Calcaneal bone mineral density and mechanical strength of the metatarsals

RH Lidtke Gait Analysis Laboratory, Dr. William M. Scholl College of Podiatric Medicine, Chicago, IL 60610, USA.

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D Patel Gait Analysis Laboratory, Dr. William M. Scholl College of Podiatric Medicine, Chicago, IL 60610, USA.

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C Muehleman Gait Analysis Laboratory, Dr. William M. Scholl College of Podiatric Medicine, Chicago, IL 60610, USA.

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The primary aim of this study was to determine the predictive value of the bone mineral density of the calcaneus for fracture of the metatarsals. The authors report a strong positive correlation between the bone mineral density of the calcaneus and the four-point bending strength of each of the five metatarsals (r2 = 0.76, 0.64, 0.70, 0.68, and 0.78 for metatarsals 1 through 5, respectively). In addition, the relative strengths of the metatarsals and the correlation with their in vivo loads during gait as previously reported in the literature are discussed.

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