subtalar joints. Dynamic tibiotalar and subtalar mean joint angles often exhibited opposing trends during captured stance. During both speeds of walking, the tibiotalar joint had significantly greater dorsi/plantarflexion (D/P) angular ROM than the subtalar joint while the subtalar joint demonstrated greater inversion/eversion (In/Ev) and internal/external rotation (IR/ER) than the tibiotalar joint. During balanced heel-rise, only D/P and In/Ev were significantly different between the tibiotalar and subtalar joints. Translational ROM in the anterior/posterior (AP) direction was significantly greater in the subtalar than the tibiotalar joint during walking at 0.5 m/s. Overall, our results support the long-held belief that the tibiotalar joint is primarily responsible for D/P, while the subtalar joint facilitates In/Ev and IR/ER. However, the subtalar joint provided considerable D/P rotation, and the tibiotalar joint rotated about all three axes, which, along with translational motion, suggests that each joint undergoes complex, 3D motion.


2002 ◽  
Vol 27 (2) ◽  
pp. 233-242 ◽  
Author(s):  
Douglas C. Moore ◽  
Kathleen A. Hogan ◽  
Joseph J. Crisco ◽  
Edward Akelman ◽  
Manuel F. DaSilva ◽  
...  

1998 ◽  
Vol 14 (3) ◽  
pp. 312-326 ◽  
Author(s):  
Timothy J. Koh ◽  
Mark D. Grabiner ◽  
John J. Brems

Shoulder kinematics, including scapular rotation relative to the trunk and humeral rotation relative to the scapula, were examined during humeral elevation in three vertical planes via video analysis of intracortical pins. Helical axis parameters provided an easily interpretable description of shoulder motion not subject to the limitations associated with Cardan/Euler angles. Between 30 and 150° of elevation in each plane, the scapula rotated almost solely about an axis perpendicular to the scapula. Additional scapular rotation appeared to support the notion that the scapula moves “toward” the plane of elevation. Humeral rotation took place mainly in the plane of the scapula independent of the plane of elevation. Many parameters of shoulder complex kinematics were quite similar across all planes of elevation, suggesting a consistent movement pattern with subtle differences associated with the plane of elevation.


2009 ◽  
Vol 30 (5) ◽  
pp. 432-438 ◽  
Author(s):  
Akira Goto ◽  
Hisao Moritomo ◽  
Tomonobu Itohara ◽  
Tetsu Watanabe ◽  
Kazuomi Sugamoto

Background: It is difficult to determine the kinematics of the subtalar joint because of its anatomical and functional complexity. The purpose of the study was to clarify the 3D kinematics of the subtalar joint in vivo. Materials and Methods: Subjects were four healthy female volunteers. Magnetic resonance imaging (MRI) sequences were acquired in seven positions during dorsi-plantarflexion (DPF) and in 10 positions during inversion-eversion (IE) at intervals of 10 degrees. MRI data of the talus and calcaneus in the neutral position were superimposed on images of the other positions using voxel-based registration, and relative motions and axes of rotation were visualized and quantitatively calculated. Results: The calcaneus always rotated from dorsolateral to medioplantar during DPF and IE, and the motion plane was very similar to that of the entire foot in IE. The axes of rotation of the calcaneus relative to the talus during DPF and IE had a very close spatial relationship, running obliquely from antero-dorsomedial to postero-planto-lateral and penetrating the talar neck. The rotation angle around each of these calcaneal axes tended to be greater in IE (20 degrees ± 2 degrees) than in DPF (16 degrees ± 3 degrees). In DPF, motion of the calcaneus relative to the talus occurred predominantly around maximum dorsiflexion and plantarflexion, with little movement observed at intermediate positions. During IE, the calcaneus exhibited uninterrupted motion related to foot movement. Conclusion: The subtalar joint is essentially a uniaxial joint with a motion plane almost identical to that of IE of the entire foot. Clinical Relevance: Knowledge of normal subtalar kinematics may be helpful when evaluating pathologic conditions.


2014 ◽  
Vol 104 (4) ◽  
pp. 357-364 ◽  
Author(s):  
Ivan Birch ◽  
Kevin Deschamps

Background The subtalar joint allows complex motion of the foot relative to the leg, the analysis of which has presented a major challenge for researchers. The considerable interpatient variation in structure and function of the subtalar joint highlights the importance of developing a protocol to assess the kinematics in individuals rather than developing an overarching description of function. The use of skin-mounted markers is, therefore, preferable, allowing the noninvasive collection of data. We sought to assess the face validity of a skin-mounted marker–based protocol to measure the in vivo kinematics of the subtalar joint. Methods Thirty participants were recruited using minimal exclusion criteria. A previously tested skin-mounted marker placement protocol was used in conjunction with two CODA MPX 30 sensors to capture data during walking. The data produced were compared with those from previous studies that used bone-mounted markers. Results The results in all three planes represented feasible outcomes compared with those of previous studies, the data falling within the ranges published. Patterns of movement demonstrated are similar to, although not the same as, those shown by previous investigations. Conclusions This study did not produce patterns of movement that exactly matched those of previous investigations. The results were, however, within the ranges previously published, and the patterns of movement shown were feasible. The results suggest the face validity of the method as a means of assessing the in vivo kinematics of the subtalar joint during the stance phase of gait.


2000 ◽  
Vol 122 (5) ◽  
pp. 528-533 ◽  
Author(s):  
C. P. Neu ◽  
R. D. McGovern ◽  
J. J. Crisco

The use of registration techniques to determine motion transformations noninvasively has become more widespread with the increased availability of the necessary software. In this study, three surface registration techniques were used to generate carpal bone kinematic results from a single cadaveric wrist specimen. Surface contours were extracted from specimen computed tomography volume images of the forearm, carpal, and metacarpal bones in four arbitrary positions. Kinematic results from each of three registration techniques were compared with results derived from multiple spherical markers fixed to the specimen. Kinematic accuracy was found to depend on the registration method and bone size and shape. In general, rotation errors of the capitate and scaphoid were less than 0.5 deg for all three techniques. Rotation errors for the other bones were generally less than 2 deg, although error for the trapezoid was greater than 2 deg in one technique. Translation errors of the bones were generally less than 1 mm, although errors of the trapezoid and trapezium were greater than 1 mm for two techniques. Tradeoffs existed in each registration method between image processing time and overall kinematic accuracy. Markerless bone registration (MBR) can provide accurate measurements of carpal kinematics and can be used to study the noninvasive, three-dimensional in vivo kinematics of the wrist and other skeletal joints. [S0148-0731(00)01105-5]


2010 ◽  
Vol 18 (12) ◽  
pp. 1774-1778 ◽  
Author(s):  
Jonathan P. Braman ◽  
Brian M. Thomas ◽  
Robert F. LaPrade ◽  
Vandana Phadke ◽  
Paula M. Ludewig

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