In vivo determination of the anatomical axes of the ankle joint complex: an optimization approach

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van den Bogert, Anton J.¹; Smith, Graham D.¹; Nigg, Benno M.¹

In vivo determination of the anatomical axes of the ankle joint complex: an optimization approach

J Biomech. December 1994;27(12):1477-1488

©1994 Published by Elsevier Ltd.

Affiliations

¹Human Performance Laboratory, University of Calgary, Canada
Abstract

This study investigates the feasibility of a subject-specific three-dimensional model of the ankle joint complex for kinematic and dynamic analysis of movement. The ankle joint complex was modelled as a three-segment system, connected by two ideal highe joints: the talocrural and the subtalar joint. A mathematical formulation was developed to express the three-dimensional translation and rotation between the foot and shank segments as a function of the two joint angles, and 12 model parameters describing the locations of the joint axes. An optimization method was used to fit the model parameters to three-dimensional kinematic data of foot and shank markers, obtained during test movements throughout the entire physiological range of motion of the ankle joint. The movement of the talus segment, which cannot be measured non-invasively, is not necessary for the analysis.

This optimization method was used to determine the position and orientation of the joint axes in 14 normal subjects. After optimization, the discrepancy between the best fitting model and actual marker kinematics was between 1 and 3 mm for all subjects. The predicted inclination of the subtalar joint axis from the horizontal plane was 37.4±2.7°, and the medial deviation was 18.0±16.2°. The lateral side of the talucrural axis was directed slightly posteriorly (6.8±8.1°), and inclined downward by 7.0±5.4°. These results are similar to previously reported typical results from anatomical, <em>in vitro</em>, studies. Reproducibility was evaluated by repeated testing of one subject, which resulted in variations of about one-fifth of the standard deviation within the group, the inclination of the subtalar joint axis was significantly correlated to the arch height and a radiographic ‘tarsal index’. It is concluded that this optimization method provides the opportunity to incorporate inter-individual anatomical differences into kinematic and dynamic analysis of the ankle joint complex. This allows a more functional interpretation of kinematic data, and more realistic estimates of internal forces.
Links

DOI: 10.1016/0021-9290(94)90197-X

PubMed: 7806555

WoS: A1994PM71200008
History

Received: 1993-11-17

Online: 2004-03-23

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1999	Leardini A, Benedetti MG, Catani F, Simoncini L, Giannini S. An anatomically based protocol for the description of foot segment kinematics during gait. Clin Biomech (Bristol, Avon). 1999;14(8):528-536.
2000	Leardini A, O'Connor JJ, Catani F, Giannini S. The role of the passive structures in the mobility and stability of the human ankle joint: a literature review. Foot Ankle Int. 2000;21(7):602-615.
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2023	Zuppke JN, Bennett HJ, Ringleb SI. The effect of subtalar joint axis location on muscle moment arms. J Biomech. January 2023;147:111451.
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