The upper ankle joint: Curvature morphology of the articulating surfaces and physiological function

• Autorzy: Nägerl H. , Kubein-Meesenburg D. , Fanghänel J. , Dathe H. , Dumont C. , Wachowski M. M.

Identyfikatory

DOI

10.5277/ABB-00462-2015-03

• Języki publikacji: EN

Abstrakty

EN

Purpose: The curvature morphology of the articulating surfaces determines the physiological movement pattern. We quantitatively examined the curvature morphology of the tibiotalar articulating surfaces and specified their geometric contact patterns. Methods: Geometrically equivalent cartographic nets were marked on the talar and tibial articulating surfaces of true-to-scale moldings of 20 human ankle joints (intervals of 5 mm) to relate corresponding articulating units of the surfaces. The corresponding contours of the net lines were compared, and the incongruity of articulating surfaces could thus be quantified locally. Results: All tibial sagittal net lines represented circular arcs. Along the sagittal talar net lines, the curvature radii increased medially from anterior to posterior but decreased laterally. Each net line could be approximated by three circular arcs. Examining these three parts of the talar net lines, the anterior sagittal curvature radii increased from medial to lateral, whereas the posterior radii decreased. The tibial and talar transversal net lines were congruent. The articulation surfaces showed a transversal contact line in every dorsal/plantar joint position. The degree of local congruity was solely ascertained by the incongruity of the corresponding sagittal net lines. The maximal degrees of congruity were found laterally for dorsal flexion, laterally/centrally for neutral joint position, and centrally/medially for plantar flexion. Conclusions: By the transversal line contact, the contact area is broadened over the articulating surfaces from lateral to medial. In dorsal flexion, compressive loads are mainly transferred by lateral/anterior zones and in plantar flexion by medial/posterior zones of the articulating surfaces. Reconstruction of the transversal contact line is essential.

Słowa kluczowe

EN

biomechanics; joint kinematics; human; curvature morphology; upper ankle joint; incongruity

PL

biomechanika; kinematyka; człowiek; górny staw skokowy

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2016
• Tom: Vol. 18, no. 3
• Strony: 83--90
• Opis fizyczny: Bibliogr 30 poz., rys., tab.

Twórcy

autor

Nägerl H.

• Department of Orthodontics, University of Göttingen, Germany

autor

Kubein-Meesenburg D.

• Department of Orthodontics, University of Göttingen, Germany

autor

Fanghänel J.

• Department of Orthodontics, University of Regensburg, Germany

autor

Dathe H.

• Department of Orthodontics, University of Göttingen, Germany

autor

Dumont C.

• Clinical Center Kassel, Germany

autor

Wachowski M. M.

• Department of Trauma, Plastic and Reconstructive Surgery, University of Göttingen, Germany

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Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.