本文關(guān)鍵詞：高跟鞋與足部跖間應(yīng)力關(guān)系的有限元分析　出處：《醫(yī)用生物力學(xué)》2015年06期 　論文類型：期刊論文

  更多相關(guān)文章： 跖間神經(jīng)瘤 高跟鞋 足踝 有限元分析

【摘要】：目的研究穿著高跟鞋時(shí)前足跖間組織的應(yīng)力變化,為跖間神經(jīng)瘤誘發(fā)機(jī)制的定量分析和相應(yīng)治療方案提供參考。方法通過已驗(yàn)證的足-踝-高跟鞋有限元模型平臺(tái),分析足部在0、2.54、5.08、7.62 cm[0、1、2、3″(英寸)]4種不同跟高高跟鞋平衡站立以及穿5.08 cm跟高高跟鞋行走時(shí)步態(tài)周期內(nèi)的跖間組織應(yīng)力大小及趨勢(shì)。結(jié)果隨著鞋跟高度的增加,跖間組織應(yīng)力明顯增加,穿7.62 cm跟高高跟鞋時(shí)第3、4跖間組織受力是穿平跟鞋的312%。穿5.08 cm跟高高跟鞋行走時(shí),在蹬地期第3、4跖間組織的受力最大,達(dá)到90 k Pa,與臨床最常見的跖間神經(jīng)瘤發(fā)病部位相符。結(jié)論穿著高跟鞋明顯增加跖間組織的應(yīng)力,鞋面橫向擠壓導(dǎo)致第3、4跖間組織受力最大,最容易導(dǎo)致跖間神經(jīng)瘤的發(fā)生。
[Abstract]:Objective to study the stress changes of forefoot and metatarsal tissue in high heels. Methods through the verified finite element model platform of foot-malleole-high-heeled shoes, we analyzed the foot at 02.54% 5.08. The results provided a reference for the quantitative analysis of the inducing mechanism of interplantar neuroma and the corresponding treatment plan. 7.62 cm. [0,1,2. 3 "(in)] 4 kinds of heel high heels balanced standing and walking with 5.08 cm high heels during gait cycle, the stress size and trend of plantar tissue were observed. The results were as follows: the heel height increased. The stress of intermetatarsal tissue was obviously increased. The stress between the third and fourth metatarsal tissue was 312cm in flat heels when wearing 7.62 cm high heels, and the third time in pedal stage when walking with 5.08 cm high heels. (4) the stress of plantar tissue was the largest, reaching 90 kPA, which was consistent with the most common clinical site of intermetatarsal neuroma. Conclusion wearing high heels significantly increased the stress of plantar tissue, and the lateral extrusion of the upper of the shoe resulted in the third. 4 the intermetatarsal tissue has the greatest force and is the most likely to cause the occurrence of intermetatarsal neuroma.
【作者單位】： 蘇州大學(xué)骨科研究所;蘇州大學(xué)附屬第一醫(yī)院骨科;香港理工大學(xué)生物醫(yī)學(xué)工程跨領(lǐng)域?qū)W部;
【基金】：國(guó)家自然科學(xué)基金項(xiàng)目(11272273;31270995;11572211) 江蘇省臨床醫(yī)學(xué)資助項(xiàng)目(BL2012004)
【分類號(hào)】：R318.01
【正文快照】： 當(dāng)今都市社會(huì),高跟鞋已成為女性必不可少的時(shí)尚裝備,然而穿著高跟鞋所引起的跖間神經(jīng)瘤已成為女性足部的常見疾病之一,極大危害了女性足部健康[1-2]。Thomson等[3]報(bào)道,中年女性跖間神經(jīng)瘤的發(fā)病率較中年男性甚至超過10倍[3]。早在1876年有關(guān)跖間神經(jīng)瘤疾病的臨床表現(xiàn)就已有報(bào)

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1 劉建國(guó);;手術(shù)治療原發(fā)性跖間神經(jīng)瘤臨床體會(huì)[J];山西醫(yī)科大學(xué)學(xué)報(bào);2007年01期

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本文編號(hào)：1439064