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Journal of Foot and Ankle Research
Published in: Journal of Foot and Ankle Research 1/2015

Open Access 01-12-2015 | Research

Analysis of the talocrural and subtalar joint motions in patients with medial tibial stress syndrome

Authors: Kei Akiyama, Byungjoo Noh, Mako Fukano, Shumpei Miyakawa, Norikazu Hirose, Toru Fukubayashi

Published in: Journal of Foot and Ankle Research | Issue 1/2015

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Abstract

Background

The rearfoot motion during sports activities in patients with the medial tibial stress syndrome (MTSS) is unknown. This study aimed to investigate the difference in kinematics of the rearfoot in MTSS patients (eight male soccer players) and control participants (eight male soccer players) during a forward step.

Methods

Sixteen male soccer players, including eight players with MTSS, participated. Forward step trials were recorded with cineradiographic images obtained at a sampling rate of 60 Hz. Geometric bone models of the tibia and talus/calcaneus were created from computed tomography scans of the distal part of one lower limb. Following a combination of approaches, anatomical coordinate systems were embedded in each bone model. The talocrural joint motion (relative motion of the talus with respect to the tibia) and subtalar joint motion (relative motion of the calcaneus with respect to the talus) were examined.

Results

A significantly larger range of internal/external rotation and inversion/eversion motion was observed in the subtalar joint of MTSS patients compared to healthy controls (P < 0.05) from heel contact to heel off. There were no significant differences between the MTSS patients and healthy participants in the ranges of all talocrural joint angles during the forward step.

Conclusion

Our results indicate that the range of subtalar joint motion is greater in patients with MTSS during the stance phase of the forward step. The kinematic results obtained of this study may have important clinical implications and add quantitative data to an in vivo database of MTSS patients.
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Metadata
Title
Analysis of the talocrural and subtalar joint motions in patients with medial tibial stress syndrome
Authors
Kei Akiyama
Byungjoo Noh
Mako Fukano
Shumpei Miyakawa
Norikazu Hirose
Toru Fukubayashi
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Foot and Ankle Research / Issue 1/2015
Electronic ISSN: 1757-1146
DOI
https://doi.org/10.1186/s13047-015-0084-7

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