中国组织工程研究

中国组织工程研究 ›› 2025, Vol. 29 ›› Issue (24): 5109-5115.doi: 10.12307/2025.739

• 肌肉肌腱韧带组织构建 tissue construction of the muscle, tendon and ligament • 上一篇    下一篇

增加足外展角度减少下落跳踝关节内翻状态下距腓前和跟腓韧带的应变

朱晓雪1，张  藤1，宋青青1，罗  心1，张恒硕2，王  丹3，邱继宏4，魏  锋5，宋祺鹏1   

  1. 1山东体育学院运动与健康学院，山东省济南市  250102；2拉夫堡大学沃尔夫森机械、电气与制造工程学院，英国拉夫堡  LE113TU；上海体育大学，3竞技运动学院，4运动健康学院，上海市  200438；5密歇根州立大学骨科生物力学实验室，美国东蓝辛  48824


  • 收稿日期:2024-08-21 接受日期:2024-10-25 出版日期:2025-08-28 发布日期:2025-01-24
  • 通讯作者: 宋祺鹏，博士，教授，山东体育学院运动与健康学院，山东省济南市 250102
  • 作者简介:朱晓雪，女，1999年生，山东省泰安市人，汉族，山东体育学院在读硕士，主要从事运动生物力学及运动康复相关研究。
  • 基金资助:
    国家自然科学基金资助项目(12102235)，项目负责人：宋祺鹏；国家体育总局国家队青年助力项目(23QN009)，项目负责人：宋祺鹏

Increasing foot toe-out angle reduces strain on the anterior talofibular ligament and calcaneofibular ligament during drop-landing with ankle inversion

Zhu Xiaoxue1, Zhang Teng1, Song Qingqing1, Luo Xin1, Zhang Hengshuo2, Wang Dan3, Qiu Jihong4, Wei Feng5, Song Qipeng1   

  1. 1School of Sport and Health, Shandong Sport University, Jinan 250102, Shandong Province, China; 2Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, Loughborough, LE113TU, UK; 3School of Athletic Performance, Shanghai University of Sport, Shanghai 200438, China; 4School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China; 5Orthopaedic Biomechanics Laboratories, Michigan State University, East Lansing, MI 48824, USA
  • Received:2024-08-21 Accepted:2024-10-25 Online:2025-08-28 Published:2025-01-24
  • Contact: Song Qipeng, PhD, Professor, School of Sport and Health, Shandong Sport University, Jinan 250102, Shandong Province, China
  • About author:Zhu Xiaoxue, Master’s candidate, School of Sport and Health, Shandong Sport University, Jinan 250102, Shandong Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 12102235 (to SQP); the Youth Boosting Program of the National Team of the General Administration of Sport of China, No. 23QN009 (to SQP)

PDF

104

摘要：


文题释义：
足外展角度：又称足偏角，是指足跟到第二跖骨连线与前进方向的夹角。
距腓前韧带：踝关节最易损伤的韧带，为扁平四边形，起自腓骨尖上，止于距骨前下方，主要作用是限制距骨前移和踝关节跖屈。
跟腓韧带：踝关节第二易损伤的韧带，为圆柱状，起自外腓骨近端，斜行止于跟骨外侧，主要作用是限制踝关节过度内翻。

背景：在跳跃落地的过程中，踝关节内翻扭伤频繁发生，这一动作常导致距腓前韧带和跟腓韧带受损。以往的研究常采用内翻角度等指标来代表损伤风险，这些指标与踝扭伤的关系缺乏数据支持。
目的：通过三维多体足踝模型，计算下落跳时的距腓前韧带和跟腓韧带应变，探讨增加足外展角度落地是否会降低内翻扭伤风险。
方法：共招募35名高运动需求的健康参与者，其中男性15名，女性20名；年龄(21.0±0.9)岁；身高(176.2±8.8) cm；体质量(71.6±12.8) kg。使用活板门装置进行下落跳测试模拟踝关节内翻扭伤。测试过程中，参与者被要求分别在自然着地和外展着地两种状态下跳落在活板门上，使用12摄像头三维红外动作捕捉系统来记录参与者的运动学数据，随后利用这些运动学数据驱动三维多体足踝模型，计算距腓前韧带和跟腓韧带的应变。
结果与结论：与自然着地状态相比，在外展着地状态下，距腓前韧带的应变显著降低[自然着地：(3.57±1.92)%，足外展着地：(0.36±1.18)%，P < 0.001，Cohen’s d=2.01]，同时跟腓韧带的应变也显著降低[自然着地：(1.38±1.80)%，足外展着地：(0.28±2.29)%，P=0.003，Cohen’s d=0.81]。这些结果表明，外展着地可以有效降低下落跳时踝关节内翻状态下的距腓前韧带和跟腓韧带应变，进而减少踝关节内翻扭伤的风险。
https://orcid.org/0000-0002-4103-9193(宋祺鹏)；https://orcid.org/0009-0003-6225-046X(朱晓雪)

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 踝关节损伤, 踝内翻扭伤, 韧带损伤, 韧带撕裂, 距腓前韧带, 跟腓韧带, 足踝模型, 有限元分析

Abstract: BACKGROUND: Ankle inversion injuries frequently occur during landing, injuring the anterior talofibular and calcaneofibular ligaments. Previous studies usually used indirect indicators, such as inversion angle, as an injury risk indicator, but epidemiological support is lacking. 
OBJECTIVE: To calculate anterior talofibular and calcaneofibular ligament strains using a three-dimensional multi-body foot model during a drop-landing and to investigate whether increasing the foot toe-out angle for landing would reduce the risk of inversion sprains.
METHODS: Thirty-five participants with high sports demands [15 males and 20 females, age: (21.0±0.9) years, height: (176.2±8.8) cm, body mass: (71.6±12.8) kg] were recruited to perform a drop-landing test using a trapdoor device to simulate ankle inversion sprains. Two landing conditions were tested, i.e., natural landing and toe-out landing. Kinematic data were collected using a 12-camera motion analysis system, the strains of the anterior talofibular and calcaneofibular ligaments were calculated using a three-dimensional rigid-body foot model. 
RESULTS AND CONCLUSION: From natural landing to toe-out landing conditions, the anterior talofibular ligament strain decreased [natural landing= (3.57±1.92)%, toe-out landing=(0.36±1.18)%, P < 0.001, Cohen’s d=2.01), as was the calcaneofibular ligament strain [natural landing=(1.38±1.80)%, toe-out landing=(0.28±2.29)%, P=0.003, Cohen’s d=0.81). It could be concluded that increasing foot toe-out angle reduces anterior talofibular and calcaneofibular ligament strains during drop-landing with ankle inversion, thereby reducing the potential of ankle inversion sprains.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: ankle injury, ankle inversion sprain, ligament injury, ligament tear, anterior talofibular ligament, calcaneofibular ligament, foot model, finite element analysis

中图分类号: