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  5. Centre of rotation of the human subtalar joint using weight-bearing clinical computed tomography
 
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Centre of rotation of the human subtalar joint using weight-bearing clinical computed tomography
File(s)
Nature2020_CentreRotation.pdf (2.75 MB)
Published version
Author(s)
Fernandez, Marta Pena
Hoxha, Dorela
Chan, Oliver
Mordecai, Simon
Blunn, Gordon W
more
Type
Journal Article
Abstract
Accurate in vivo quantification of subtalar joint kinematics can provide important information for the clinical evaluation of subtalar joint function; the analysis of outcome of surgical procedures of the hindfoot; and the design of a replacement subtalar joint prosthesis. The objective of the current study was to explore the potential of full weight-bearing clinical computed tomography (CT) to evaluate the helical axis and centre of rotation of the subtalar joint during inversion and eversion motion. A subject specific methodology was proposed for the definition of the subtalar joint motion combining three-dimensional (3D) weight-bearing imaging at different joint positions with digital volume correlation (DVC). The computed subtalar joint helical axis parameters showed consistency across all healthy subjects and in line with previous data under simulated loads. A sphere fitting approach was introduced for the computation of subtalar joint centre of rotation, which allows to demonstrate that this centre of rotation is located in the middle facet of the subtalar joint. Some translation along the helical axis was also observed, reflecting the elasticity of the soft-tissue restraints. This study showed a novel technique for non-invasive quantitative analysis of bone-to-bone motion under full weight-bearing of the hindfoot. Identifying different joint kinematics in patients with ligamentous laxity and instability, or in the presence of stiffness and arthritis, could help clinicians to define optimal patient-specific treatments.
Date Issued
2020-01-23
Date Acceptance
2020-01-06
Citation
Scientific Reports, 2020, 10 (1), pp.1-14
URI
http://hdl.handle.net/10044/1/90124
URL
https://www.nature.com/articles/s41598-020-57912-z
DOI
https://www.dx.doi.org/10.1038/s41598-020-57912-z
ISSN
2045-2322
Publisher
Nature Publishing Group
Start Page
1
End Page
14
Journal / Book Title
Scientific Reports
Volume
10
Issue
1
Copyright Statement
© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
License URL
http://creativecommons.org/licenses/by/4.0/
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000562830800006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
DIGITAL VOLUME CORRELATION
QUALITY-OF-LIFE
HINDFOOT ALIGNMENT
3D BIOMETRICS
AXIS LOCATION
STANCE PHASE
ANKLE
BONE
ARTHRODESIS
KINEMATICS
Publication Status
Published
Article Number
ARTN 1035
Date Publish Online
2020-01-23
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