Differences in the strain applied to Achilles tendon fibers when the subtalar joint is overpronated: a simulation study
Purpose The purpose of this study was to investigate the strain applied to each of the tendon fiber bundles of the medial head of the gastrocnemius (MG), the lateral head of the gastrocnemius (LG), and the soleus muscle (Sol) that compose the Achilles tendon (AT) when the subtalar joint is pronated...
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Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2019-05, Vol.41 (5), p.595-599 |
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creator | Edama, Mutsuaki Takabayashi, Tomoya Inai, Takuma Kikumoto, Takanori Ito, Wataru Nakamura, Emi Hirabayashi, Ryo Ikezu, Masahiro Kaneko, Fumiya Kageyama, Ikuo |
description | Purpose
The purpose of this study was to investigate the strain applied to each of the tendon fiber bundles of the medial head of the gastrocnemius (MG), the lateral head of the gastrocnemius (LG), and the soleus muscle (Sol) that compose the Achilles tendon (AT) when the subtalar joint is pronated and supinated.
Methods
Three AT twist types (least, moderate, extreme) were investigated. Using the MicroScribe system, the AT and the talocrural and subtalar joints were digitized to reconstruct three-dimensional models. Using this system, subtalar joint rotations in the pronation (20°) and supination (20°) directions were simulated, and the degrees of strain (%) on each tendon were calculated.
Results
For all twist types, when the subtalar joint was pronated, MG, LG, and Sol stretched, and when supinated, MG, LG, and Sol shortened. In particular, the least and severe twist types had large degrees of strain of Sol when the subtalar joint was pronated, and furthermore, each tendon fiber composing Sol had different degrees of strain.
Conclusions
The study results suggest that the degree of strain applied within the AT with subtalar joint pronation is not constant, and that, especially in least and extreme twist types, the risk of developing AT disorders may increase. |
doi_str_mv | 10.1007/s00276-019-02181-3 |
format | Article |
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The purpose of this study was to investigate the strain applied to each of the tendon fiber bundles of the medial head of the gastrocnemius (MG), the lateral head of the gastrocnemius (LG), and the soleus muscle (Sol) that compose the Achilles tendon (AT) when the subtalar joint is pronated and supinated.
Methods
Three AT twist types (least, moderate, extreme) were investigated. Using the MicroScribe system, the AT and the talocrural and subtalar joints were digitized to reconstruct three-dimensional models. Using this system, subtalar joint rotations in the pronation (20°) and supination (20°) directions were simulated, and the degrees of strain (%) on each tendon were calculated.
Results
For all twist types, when the subtalar joint was pronated, MG, LG, and Sol stretched, and when supinated, MG, LG, and Sol shortened. In particular, the least and severe twist types had large degrees of strain of Sol when the subtalar joint was pronated, and furthermore, each tendon fiber composing Sol had different degrees of strain.
Conclusions
The study results suggest that the degree of strain applied within the AT with subtalar joint pronation is not constant, and that, especially in least and extreme twist types, the risk of developing AT disorders may increase.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-019-02181-3</identifier><identifier>PMID: 30617509</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Achilles tendon ; Anatomic Variations ; Anatomy ; Imaging ; Medicine ; Medicine & Public Health ; Orthopedics ; Radiology ; Soleus muscle ; Surgery ; Tendons</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2019-05, Vol.41 (5), p.595-599</ispartof><rights>Springer-Verlag France SAS, part of Springer Nature 2019</rights><rights>Surgical and Radiologic Anatomy is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-e5cadf2a9fac655b43a56dc34b2f7a1a7abd36551db782ccccf1ded966274cd93</citedby><cites>FETCH-LOGICAL-c441t-e5cadf2a9fac655b43a56dc34b2f7a1a7abd36551db782ccccf1ded966274cd93</cites><orcidid>0000-0002-2784-6466</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-019-02181-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-019-02181-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30617509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Edama, Mutsuaki</creatorcontrib><creatorcontrib>Takabayashi, Tomoya</creatorcontrib><creatorcontrib>Inai, Takuma</creatorcontrib><creatorcontrib>Kikumoto, Takanori</creatorcontrib><creatorcontrib>Ito, Wataru</creatorcontrib><creatorcontrib>Nakamura, Emi</creatorcontrib><creatorcontrib>Hirabayashi, Ryo</creatorcontrib><creatorcontrib>Ikezu, Masahiro</creatorcontrib><creatorcontrib>Kaneko, Fumiya</creatorcontrib><creatorcontrib>Kageyama, Ikuo</creatorcontrib><title>Differences in the strain applied to Achilles tendon fibers when the subtalar joint is overpronated: a simulation study</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Purpose
The purpose of this study was to investigate the strain applied to each of the tendon fiber bundles of the medial head of the gastrocnemius (MG), the lateral head of the gastrocnemius (LG), and the soleus muscle (Sol) that compose the Achilles tendon (AT) when the subtalar joint is pronated and supinated.
Methods
Three AT twist types (least, moderate, extreme) were investigated. Using the MicroScribe system, the AT and the talocrural and subtalar joints were digitized to reconstruct three-dimensional models. Using this system, subtalar joint rotations in the pronation (20°) and supination (20°) directions were simulated, and the degrees of strain (%) on each tendon were calculated.
Results
For all twist types, when the subtalar joint was pronated, MG, LG, and Sol stretched, and when supinated, MG, LG, and Sol shortened. In particular, the least and severe twist types had large degrees of strain of Sol when the subtalar joint was pronated, and furthermore, each tendon fiber composing Sol had different degrees of strain.
Conclusions
The study results suggest that the degree of strain applied within the AT with subtalar joint pronation is not constant, and that, especially in least and extreme twist types, the risk of developing AT disorders may increase.</description><subject>Achilles tendon</subject><subject>Anatomic Variations</subject><subject>Anatomy</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Radiology</subject><subject>Soleus muscle</subject><subject>Surgery</subject><subject>Tendons</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kU2LFDEQhoMo7rj6BzxIwIuX1qqku9PtbVk_YcGLnkM6qTgZetJjkt5l_70ZZ1TwYC4J1PO-KXgYe47wGgHUmwwgVN8Ajg0IHLCRD9gGhRqboUP1kG1glNAgyOGCPcl5BwAd4vCYXUjoUXUwbtjdu-A9JYqWMg-Rly3xXJKpT3M4zIEcLwu_stswz5UoFN0SuQ8TpczvtnROrFMxs0l8t4RYeMh8uaV0SEs0hdxbbngO-3U2JdRwLqu7f8oeeTNnena-L9m3D--_Xn9qbr58_Hx9ddPYtsXSUGeN88KM3ti-66ZWmq53VraT8MqgUWZysg7QTWoQth6PjtzY90K11o3ykr069dZlfqyUi96HbGmeTaRlzVpg3yGgkENFX_6D7pY1xbrdkWpHGLA_FooTZdOScyKvDynsTbrXCPqoRZ-06KpF_9KiZQ29OFev057cn8hvDxWQJyDXUfxO6e_f_6n9Cek3mkE</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Edama, Mutsuaki</creator><creator>Takabayashi, Tomoya</creator><creator>Inai, Takuma</creator><creator>Kikumoto, Takanori</creator><creator>Ito, Wataru</creator><creator>Nakamura, Emi</creator><creator>Hirabayashi, Ryo</creator><creator>Ikezu, Masahiro</creator><creator>Kaneko, Fumiya</creator><creator>Kageyama, Ikuo</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2784-6466</orcidid></search><sort><creationdate>20190501</creationdate><title>Differences in the strain applied to Achilles tendon fibers when the subtalar joint is overpronated: a simulation study</title><author>Edama, Mutsuaki ; Takabayashi, Tomoya ; Inai, Takuma ; Kikumoto, Takanori ; Ito, Wataru ; Nakamura, Emi ; Hirabayashi, Ryo ; Ikezu, Masahiro ; Kaneko, Fumiya ; Kageyama, Ikuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-e5cadf2a9fac655b43a56dc34b2f7a1a7abd36551db782ccccf1ded966274cd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Achilles tendon</topic><topic>Anatomic Variations</topic><topic>Anatomy</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Radiology</topic><topic>Soleus muscle</topic><topic>Surgery</topic><topic>Tendons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Edama, Mutsuaki</creatorcontrib><creatorcontrib>Takabayashi, Tomoya</creatorcontrib><creatorcontrib>Inai, Takuma</creatorcontrib><creatorcontrib>Kikumoto, Takanori</creatorcontrib><creatorcontrib>Ito, Wataru</creatorcontrib><creatorcontrib>Nakamura, Emi</creatorcontrib><creatorcontrib>Hirabayashi, Ryo</creatorcontrib><creatorcontrib>Ikezu, Masahiro</creatorcontrib><creatorcontrib>Kaneko, Fumiya</creatorcontrib><creatorcontrib>Kageyama, Ikuo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Edama, Mutsuaki</au><au>Takabayashi, Tomoya</au><au>Inai, Takuma</au><au>Kikumoto, Takanori</au><au>Ito, Wataru</au><au>Nakamura, Emi</au><au>Hirabayashi, Ryo</au><au>Ikezu, Masahiro</au><au>Kaneko, Fumiya</au><au>Kageyama, Ikuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in the strain applied to Achilles tendon fibers when the subtalar joint is overpronated: a simulation study</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>41</volume><issue>5</issue><spage>595</spage><epage>599</epage><pages>595-599</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Purpose
The purpose of this study was to investigate the strain applied to each of the tendon fiber bundles of the medial head of the gastrocnemius (MG), the lateral head of the gastrocnemius (LG), and the soleus muscle (Sol) that compose the Achilles tendon (AT) when the subtalar joint is pronated and supinated.
Methods
Three AT twist types (least, moderate, extreme) were investigated. Using the MicroScribe system, the AT and the talocrural and subtalar joints were digitized to reconstruct three-dimensional models. Using this system, subtalar joint rotations in the pronation (20°) and supination (20°) directions were simulated, and the degrees of strain (%) on each tendon were calculated.
Results
For all twist types, when the subtalar joint was pronated, MG, LG, and Sol stretched, and when supinated, MG, LG, and Sol shortened. In particular, the least and severe twist types had large degrees of strain of Sol when the subtalar joint was pronated, and furthermore, each tendon fiber composing Sol had different degrees of strain.
Conclusions
The study results suggest that the degree of strain applied within the AT with subtalar joint pronation is not constant, and that, especially in least and extreme twist types, the risk of developing AT disorders may increase.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>30617509</pmid><doi>10.1007/s00276-019-02181-3</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-2784-6466</orcidid></addata></record> |
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subjects | Achilles tendon Anatomic Variations Anatomy Imaging Medicine Medicine & Public Health Orthopedics Radiology Soleus muscle Surgery Tendons |
title | Differences in the strain applied to Achilles tendon fibers when the subtalar joint is overpronated: a simulation study |
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