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Biomechanics of the Ankle

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Evaluation and Surgical Management of the Ankle

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Abstract

The ankle joint complex is a uniquely formed structure where the combination of articular anatomy, ligamentous support, and muscular force through tendon attachments is essential for gait and managing weight-bearing forces. An energy-efficient gait cycle requires coordination from the hip through the ankle, with the ankle joint complex serving the greatest role. Biomechanics of the foot and ankle form a foundation to our understanding of the diagnosis and treatment of foot and ankle pathology. This chapter will explore the biomechanical properties of the ankle joint complex and its role in ambulation, as well as some examples of abnormal gait and force distribution.

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References

  1. Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthop Trauma. 2016;30(3):232–8.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Snedeker JG, Wirth SH, Espinosa N. Biomechanics of the normal and arthritic ankle joint. Foot Ankle Clin. 2012;17:517–28.

    Article  PubMed  Google Scholar 

  3. Campbell KJ, Michalski MP, Wilson KJ, Goldsmith MT, Wijdicks CA, LaPrade RF, Clanton TO. The ligament anatomy of the deltoid complex of the ankle: a qualitative and quantitative anatomical study. J Bone Joint Surg. 2014;96(8):e62.

    Article  PubMed  Google Scholar 

  4. Leardini A, O’connor JJ, Giannini S. Biomechanics of the natural, arthritic, and replaced human ankle joint. J Foot Ankle Res. 2014;7:8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Calhoun JH, Eng M, Li F, Ledbetter BR, Viegas SF. A comprehensive study of pressure distribution in the ankle joint with inversion and eversion. Foot Ankle Int. 1994;15(3):125–33.

    Article  CAS  PubMed  Google Scholar 

  6. Castro MD. Ankle biomechanics. Foot Ankle Clin. 2002;7:679–93.

    Article  PubMed  Google Scholar 

  7. Kimizuka M, Kurosawa H, Fukubayashi T. Load-bearing pattern of the ankle joint: contact area and pressure distribution, vol. 96. Arch Orthop Traumat Surg; 1980. p. 45–9.

    Google Scholar 

  8. Sarrafian SK. Sarrafian’s anatomy of the foot and ankle. 2nd ed. Philadelphia, PA: Lippincott; 1993. p. 544.

    Google Scholar 

  9. Kleipool RP, Blankevoort L. The relation between geometry and function of the ankle joint complex: a biomechanical review. Knee Surg Sports Traumatol Arthrosc. 2010;18:618–27.

    Article  PubMed  Google Scholar 

  10. Procter P, Paul JP. Ankle joint biomechanics. J Biomech. 1982;15(9):627–34.

    Article  CAS  PubMed  Google Scholar 

  11. Lundberg A, Svensson OK, Nemeth G, Selvik G. The axis of rotation of the ankle joint. J Bone Joint Surg (Br). 1989;71(1):94–9.

    Article  CAS  PubMed  Google Scholar 

  12. Leardini A, O’connor JJ, Catani F, Giannini S. A geometric model of the human ankle joint. J Biomech. 1999;32:585–91.

    Article  CAS  PubMed  Google Scholar 

  13. Kakkar R, Siddique MS. Stresses in the ankle joint and total ankle replacement design. Foot Ankle Surg. 2011;17:58–63.

    Article  PubMed  Google Scholar 

  14. Donatelli R. Normal biomechanics of the foot and ankle. J Orthop Sports Phys Ther. 1985;7:91.

    Article  CAS  PubMed  Google Scholar 

  15. Hintermann B, Sommer C, Nigg BMN. Influence of Ligament transection on tibial and calcaneal rotation with loading and dorsi-plantarflexion. Foot Ankle Int. 1995;16(9):567–71.

    Article  CAS  PubMed  Google Scholar 

  16. Harper MC. Deltoid ligament: an anatomical evaluation of function. Foot Ankle Int. 1987;8(1):19–22.

    Article  CAS  Google Scholar 

  17. Rosenbaum AJ, DiPreta JA, Misener D. Plantar heel pain. Med Clin N Am. 2014;98(2):339–52.

    Article  PubMed  Google Scholar 

  18. Shah K, Solan M, Dawe E. The gait cycle and its variations with disease and injury. Orthop Trauma. 2020;34(3):153–60.

    Article  Google Scholar 

  19. Gage JR, Deluca PA, Renshaw TS. Gait analysis: principles and applications. Instr Course Lect. 1995;77-A(10):1607–23.

    Google Scholar 

  20. Gait DA. The role of the ankle and foot in walking, vol. 98. Medical Clinics of North America; 2014. p. 205–11.

    Google Scholar 

  21. Nüesch C, Barg A, Pagenstert GI, Valderrabano V. Biomechanics of asymmetric ankle osteoarthritis and its joint-preserving surgery. Foot Ankle Clin. 2013;18:427–36.

    Article  PubMed  Google Scholar 

  22. Espinosa N, Maceira E, Myerson M. Current concept review: metatarsalgia. Foot Ankle Int. 2008;29(8):871–9.

    Article  PubMed  Google Scholar 

  23. Suckel A, Muller O, Wachter N, Kluba T. In vitro measurement of intraarticular pressure in the ankle joint. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):664–8.

    Article  PubMed  Google Scholar 

  24. Mann RA, Hagy J. Biomechanics of walking, running, and sprinting. Am J Sports Med. 1980;8(5):345–50.

    Article  CAS  PubMed  Google Scholar 

  25. Saraswat P, MacWilliams BA, Davis RB, D’Astous JL. Kinematics and kinetics of normal and planovalgus feet during walking. Gait Posture. 2014;39(1):339–45.

    Article  PubMed  Google Scholar 

  26. Singer S, Klejman S, Pinsker E, Houck J, Daniels T. Ankle arthroplasty and ankle arthrodesis: gait analysis compared with normal controls. J Bone Joint Surg. 2013;95(24):e191.1.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, University of North Carolina, Chapel Hill, NC, USA

    Patricia K. Wellborn, Joshua N. Tennant & Trapper A. J. Lalli

Authors
  1. Patricia K. Wellborn
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  2. Joshua N. Tennant
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  3. Trapper A. J. Lalli
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Corresponding author

Correspondence to Patricia K. Wellborn .

Editor information

Editors and Affiliations

  1. Center for Bone and Joint Disease, Hudson, FL, USA

    Dolfi Herscovici Jr.

  2. Hughston Orthopedic Trauma, Indianapolis, IN, USA

    Jeffrey O. Anglen

  3. Texas Orthopaedic Associates, Dallas, TX, USA

    John S. Early

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Wellborn, P.K., Tennant, J.N., Lalli, T.A.J. (2023). Biomechanics of the Ankle. In: Herscovici Jr., D., Anglen, J.O., Early, J.S. (eds) Evaluation and Surgical Management of the Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-33537-2_2

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  • DOI: https://doi.org/10.1007/978-3-031-33537-2_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-33536-5

  • Online ISBN: 978-3-031-33537-2

  • eBook Packages: MedicineMedicine (R0)

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