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The ability to walk upright on two feet required millions of years of evolution, and even today humans are not perfectly adapted to bipedalism, argued authors in a recent Academic Radiology. Many complaints that require routine imaging can be traced to this evolutionary change, prompting the authors from Indiana University School of Medicine in Indianapolis to ask: How did bipedalism evolve? And what challenges does it present for spine, pelvis and lower limb function?
“Gaining a deeper understanding of these questions can help radiologists better understand the genesis of a diverse range of conditions we encounter on a daily basis, such as traumatic and insufficiency fractures, osteoarthritis, spondylolisthesis and even disorders with no apparent relationship to upright posture,” the pair wrote. Gunderman MD, PhD, and Abdul R.S. Asar provided the human spine as a prime example. It originally developed parallel to the ground, but eventually gave way to its signature curve—enabling balance, but increasing risks. Intervertebral disc injuries and forms of misalignment are all exclusively human problems, the authors wrote. The foot, once meant for grasping, is also at an increased risk for conditions such as tendonitis and arthritides due to extra weight bearing needs.