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
Hauptverfasser: Edama, Mutsuaki, Takabayashi, Tomoya, Inai, Takuma, Kikumoto, Takanori, Ito, Wataru, Nakamura, Emi, Hirabayashi, Ryo, Ikezu, Masahiro, Kaneko, Fumiya, Kageyama, Ikuo
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container_end_page 599
container_issue 5
container_start_page 595
container_title Surgical and radiologic anatomy (English ed.)
container_volume 41
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
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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 &amp; 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). 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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 &amp; 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 &amp; 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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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