Influence of kinematic analysis methods on detecting ankle and subtalar joint instability

Choisne, Julie; Ringleb, Stacie I.; Samaan, Michael A.; Bawab, Sebastian Y.; Naik, Dayanand N.; Anderson, Claude

doi:10.1016/j.jbiomech.2011.10.015

Cited by 33 publications

(40 citation statements)

References 37 publications

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“…If the foot is plantarflexed while more severe inversion stress occurs, ATFL combined with CFL are usually torn. In such cases, apparent increases in inversion–eversion and supination–pronation have been observed than isolated ATFL tear . A biomechanical study by Kovaleski et al reported that isolated ATFL and combined ATFL and CFL sectioning resulted in increased anterior displacement when compared with the intact ankle.…”

Section: Discussionmentioning

confidence: 99%

“…In such cases, apparent increases in inversioneversion and supination-pronation have been observed than isolated ATFL tear. 36 A biomechanical study by Kovaleski et al 37 reported that isolated ATFL and combined ATFL and CFL sectioning resulted in increased anterior displacement when compared with the intact ankle. With inversion loading, combined ATFL and CFL sectioning result in increased abnormal range of motion when compared with intact and ATFLsectioned ankles.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

Tao

Qiao

et al. 2017

Magnetic Resonance Imaging

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Purpose: To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T 2 -mapping at 3.0T. Materials and Methods: In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL1CFL tear, and 21 healthy subjects were recruited. All participants underwent T 2 -mapping scan at 3T and patients completed American Orthopaedic Foot and Ankle Society (AOFAS) scoring. The total talar cartilage (TTC) was segmented into six compartments: medial anterior (MA), medial center (MC), medial posterior (MP), lateral anterior (LA), lateral center (LC), and lateral posterior (LP). The T 2 value of each compartment was measured from T 2 -mapping images. Data were analyzed with one-way analysis of variance (ANOVA), Student's t-test, and Pearson's correlation coefficient. Results: The T 2 values of MA, MC, MP, TTC in the ATFL group and MA, MC, MP, LC, LP, TTC in the ATFL1CFL group were higher than those in the control group (P < 0.05). Moreover, the T 2 values of MC, MP, LC, and TTC in the ATFL1CFL group were higher than those in the ATFL group (P < 0.05). The T 2 values of MA in both patient groups were negatively correlated with AOFAS scores (r 5 -0.596, r 5 20.690, P < 0.05). Conclusion: Chronic LAI with ATFL tear had a trend of increasing cartilage T 2 values in talar trochlea, mainly involving medial cartilage compartments. Chronic LAI with ATFL1CFL tear might result in higher T 2 values in a much larger cartilage region than with ATFL tear. MA could be the main cartilage compartment that may affect the patient's clinical symptoms. View this article online at wileyonlinelibrary.com.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

Tao

Qiao

et al. 2017

Magnetic Resonance Imaging

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“…9 However, a large body of evidence now supports the ITCL as the primary stabilizer to the subtalar joint. [10][11][12] Recently, Choisne and colleagues 10 reported the greatest increase in subtalar joint instability with sectioning of the ITCL with the foot dorsiflexed, supinated, and inverted. These findings are consistent with the hypothesis that rupture of the ITCL and cervical ligament occur during subtalar dislocation, as described previously by several investigators.…”

Section: Anatomy and Biomechanical Analysismentioning

confidence: 99%

Subtalar Instability

Aynardi

Pedowitz

Raikin

2015

Foot and Ankle Clinics

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Subtalar instability is a common clinical entity. Clinicians should have a high index of suspicion of this diagnosis in patients who have been diagnosed with chronic lateral ankle instability but have failed standard management and have continued pain in the sinus tarsi. As with ankle instability, nonoperative management is the initial mainstay of treatment. Operative management includes ligamentous reconstruction of key lateral stabilizers of the subtalar joint. Future research on this subject should be focused at improving diagnosis and recognition of this entity.

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“…Specifically, the motion of the relative movement between fibula, talus, and calcaneus were calculated following the recommendations of the International Society of Biomechanics (ISB) using a joint coordinate system (JCS) approach, which allows for calculation of 3D rotations and translations of bone segments . Researchers could previously show that this approach enables detecting anterior translation instabilities of the ankle joint . The ISB recommendation for the ankle joint complex does not differentiate between the talocrural and the subtalar joint.…”

Section: Methodsmentioning

confidence: 99%

Detecting Ankle Instability With an Instrumented Ankle Arthrometer: An Experimental Study

Gehring

Bonsignore

et al. 2019

Journal Orthopaedic Research

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A new instrumented device was developed to quantify ankle joint stability during an anterior talar drawer test. The aim of the present study was to validate this device comparing bone kinematics with arthrometer measurement outcomes. An anterior talar drawer test was performed with 14 cadaver legs using a custom instrumented ankle arthrometer. Using clusters of bone-pin markers, the relative three-dimensional movement of calcaneus, talus, and fibula was simultaneously measured. Anterior drawer test was applied on the intact foot and after sequentially sectioning the anterior talofibular ligament, the calcaneofibular ligament, and the posterior talofibular ligament. Cutting the anterior talofibular ligament caused a significant increase in bone-pin measured anterior translations of calcaneus and talus as well as in the anterior translation of the arthrometer. Analysis of receiver operating characteristic curves indicates a fair to good ability to discriminate between the intact and the sectioned conditions with the arthrometer. Distal distraction, inversion, and internal rotation movements were observed when two and three ligaments were cut. Results revealed that the ankle arthrometer was sensitive to detect changes in bone-to-bone movements during an anterior talar drawer test, when the anterior talofibular ligament was sectioned. Presumably due to movements in additional planes of motion, the arthrometer was not able to differentiate between situations with one or more ligaments cut. In conclusion, the instrumented anterior talar drawer tester may augment current procedures in assessing ankle instability primarily caused by ruptures of the anterior talofibular ligament.

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Influence of kinematic analysis methods on detecting ankle and subtalar joint instability

Cited by 33 publications

References 37 publications

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

Subtalar Instability

Detecting Ankle Instability With an Instrumented Ankle Arthrometer: An Experimental Study

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Influence of kinematic analysis methods on detecting ankle and subtalar joint instability

Cited by 33 publications

References 37 publications

T2‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

T2‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

Subtalar Instability

Detecting Ankle Instability With an Instrumented Ankle Arthrometer: An Experimental Study

Contact Info

Product

Resources

About

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear

T₂‐Mapping evaluation of early cartilage alteration of talus for chronic lateral ankle instability with isolated anterior talofibular ligament tear or combined with calcaneofibular ligament tear