| About the author: |
V. D. Fizor, O. I. Korolkov, M. Yu. Karpinsky, O. D. Karpinska, O. V. Yaresko |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
A geometric model with muscles functionally related to the hip joint was created. We studied the effect of muscles on the vector of the net effect when changing the position of the limb: passive lifting and adduction. During passive hip flexion, stretching occurred in gracilis, adductor magnus, gluteus maximus, biceps femoris, semitendinosus, semimembranosus. The net force vector initially decreases, and at maximum bending it increases. When increasing the effort of muscles m. gluteus maximus – the angle of co-action is reduced, and m. gracilis, adductor magnus, biceps femoris, semitendinosus, semimembranosus –is increased.
Adduction of the lower limb leads to passive stretching of the muscles: mm. rectus femoris, gluteus medius, gluteus minimus, tensor fascia latae, biceps femoris, semitendinosus, semimembranosus. The greatest elongation is determined in m. tensor fasciae latae, and the greatest efforts were found in m. gluteus medius. With simultaneous bending and adduction of the lower extremity, mm gracilis, adductor magnus, gluteus maximus, gluteus medius, tensor fasciate latae, biceps femoris, semitendinosus were subjected to passive stretching, which causes an even greater deviation of the resultant force vector from the normal than when the limb is flexed or adducted.
|
| Tags |
Perthes disease,hip joint,muscles,modeling |
| Bibliography |
- Zelenetskyi IB, Korolkov OI, Mitielova ZM, Snisarenko PI. Detsentratsiya ta napruzheno-deformovanyy stan u kulshovomu suhlobi khvorykh na dysplaziyu kulshovoho suhloba. Zaporizkyy medychnyy zhurnal. 2018; 20(5): 674–680. doi: https://doi.org/10.14739/2310-1210.2018.5.141536 [in Ukrainian]
- Korolkov OI, Katsalap YeS, Karpinskyy MYu, Yaresko OV. Napruzheno-deformovanyi stan kulshovoho suhloba v ditey z aseptychnym nekrozom holovky stehnovoyi kistky (povidomlennya pershe). Ortopediya, travmatolohiya ta protezuvannya. 2018; 3: 85–92. doi: 10.15674/0030-59872018385-92 [in Ukrainian]
- Tyazhelov O, Karpinsky M, Karpinska O, Yurchenko D., Branitsky O. Mathematical modeling of pelvic muscle function in patients with hip joint adduction contracture at single-support standing. Orthopaedics Traumatology and Prosthetics. 2021; 4: 58–62. doi: 10.15674/0030-59872021458-62 [in Ukrainian]
- Castro APG, Altai Z, Offiah AC, Shelmerdine SC, Arthurs OJ, Li X, et al. Finite element modelling of the developing infant femur using paired CT and MRI scans. PLoS ONE. 2019 14(6): e0218268. doi: 10.1371/journal.pone.0218268
- Crowninshield RD, Brand RA. A physiologically based criterion of muscle force prediction in locomotion. J. Biomechanics. 1981; 14: 793–801.
- Leroux J, Abu Amara S, Lechevallier J. Legg-Calvé-Perthes disease. Orthop Traumatol Surg Res. 2018 Feb;104 (1S): S107–S112. doi: 10.1016/j.otsr.2017.04.012.
- Pinheiro M, Dobson CA, Perry D, Fagan MJ. New insights into the biomechanics of Legg-Calvé-Perthes’ disease. The Role of Epiphyseal Skeletal Immaturity in Vascular Obstruction. Bone Joint Res. 2018; 7(2): 148–156. doi: 10.1302/2046-3758.72.BJR-2017-0191.R1
- Rampal V, Clément JL, Solla F. Legg-Calvé-Perthes disease: classifications and prognostic factors. Clin Cases Miner Bone Metab. 2017 Jan-Apr;14(1):74–82. doi: 10.11138/ccmbm/2017.14.1.074
- Rodríguez-Olivas AO, Hernández-Zamora E, Reyes-Maldonado E. Legg–Calvé–Perthes disease overview. Orphanet J Rare Dis. 2022; 17: 125. doi: 10.1186/s13023-022-02275-z
- Validation of Mechanical Hypothesis of hip Arthritis Development by HIPSTRESS Method. Written by Veronika Kralj-Iglič. Submitted: 21 May 2014; Published: 01 July 2015. doi: 10.5772/59976
- Wibawa AD, Verdonschot N, Halbertsma JPK, Burgerhof JGM, Diercks RL, Verkerke GJ. Musculoskeletal modeling of human lower limb during normal walking, one-legged forward hopping and side jumping: Comparison of measured EMG and predicted muscle activity patterns. J.Biomech. 2016; 49(15): 3660–3666. doi: 10.1016/j.jbiomech.2016.09.041.
|
| Publication of the article |
«World of Medicine and Biology» №1(87), 2024 year, 172-177 pages, index UDK 616.718.4-002.4-021.4:616.728.2]-053.2:004.94(045) |
| DOI |
10.26724/2079-8334-2024-1-87-172-177 |
