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Talar and Calcaneal Coordinate Axes Definitions across Foot Pathologies.
Knutson, Kassidy; Muhlrad, Erika P; Peterson, Andrew C; Leonard, Thomas; Anderson, Abigail M; Aragon, Katelyn C; Eatough, Zachary J; MacWilliams, Bruce A; Kruger, Karen M; Lenz, Amy L.
Afiliación
  • Knutson K; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
  • Muhlrad EP; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
  • Peterson AC; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
  • Leonard T; Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA.
  • Anderson AM; Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA.
  • Aragon KC; Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA.
  • Eatough ZJ; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
  • MacWilliams BA; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Motion Analysis Center, Shriners Hospitals for Children-Salt Lake City, 1275 Fairfax Rd, Salt Lake City, UT 84103, USA.
  • Kruger KM; Department of Biomedical Engineering, Marquette University, 1515 W Wisconsin Ave, Milwaukee, WI 53233, USA; Motion Analysis Center, Shriners Hospitals for Children-Chicago, 2211 N Oak Park Ave, Chicago, IL 60707, USA. Electronic address: karen.kruger@marquette.edu.
  • Lenz AL; Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA; Department of Biomedical Engineering, University of Utah, 36 S Wasatch Dr., Salt Lake City, UT, 84112, USA. Electronic address: amy.lenz@utah.edu.
J Biomech ; 175: 112298, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39217918
ABSTRACT
The understanding of foot and ankle biomechanics is improving as new technology provides more detailed information about the motion of foot and ankle bones with biplane fluoroscopy, as well as the ability to analyze the hindfoot under weightbearing conditions with weightbearing computed tomography. Three-dimensional anatomical coordinate systems are necessary to describe the 3D alignment and kinematics of the foot and ankle. The lack of standard coordinate systems across research study sites can significantly alter experimental data analyses used for pre-surgical evaluation and post-operative outcome assessments. Clinical treatment paradigms are changing based on the expanding knowledge of complex pes planovalgus morphologies or progressive collapsing foot deformity, which is present in both neurologic and non-neurologic populations. Four patient cohorts were created from 10 flexible PCFD, 10 rigid PCFD, 10 adult cerebral palsy, and 10 asymptomatic control patients. Six coordinate systems were tested on both the talus and calcaneus for all groups. The aim of this study was to evaluate axes definitions for the subtalar joint across four different patient populations to determine the influence of morphology on the implementation of previously defined coordinate systems. Different morphologic presentations from various pathologies have a substantial impact on coordinate system definitions, given that numerous axes definitions are defined through geometric fits or manual landmark selection. Automated coordinate systems that align with clinically relevant anatomic planes are preferred. Principal component axes are automatic, but do not align with clinically relevant planes and should not be used for such analysis where anatomic planes are critical.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcáneo / Astrágalo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Biomech Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcáneo / Astrágalo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Biomech Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos