摘要

Stress fracture of the metatarsal (MT) is often reported clinically. This study was aimed to measure and compare the three-dimensional (3D) morphological structure of five MTs, and investigate the in vitro biomechanics of five MTs under simulated stance phase. A total of seven foot-ankle samples of human cadavers were collected for this experiment. All samples were CT-scanned and 3D re-constructed for digital measurements. To simulate the stance phase, each sample was vertically loaded with 700-N through a material testing machine. The 3D-reconstruction- based measurement showed significant differences of the shaft length, vertical height, and inclination angle between the second MT and four others. Experimental strain measurements at dorsal MTs along the principal axis are all compressive. The values are respectively -63.99 +/- 17.86, -123.54 +/- 18.07, -143.16 +/- 24.75, -5.48 +/- 9.16, and -61.56 +/- 19.52 microstrain from the first to fifth MTs. This study proposed a new load condition of plantar-flexed simply supported beam to describe the MT loading mechanism. The second and third MTs have higher risk of stress fracture due to combined effects of inhomogeneous load distribution, unfavorable geometry and structure, and limited joint motion. This finding would be helpful for design of protective equipment.

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