Year 2021 / Volume 32 / Number 1

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Original Papers

Radiographic study of the mobility of the first ray in the sagittal and frontal planes

Rev. Esp. Pod. 2021; 32(1): 27-35 / DOI: 10.20986/revesppod.2021.1600/2021

Priscila Távara Vidalón, Guillermo Lafuente Sotillos, María José Manfredi Márquez, Pedro V. Munuera-Martínez


ABSTRACT

Objectives: The objective of this study was to investigate the first ray normal range of motion (ROM) in the sagittal and frontal planes in normal feet.
Patients and methods: Anterior-posterior radiographs were done of the ankle showing the whole foot of 60 healthy participants with the first ray in a neutral position, maximally dorsiflexed and maximally plantarflexed. They were digitalized and the distance between the tibial malleolus and the intersesamoid crest in the three positions mentioned was measured. The rotation of the first ray in these three positions was measured.
Results: ROM of the first ray in the sagittal plane was de 5.91 ± 0.33 mm of dorsiflexion and 4.92 ± 0.36 mm of plantarflexion. ROM in the frontal plane was 2.67 ± 0.52 degrees of inversion during the dorsiflexion and 2.97 ± 0.36 degrees of eversion during the plantarflexion.
Conclusion: In the participants of this study it was observed that when performing dorsiflexion in the sagittal plane, the head of the first metatarsal inverted, and when performing plantarflexion the first ray everted, thus producing movements in both the sagittal and frontal planes. 0.52 degrees of movement in the frontal plane took place in the participants of this study for each millimeter of displacement in the sagittal plane.



RESUMEN

Objetivos: El objetivo de este trabajo fue estudiar el rango de movimiento del primer radio en el plano sagital y frontal en pies normales.
Pacientes y métodos: Se realizaron radiografías anteroposteriores de tobillo que cogían todo el pie en 60 participantes sanos, con el primer radio en posición neutra, en máxima dorsiflexión y en máxima plantarflexión. Se digitalizaron las radiografías y se midió la distancia entre el maléolo tibial y la cresta intersesamoidea en las tres posiciones mencionadas. Mediante un ángulo trazado entre la cabeza del primer metatarsiano y una línea horizontal, se midió la rotación del primer radio en el plano frontal en esas tres posiciones.
Resultados: El movimiento del primer radio para toda la muestra en el plano sagital fue de 5.91 ± 0.33 mm de dorsiflexión, y 4.92 ± 0.36 mm de plantarflexión. El movimiento en el plano frontal fue de 2.67 ± 0.52 grados de inversión durante la dorsiflexión, y de 2.97 ± 0.36 grados de eversión durante la plantarflexión.
Conclusión: En los participantes de este estudio se observó que al realizar la dorsiflexión en el plano sagital, la cabeza del primer metatarsiano se invirtió, y al realizar la plantarflexión, el primer radio se evertió, por lo que se produjeron movimientos tanto en el plano sagital como en el frontal. En los participantes de este estudio se produjeron 0,52 grados de movimiento en el plano frontal por cada milímetro de desplazamiento en el plano sagital.


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Instrucciones para citar

Távara Vidalón P, Lafuente Sotillos G, Manfredi Márquez M, Munuera-Martínez P. Radiographic study of the mobility of the first ray in the sagittal and frontal planes. Rev Esp Pod 2021; 32(1): 27-35 / DOI: 1020986/revesppod20211600/2021


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Recibido: 14/01/2021

Aceptado: 26/02/2021

Prepublicado: 21/05/2021

Publicado: 18/06/2021

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2024 Revista Española de Podología
ISSN: 0210-1238   e-ISSN: 2695-463X

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