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Analysis of the Effects of Normal Walking on Ankle Joint Contact Characteristics After Acute Inversion Ankle Sprain

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Abstract

To show the causal relationship between normal walking after various lateral ankle ligament (LAL) injuries caused by acute inversion ankle sprains and alterations in ankle joint contact characteristics, finite element simulations of normal walking were carried out using an intact ankle joint model and LAL injury models. A walking experiment using a volunteer with a normal ankle joint was performed to obtain the boundary conditions for the simulations and to support the appropriateness of the simulation results. Contact pressure and strain on the talus articular cartilage and anteroposterior and mediolateral translations of the talus were calculated. Ankles with ruptured anterior talofibular ligaments (ATFLs) had a higher likelihood of experiencing increased ankle joint contact pressures, strains and translations than ATFL-deficient ankles. In particular, ankles with ruptured ATFL + calcaneofibular ligaments and all ruptured ankles had a similar likelihood as the ATFL-ruptured ankles. The push off stance phase was the most likely situation for increased ankle joint contact pressures, strains and translations in LAL-injured ankles.

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References

  1. Anderson, D. D., J. K. Goldsworthy, K. Shivanna, N. M. Grosland, D. R. Pedersen, T. P. Thomas, Y. Tochigi, J. L. Marsh, and T. D. Brown. Intra-articular contact stress distributions at the ankle throughout stance phase-patient-specific finite element analysis as a metric of degeneration propensity. Biomech. Model Mechanobiol. 5(2–3):82–89, 2006.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Ardevol, J., I. Bolibar, V. Belda, and S. Argilaga. Treatment of complete rupture of the lateral ligaments of the ankle: a randomized clinical trial comparing cast immobilization with functional treatment. Knee Surg. Sports Traumatol. Arthrosc. 10(6):371–377, 2002.

    Article  PubMed  Google Scholar 

  3. Bae, J. Y., D. S. Kwak, K. S. Park, and I. Jeon. Finite element analysis of the multiple drilling technique for early osteonecrosis of the femoral head. Ann. Biomed. Eng. 41(12):2528–2537, 2013.

    Article  PubMed  Google Scholar 

  4. Bae, J. Y., K. S. Park, J. K. Seon, D. S. Kwak, I. Jeon, and E. K. Song. Biomechanical analysis of the effects of medial meniscectomy on degenerative osteoarthritis. Med. Biol. Eng. Comput. 50(1):53–60, 2012.

    Article  PubMed  Google Scholar 

  5. Balduini, F. C., and J. Tetzlaff. Historical perspectives on injuries of ligaments of the ankle. Clin. Sports Med. 1:3–12, 1982.

    CAS  PubMed  Google Scholar 

  6. Bischof, J. E., C. E. Spritzer, A. M. Caputo, M. E. Easley, J. K. DeOrio, J. A. Nunley, II, and L. E. DeFrate. In vivo cartilage contact strains in patients with lateral ankle instability. J. Biomech. 43(13):2561–2666, 2010.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Canale, S. T., and R. H. Belding. Osteochondral lesions of the talus. J. Bone Joint Surg. Am. 62(1):97–102, 1980.

    CAS  PubMed  Google Scholar 

  8. Caputo, A. M., J. Y. Lee, C. E. Spritzer, M. E. Easley, J. K. DeOrio, J. A. Nunley, II, and L. E. DeFrate. In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am. J. Sports Med. 37(11):2241–2248, 2009.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Chen, W. M., V. Phyau-Wui Shim, S. B. Park, and T. Lee. An instrumented tissue tester for measuring soft tissue property under the metatarsal heads in relation to metatarsophalangeal joint angle. J. Biomech. 44(9):1801–1804, 2011.

    Article  PubMed  Google Scholar 

  10. Corazza, F., J. J. O’Connor, A. Leardini, and V. Parenti. Castelli. Ligament fibre recruitment and forces for the anterior drawer test at the human ankle joint. J. Biomech. 36(3):363–372, 2003.

    Article  CAS  PubMed  Google Scholar 

  11. DiGiovanni, B. F., G. Partal, and J. F. Baumhauer. Acute ankle injury and chronic lateral instability in the athlete. Clin. Sports Med. 23(1):1–19, 2004.

    Article  PubMed  Google Scholar 

  12. Ferran, N. A., and N. Maffulli. Epidemiology of sprains of the lateral ankle ligament complex. Foot Ankle Clin. 11(3):659–662, 2006.

    Article  PubMed  Google Scholar 

  13. Fong, D. T., Y. Y. Chan, K. M. Mok, P. Yung, and K. M. Chan. Understanding acute ankle ligamentous sprain injury in sports. Sports Med. Arthrosc. Rehabil. Ther. Technol. 1:14, 2009.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Gefen, A., M. Megido-Ravid, Y. Itzchak, and M. Arcan. Biomechanical analysis of the three-dimensional foot structure during gait: a basic tool for clinical applications. J. Biomech. Eng. 122:630–639, 2000.

    Article  CAS  PubMed  Google Scholar 

  15. Harrington, K. D. Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. J. Bone Joint Surg. Am. 61(3):354–361, 1979.

    CAS  PubMed  Google Scholar 

  16. Hintermann, B., V. Valderrabano, A. Boss, H. H. Trouillier, and W. Dick. Medial ankle instability: an exploratory, prospective study of fifty-two cases. Am. J. Sports Med. 32(1):183–190, 2004.

    Article  PubMed  Google Scholar 

  17. Hintermann, B., A. Boss, and D. Schafer. Arthroscopic findings in patients with chronic ankle instability. Am. J. Sports Med. 30(3):402–409, 2002.

    PubMed  Google Scholar 

  18. Hirose, K., G. Murakami, T. Minowa, H. Kura, and T. Yamashita. Lateral ligament injury of the ankle and associated articular cartilage degeneration in the talocrural joint: anatomic study using elderly cadavers. J. Orthop. Sci. 9(1):37–43, 2004.

    Article  PubMed  Google Scholar 

  19. Jerosch, J., and M. Bischof. Proprioceptive capabilities of the ankle in stable and unstable joints. Sports Exerc. Inj. 2:167–171, 1996.

    Google Scholar 

  20. Karlsson, J., and O. Lansinger. Chronic lateral instability of the ankle in athletes. Sports Med. 16(5):355–365, 1993.

    Article  CAS  PubMed  Google Scholar 

  21. Lofvenberg, R., J. Karrholm, and B. Lund. The outcome of nonoperated patients with chronic lateral instability of the ankle: a 20-year follow-up study. Foot Ankle Int. 15(4):165–169, 1994.

    Article  CAS  PubMed  Google Scholar 

  22. Maffulli, N., and N. A. Ferran. Management of acute and chronic ankle instability. J. Am. Acad. Orthop. Surg. 16(10):608–615, 2008.

    PubMed  Google Scholar 

  23. Messina, D. F., W. C. Farney, and J. C. DeLee. The incidence of injury in Texas high school basketball. A prospective study among male and female athletes. Am. J. Sports Med. 27(3):294–299, 1999.

    CAS  PubMed  Google Scholar 

  24. Omori, G., K. Kawakami, M. Sakamoto, T. Hara, and Y. Koga. The effect of an ankle brace on the 3-dimensional kinematics and tibio-talar contact condition for lateral ankle sprains. Knee Surg. Sports Traumatol. Arthrosc. 12(5):457–462, 2004.

    Article  PubMed  Google Scholar 

  25. Perry, J. Gait analysis: normal and pathology function (1st ed.). Thorofare, NJ: Slack Inc., pp. 51–88, 1992.

    Google Scholar 

  26. Povacz, P., S. F. Unger, W. K. Miller, R. Tockner, and H. Resch. A randomized, prospective study of operative and non-operative treatment of injuries of the fibular collateral ligaments of the ankle. J. Bone Joint Surg. Am. 80(3):345–351, 1998.

    CAS  PubMed  Google Scholar 

  27. Sharkey, N. A., and A. J. Hamel. A dynamic cadaver model of the stance phase of gait: performance characteristics and kinetic validation. Clin. Biomech. 13(6):420–433, 1998.

    Article  Google Scholar 

  28. Siegler, S., J. Block, and C. D. Schneck. The mechanical characteristics of the collateral ligaments of the human ankle joint. Foot Ankle. 8(5):234–242, 1988.

    Article  CAS  PubMed  Google Scholar 

  29. Stormont, D. M., B. F. Morrey, K. N. An, and J. R. Cass. Stability of the loaded ankle: relation between articular restraint and primary and secondary static restraints. Am. J. Sports Med. 13(5):295–300, 1985.

    Article  CAS  PubMed  Google Scholar 

  30. Taga, I., K. Shino, M. Inoue, K. Nakata, and A. Maeda. Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study. Am. J. Sports Med. 21(1):120–127, 1993.

    Article  CAS  PubMed  Google Scholar 

  31. Valderrabano, V., M. Horisberger, I. Russell, H. Dougall, and B. Hintermann. Etiology of ankle osteoarthritis. Clin. Orthop. Relat. Res. 467(7):1800–1806, 2009.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Valderrabano, V., B. Hintermann, M. Horisberger, and T. S. Fung. Ligamentous posttraumatic ankle osteoarthritis. Am. J. Sports Med. 34(4):612–620, 2006.

    Article  PubMed  Google Scholar 

  33. Verhagen, R. A., G. de Keizer, and C. N. van Dijk. Long-term follow-up of inversion trauma of the ankle. Arch. Orthop. Trauma Surg. 114(2):92–96, 1995.

    Article  CAS  PubMed  Google Scholar 

  34. Wan, L., R. J. de Asla, H. E. Rubash, and G. Li. In vivo cartilage contact deformation of human ankle joints under full body weight. J. Orthop. Res. 26(8):1081–1089, 2008.

    Article  PubMed  Google Scholar 

  35. Wickiewicz, T. L., R. R. Roy, P. L. Powell, and V. R. Edgerton. Muscle architecture of the human lower limb. Clin. Orthop. Relat. Res. 179:275–283, 1983.

    PubMed  Google Scholar 

  36. Wright, D. G., and D. C. Rennels. A study of the elastic properties of plantar fascia. J. Bone Joint Surg. Am. 46:482–492, 1964.

    CAS  PubMed  Google Scholar 

  37. Zhang, M., and A. F. Mak. In vivo friction properties of human skin. Prosthet. Orthot. Int. 23(2):135–141, 1999.

    CAS  PubMed  Google Scholar 

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Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) Grant funded by the Korea government (MEST) (No. 2012R1A2A2A01046128).

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No conflicts of interest present in this study.

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Correspondence to Insu Jeon.

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Associate Editor Joel D. Stitzel oversaw the review of this article.

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Bae, J.Y., Park, K.S., Seon, J.K. et al. Analysis of the Effects of Normal Walking on Ankle Joint Contact Characteristics After Acute Inversion Ankle Sprain. Ann Biomed Eng 43, 3015–3024 (2015). https://doi.org/10.1007/s10439-015-1360-1

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  • DOI: https://doi.org/10.1007/s10439-015-1360-1

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