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  • Re: Locating Tibialis Anterior tendon's action lineusing MRI

    Thanks for your prompt reply.

    I have read and re-read your comments especially in response to my
    fourth point. Most likely due to my own limitations - I did not
    fully understand it. I don't believe it is what I said or meant. I
    would appreciate if you could expand your comments.

    Dr. A. Solimene

    Quoting Greiner Thomas :

    > A few comments in response to my response on the tibialis anterior. I
    > think we are mostly in agreement, but perhaps talking past each other.
    >
    >
    > "1. The anatomical planes of reference are arbitrary.
    >
    > 2. The line of force or action of any muscle does / do not occur "along
    > an artificial, and arbitrary, geometry" - it occurs where it occurs AND
    > during the range of motion of the involved body segments the position of
    > the line of action of a muscle continuously changes."
    >
    > This was my point exactly, although perhaps you say it better. The
    > anatomical planes are artificial and arbitrary and if you limit your
    > investigation to those planes you should not be surprised that muscle's
    > action line has an oblique orientation.
    >
    > "4. I respectful disagree that the line of action need be in the
    > sagittal plane to obtain meaningful data. It is done mathematically."
    >
    > I agree completely. This is a consequence that a muscle's force of
    > action "occurs where it occurs." That, is another way of saying that you
    > should not expect of find anatomical evidence of a muscular action line
    > if you limit your investigation to a single anatomical plane.
    > Investigations in three dimensions may eventually allow you to resolve
    > an action line to a particular plane, but before you can do that math
    > you need to know what the muscle does when it does something. Inasmuch
    > as Tibialis Anterior is a dorisflexor and an inverter (or perhaps
    > sometimes and everter) the line of action of its insertion tendon will
    > lie oblique to the sagittal plane. Therefore you cannot caputre the
    > muscle's action line if investigation is limited to that plane. This is,
    > effectively, the same thing as saying that for the "TA there are more
    > than one line of action."
    >
    > Thomas M. Greiner, Ph.D.
    > Anatomist and Physical Anthropologist
    > Dept. of Health Professions
    > University of Wisconsin - La Crosse
    > 1725 State Street
    > La Crosse, WI 54601 USA
    >
    > -----Original Message-----
    > From: as572@columbia.edu [mailto:as572@columbia.edu]
    > Sent: Thursday, May 08, 2008 12:16 PM
    > To: BIOMCH-L@NIC.SURFNET.NL
    > Cc: Greiner Thomas
    > Subject: Re: [BIOMCH-L] Locating Tibialis Anterior tendon's action
    > lineusing MRI
    >
    >
    > Dr Greiner,
    >
    > Four thoughts and observations ..
    >
    > 1. The anatomical planes of reference are arbitrary.
    >
    > 2. The line of force or action of any muscle does / do not occur "along
    > an artificial, and arbitrary, geometry" - it occurs where it occurs AND
    > during the range of motion of the involved body segments the position of
    > the line of action of a muscle continuously changes.
    >
    > A long while ago - some anatomists differentiated "Pure" from "Compound"
    > motion.
    > Pure motion was supposed to occur within (parallel to) the three
    > anatomical planes. Compound motion was any movement that
    > simultaneous intersected two or more of the anatomical planes.
    > Fortunately this unwieldy descriptive method is no longer widely used.
    >
    > a. To my knowledge there is no general agreement as to action of the
    > tibialis anterior muscle. In Lanz and Wachsmuth's anatomical atlas, the
    > tendon to the tibialis anterior lies on the axis of inversion and
    > eversion, if that is its true location, i.e. its moment arm relative
    > to this axis is zero. One can therefore conclude that in the
    > anatomical position the TA is neither, and functions as a dorsi-flexor.
    > This conclusion is perhaps most reasonable.
    >
    > I don't recall the reference, but I remember learning that electrical
    > stimulation of the belly of the TA would produce inversion in @50% of
    > cases and in @50% eversion. It may be worth redoing this study.
    >
    > 3b. In the case of the TA it is realistic to consider the reversal of
    > muscle action during the range of motion of the foot at the ankle.
    > This could be associated with the recruitment of muscle force during
    > movement / locomotion.
    >
    > 4. I respectful disagree that the line of action need be in the sagittal
    > plane to obtain meaningful data. It is done mathematically.
    >
    > For Dr. Miller -
    > Most likely, given the width of the tendon and the area of attachment of
    > the TA there are more than one line of action.
    >
    > For Thomas -
    > FYI - I am also an anatomist and physical anthropologist
    >
    > Cheers
    >
    > Dr. Alfonso Solimene
    >
    >
    >
    > Quoting Greiner Thomas :
    >
    >>
    >> I believe the problem you are encountering is due to the fact that
    >> that action of tibialis anterior is oblique to the anatomical
    >> reference planes. You are forcing the measurement of muscle activity
    >> to occur along an artificial, and arbitrary, geometry.. Inasmuch as
    >> tibialis anterior is primarily a foot inverter, I doubt that you would
    >
    >> ever be able to obtain realistic and meaningful measured values if
    >> your perspective is limited to the sagittal plane.
    >>
    >> Thomas M. Greiner, Ph.D.
    >> Anatomist and Physical Anthropologist
    >> Dept. of Health Professions
    >> University of Wisconsin - La Crosse
    >> 1725 State Street
    >> La Crosse, WI 54601 USA
    >>
    >> -----Original Message-----
    >> From: * Biomechanics and Movement Science listserver
    >> [mailto:BIOMCH-L@NIC.SURFNET.NL] On Behalf Of Stuart Miller
    >> Sent: Wednesday, May 07, 2008 9:10 AM
    >> To: BIOMCH-L@NIC.SURFNET.NL
    >> Subject: [BIOMCH-L] Locating Tibialis Anterior tendon's action line
    >> using MRI
    >>
    >> Hello all,
    >>
    >>
    >>
    >> My colleagues and I have recently started to calculate the moment arm
    >> of the tibialis anterior and Achilles tendon. The method we are using
    >> is the Reuleaux graphical analysis. The images of the ankle are
    >> collected using MRI techniques. The images are collected in the
    > sagittal plane.
    >> This technique has been described in Maganaris et al. (1999); Clinical
    >
    >> Biomechanics 14 pp661-666.
    >>
    >>
    >>
    >> The problem we are experiencing is of locating the action line of the
    >> tibialis anterior. The tibialis anterior tendon crosses the sagittal
    >> plane, so only an oval cross-section can be seen. This does not appear
    >
    >> enough to accurately locate the action line of the tendon.
    >>
    >>
    >>
    >> I am wondering if anyone has experienced this problem whilst using
    >> this technique, and if so, can suggest any solutions.
    >>
    >>
    >>
    >> The action line of the Achilles tendon is easy to see as it acts along
    >
    >> the sagittal plane.
    >>
    >>
    >>
    >> I will forward a summary of the responses in a few weeks.
    >>
    >>
    >>
    >> Thank you in advance.
    >>
    >>
    >>
    >>
    >>
    >> Stuart C. Miller BSc. (Hons)
    >>
    >> Centre for Sports Medicine and Human Performance
    >>
    >> Brunel University
    >>
    >> London
    >>
    >> Middlesex
    >>
    >> UB8 3PH
    >>
    >>
    >>
    >>
    >>
    >>
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    >> Archives: http://listserv.surfnet.nl/archives/Biomch-L.html
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    >>
    >
    > ---------------------------------------------------------------
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