The crural interosseous membrane re-visited: Part II, new biomechanical concepts

Year 2022, , 97 - 106, 31.12.2022

Joseph Morley , Emmett J. Hughes Kena Mcdermott Carla Stecco Caterina Fede Antonio Stecco

https://doi.org/10.31459/turkjkin.1170716

Abstract

Demonstrate movement of the Interosseous Membrane (IM) when tensile loading was applied to the Tibialis Anterior (TA) and Tibialis Posterior (TP). Postulate new roles for IM in running. Nine IMs were assessed by 2 examiners. Dissections exposed the TA and TP. Posterior IM was palpated under TP as tensile loading of TA applied. Anterior IM was palpated under TA, as tensile loading of TP applied. Tensile loading was measured via a spring scale attached to distal tendons of TA and TP. TA tensile loading caused movement of IM anteriorly. TP tensile loading caused movement of IM posteriorly. T-test revealed no statistically significant difference between two examiners. The IM moves when TA and TP muscles undergo tensile loading. Rapid TA contraction during running pulls on the IM, pre-stretching TP and resulting in a forceful TP contraction. The IM is an important factor in pre-stretching of TA and TP. Nerve endings found in IM in our previous publication can increase afferent signal input and coordinate muscle activation of anterior and posterior IM muscles; IM acts as both a tendon and ligament; IM can coordinate muscular activity at heel strike and toe-off; IM limits separation of the distal tibio-fibular joint at heel strike; IM attenuates vertical ground reaction forces.

Keywords

Biomechanics, elastin, interosseous membrane physiology, jogging

References

• Anderson, M. K., & Hall, S. J. (1995). Sports injury management. Media, Pennsylvania: Williams & Wilkins, 217–221.
• Arndt, A., Wolf, P., Liu, A., Nester, C., Stacoff, A., Jones, R., Lundgren, P., & Lundberg, A. (2007). Intrinsic foot kinematics measured in vivo during the stance phase of slow running. J Biomech, 40, 2672-2678.
• Bosco, C., Komi, P. V., & Ito, A. (Feb 1981). Prestretch potentiation of human skeletal muscle during ballistic movement. Acta Physiol Scand, 111(2), 135-140.
• Brosky, T., Nyland, J., Nitz, A., & Caborn, D. N. (4 April 1995) The ankle ligaments: Consideration of syndsesmotic injuries and implications for rehabilitation. J Orthop Sports Phys Ther, 21(4), 197-205.
• Caserotti, P., Aagaard, P., & Puggaard, L. (May 2008). Changes in power and force generation during coupled eccentric-concentric versus concentric muscle contraction with training and aging. Eur J Appl Physiol, 103(2), 151-61.
• Christodoulou, G., Korovessis, P., Giarmenitis, S., Dimopoulos, P., & Sdougos, G. (1995). The use of sonography for evaluation of the integrity and healing process of the tibiofibular interosseous membrane in ankle fractures. J Orthop Trauma, 9, 98–106.
• Dattani, R., Patnaik, S., Kantak, A., Srikanth, B., & Selvan, T. P. (2008). Injuries to the tibiofibular syndesmosis. J Bone Joint Surg Br, 90-B, 405-410.
• de Almeida, M. O., Saragiotto, B. T., Yamato, T. P., & Lopes, A. D. (Feb 16, 2015). Is the rearfoot pattern the most frequentl foot strike pattern among recreational shod distance runners? Phys Ther Sport, 16(1), 29-33.
• DeLacerda, F. G. (1980). A study of anatomical factors involved in shinsplints. J Orthop Sports Phys Ther, 2(2), 55-59.
• Durkee, N. J., Jacobson, J. A., Jamadar, D. A., Femino, J. E., Karunakar, M. A., & Hayes, C. W. (2003). Sonographic evaluation of lower extremity interosseous membrane injuries - retrospective review in 3 patients. J Ultrasound Med, 22, 1369–1375.
• Guyton, A. C., & Hall, J. E. (2011). Somatic sensations. Textbook of Medical Physiology, 12th ed, Philadelphia: Saunders Elsevier.
• Guyton, A. C., & Hall, J. E. (2011). Sensory receptors, neuronal circuits for processing information. Textbook of Medical Physiology, 12th ed, Philadelphia: Saunders Elsevier.
• Guyton, A. C., Hall, J. E. (2011). Motor functions of the spinal cord; the reflexes. Textbook of Medical Physiology, 12th ed. Philadelphia: Saunders Elsevier.
• Henninger, H. B., Valdez, W. R., Scott, S. A., & Weiss, J. A. (Oct 2015). Elastin governs the mechanical response of collateral ligament under shear and transverse tensile loading. Acta Biomater, 25, 304-312.
• Katznelson, A., Lin, E., & Militiano, J. (1983). Rupture of the ligaments about the tibio-fibular syndesmosis. Injury, 15(3), 170-172.
• Kues, J. (Sept. 1990). Literature review: The pathology of shin splints. J Orthop Sports Phys Ther, 12(3), 115-121.
• Larson, P., Higgins, E., Kaminski, J., Decker, T., Preble, J., Lyons, D., McIntyre, K., & Normile, A. J. (Dec 29, 2011). Foot strike patterns of recreational and sub-elite runners in a long-distance road race. Sport Sci, 15, 1665-1673.
• Minns, R. J., & Hunter, J. A. (Apr 1976). The mechanical and structural characteristics of the tibio-fibular interosseous membrane. Acta Orthop Scand, 47(2), 236-240.
• Morley, J., Fan, C., McDermott, K., Fede, C., Hughes, E., & Stecco, C. (2019). The crural interosseous membrane re-visited: A histological and microscopic study. Eur J Transl Myol, 29(3), 164-170.
• Norkus, S. A., & Floyd, R. T. (2001). The anatomy and mechanisms of syndesmotic ankle sprains. J Athl Train, 36(1), 68–73.
• O'Donoghue, D. H. (1984). Treatment of injuries to athletes. 4th ed, Philadelphia: WB Saunders Company Pawlina W & Ross MH. (2018). Histology: A Text and Atlas: With Correlated Cell and Molecular Biology. 5th ed, Philadelphia: Lippincott Williams & Wilkins.
• Rosati, E., & Medina, M. A. (Dec 1987). The role of the tibiofibular interosseous membrane in the repair of fractures of the tibia and fibula. Ital J Orthop Traumatol, 13(4), 521-525.
• Rumian, A. P., Wallace, A. L., & Birch, H. L. (Apr 25, 2007). Tendons and ligaments are anatomically distinct but overlap in molecular and morphological features - a comparative study in an ovine model. J Orthop Res, 4, 458-464.
• Saladin, K. (2012). Anatomy and physiology: The unity of form and function, 6th ed, New York: McGraw Hill.
• Sarmiento, A., Latta, L., Ziliolia, A., & Sinclair, W. (Nov/Dec 1974). The role of soft tissues in the stabilization of tibial fractures. Clin Orthop Relat Res, 105, 116-129.
• Scranton, P. E., McMaster, J. H., & Kelly, E. (1976). Dynamic fibular function: A new concept. Clin Orthop, 118, 76-81.
• Skraba, J. S., & Greenwald, J. S. (May 1, 1984). The role of the interosseous membrane on tibio-fibular weightbearing. Foot Ankle, 4, 301-304.
• Stecco, A., Gilliar, W., Hill, R., Fullerton, B., & Stecco, C. (Oct 2013). The anatomical and functional relation between gluteus maximus and fascia lata. J Bodyw Mov Ther, 17(4), 512-517.
• Stecco, C., Macchi, V., Porzionato, A., Duparc, F., & De Caro, R. (2011). The fascia: The forgotten structure. Ital J Anat Embryol, 116(3), 127-138.
• Stiehl, J. B. (1990). Complex ankle fracture dislocations with syndesmotic diastasis. Orthop Rev, 19(6), 499–507.
• Taylor, D. C., Englehardt, D. L., & Bassett, F. H. III. (1992). Syndesmosis sprains of the ankle: The influence of heterotopic ossification. Am J Sports Med, 20(2), 146–150.
• Taylor, D. C., & Bassett, F. H. III. (1993). Syndesmosis ankle sprains: Diagnosing the injury and aiding recovery. Physician Sportsmed, 21(12), 39–46.
• Turco, V. J. (July 1977). Injuries to the ankle and foot in athletics. Orthop Clin North Am, 8(3), 669–682.
• Tweed, J. L., Campbell, J. A., & Avil, S. J. (Nov/Dec 2008). Biomechanical risk factors in the development of medial tibial stress syndrome in distance runners. J Am Podiatr Med Assoc, 98(6), 436-444.
• Vukicević, S., Stern-Padovan, R., Vukicević, D., & Keros, P. (Sept 1980). Holographic investigations of the human tibiofibular interosseous membrane. Clin Orthop Relat Res, 151, 210-214.
• Wang, Q., Whittle, M., Cunningham, J., & Kenwright, J. (Sept 1996). Fibula and its ligaments in load transmission and ankle joint stability. Clin Orthop Relat Res, 330, 261-270.
• Weinert, C. R., McMaster, J. H., & Ferguson, R. J. (Oct. 1973). Dynamic function of the human fibula. Am J Anat, 138, 145-150.
• Zitnay, J. L., & Weiss, J. A. (Dec 2018). Load transfer, damage and failure in ligaments and tendons. J Orthop Res, 36(12), 3093–3104.