Calcaneocuboid joint pressure after lateral column lengthening in a cadaveric planovalgus deformity model. 2000

N Momberger, and J M Morgan, and K N Bachus, and J R West
University of Utah, Salt Lake City 84112, USA. nathanmomberger@netscape.net

The purpose of this study is twofold: first, to measure the joint contact pressure across the calcaneocuboid joint in a planovalgus deformity and compare the results to pressures measured in a normal foot; and second, to determine the change in pressure across the calcaneocuboid joint after an Evan's-type calcaneal lengthening osteotomy. The effect of this procedure on the calcaneocuboid joint was evaluated using seven cadaver feet to measure peak pressure across the calcaneocuboid joint under a constant load. Each foot was sectioned medially to reproduce a deformity consistent with an adult, acquired flatfoot. Each flatfoot deformity was then corrected using a ten-millimeter lateral column lengthening osteotomy. Joint pressures were measured in the normal foot, the created flatfoot and then in the corrected flatfoot. Peak pressures across the joint increased significantly from baseline in the flatfoot (p <0.05). However, the change in pressure from the flatfoot to the corrected foot was not significant, and in some cases peak pressures in the corrected foot were actually lower than in the flatfoot. These findings indicate that calcaneal lengthening through an Evan's osteotomy does not increase pressure across the calcaneocuboid joint beyond physiologic loads in the flatfoot.

UI MeSH Term Description Entries
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D010027 Osteotomy The surgical cutting of a bone. (Dorland, 28th ed) Osteotomies
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D002111 Calcaneus The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL. Heel Bone,Bone, Heel
D005413 Flatfoot Anomaly in which one or more of the arches of the feet are flat. Pes Planus,Acquired Adult Flatfoot Deformity,Convex Foot,Convex Pes Valgus,Flat Feet,Flat Foot,Flatfeet,Flexible Flatfoot,Pes Valgus, Congenital Convex,Rigid Flatfoot,Rocker-Bottom Foot,Splayfoot,Talipes Calcaneovalgus,Talipes Valgus,Vertical Talus,Vertical Talus, Congenital,Calcaneovalgus, Talipes,Congenital Vertical Talus,Feet, Flat,Flatfoot, Flexible,Flatfoot, Rigid,Foot, Convex,Foot, Flat,Foot, Rocker-Bottom,Pes Valgus, Convex,Rocker Bottom Foot,Talus, Congenital Vertical,Talus, Vertical,Valgus, Talipes
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001168 Arthritis Acute or chronic inflammation of JOINTS. Oligoarthritis,Polyarthritis,Arthritides,Oligoarthritides,Polyarthritides
D013639 Tarsal Bones The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms. Ankle Bones,Cuboid Bone,Cuneiform Bones,Navicular Bone of Foot,Tarsus Osseus,Os Naviculare,Bone, Cuboid,Bone, Cuneiform,Bone, Tarsal,Bones, Ankle,Bones, Cuboid,Bones, Cuneiform,Bones, Tarsal,Cuboid Bones,Cuneiform Bone,Foot Navicular Bone,Foot Navicular Bones,Naviculare, Os,Naviculares, Os,Os Naviculares,Tarsal Bone

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