2016, Number 1
<< Back Next >>
Ortho-tips 2016; 12 (1)
Functional biomechanics of the foot and ankle: understanding athlete injuries
Sánchez HEV, de Loera RCO, Cobar BAE, Martín OX
Language: Spanish
References: 12
Page: 6-11
PDF size: 189.73 Kb.
ABSTRACT
A literature review was made of articles in PubMed and books related to the topics, synthesizing the information for its correlation in clinical practice and diagnostics of injuries in athletes. We found that there are types of feet with a predisposition to specific injuries when submitted to repetitive mechanical forces as in running, jumping, football and soccer, amongst other sports. We also found that footwear plays a major role, since its design and rigidity can be related to injuries like turf
toe or bursitis in the
hallux and
Achilles by abnormal compression or tendinosis of the foot extensors in cyclists. We conclude that understanding the synergy between the foot and ankle and the anatomical variants specific to each patient is key to the diagnostic process in athletes. The «perfect» foot for sports should have a discrete valgus of approximately 5° in prone position, with a slightly cavus but elastic dome and a regular metatarsal support. However, any foot can be suitable for any sport due to its capability to adapt. We present the most relevant data we found for the understanding of these complex mechanisms.
REFERENCES
Viladot A, Viladot R. 20 lecciones sobre patología del pie. Barcelona: Ed. Mayo; 2011.
William R. Bull’s handbook of sport injuries. 2nd edition. New York: Ed. McGraw-Hill; 2004.
Fujitaka K, Taniguchi A, Isomoto S, Kumai T, Otuki S, Okubo M, et al. Pathogenesis of fifth metatarsal fractures in college soccer players. Orthop J Sports Med. 2015; 3 (9): 2325967115603654.
Kaya D, Atay OA, Callaghan MJ, Cil A, Cağlar O, Citaker S, et al. Hallux valgus in patients with patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2009; 17 (11): 1364-1367.
McKenzie DC, Clement DB, Taunton JE. Running shoes, orthotics, and injuries. Sports Med. 1985; 2 (5): 334-347.
6.Hockenbury RT. Forefoot problems in athletes. Med Sci Sports Exerc. 1999; 31 (7 Suppl): S448-S458.
Rodgers M. Dynamic biomechanics of the normal foot and ankle during walking and running. Phys Ther. 1988; 68 (12): 1822-1830.
Viladot A. Anatomía funcional y biomecánica del tobillo y el pie. Revista Española de Reumatología. 2003; 30: 469-477.
Rius J. Metodología y técnicas del atletismo. Barcelona: Ed. Paidotribo; 2005.
Sous J, Navarro R. Bases biomecánicas del tobillo. Canarias Médica y Quirúrgica. 2011; 8 (24): 13-20.
Clark KP, Ryan LJ, Weyand PG. Foot speed, foot-strike and footwear: linking gait mechanics and running ground reaction forces. J Exp Biol. 2014; 217 (Pt 12): 2037-2040.
Nagahara R, Matsubayashi T, Matsuo A, Zushi K. Kinematics of transition during human accelerated sprinting. Biol Open. 2014; 3: 689-699