scholarly journals Passive Wrist Stiffness: The Influence of Handedness

2019 ◽  
Vol 66 (3) ◽  
pp. 656-665 ◽  
Author(s):  
Stan Durand ◽  
Christian Pierre-Yves Rohan ◽  
Taya Hamilton ◽  
Wafa Skalli ◽  
Hermano Igo Krebs
Keyword(s):  

Author(s):  
Marco Guidi ◽  
Riccardo Luchetti ◽  
Inga Besmens ◽  
Esin Rothenfluh ◽  
Maurizio Calcagni

Abstract Background Wrist arthrolysis is a viable option in wrist stiffness and can be performed via open or arthroscopic techniques. Purpose The aim of the study is to describe and evaluate the available techniques of open and arthroscopic arthrolysis of the radiocarpal joint and the distal radio ulnar joint (DRUJ) in posttraumatic wrist stiffness. Methods A systematic literature search was performed in PubMed to identify studies reporting on open and arthroscopic wrist arthrolysis. Key words included “open wrist arthrolysis,” “arthroscopic wrist arthrolysis,” “post-traumatic wrist stiffness,” and “DRUJ arthrolysis.” Data were extracted independently by a pair of reviewers. Results Overall, 637 studies were identified; 13 additional articles were found through previous publications (total 650 articles). A total of 612 records resulted after duplicates was removed. Fourteen studies were selected and only eight respected the inclusions criteria. One study focused on volar open arthrolysis and four studies on arthroscopic arthrolysis of the radiocarpal joint; two studies reported on open arthrolysis and two studies on arthroscopic DRUJ arthrolysis. Range of motion following open and arthroscopic wrist arthrolysis improved in all studies. Conclusion Both arthroscopic and open arthrolysis can lead to similar and satisfactory results in radiocarpal joint and DRUJ stiffness.. Level of Evidence This is a level 3a study.



2015 ◽  
Vol 50 (4) ◽  
pp. 299 ◽  
Author(s):  
Dong Yeong Lee ◽  
Sun Chul Hwang ◽  
Dae Cheol Nam ◽  
Jin Hoon Jeong ◽  
Young Lac Choi ◽  
...  


Medicine ◽  
2020 ◽  
Vol 99 (9) ◽  
pp. e19308
Author(s):  
Hai-Yang Wu ◽  
Yi-Ru Wang ◽  
Jing Gui ◽  
Guo-Wei Wen ◽  
Zhen-Yin Tang ◽  
...  


1989 ◽  
Vol 22 (11-12) ◽  
pp. 1133-1140 ◽  
Author(s):  
Thomas Sinkjær ◽  
Ryoichi Hayashi


Author(s):  
Li-Qun Zhang ◽  
Jongsang Son ◽  
Hyung-Soon Park ◽  
Sang Hoon Kang ◽  
Yunju Lee ◽  
...  


2012 ◽  
Vol 108 (4) ◽  
pp. 1158-1166 ◽  
Author(s):  
Domenico Formica ◽  
Steven K. Charles ◽  
Loredana Zollo ◽  
Eugenio Guglielmelli ◽  
Neville Hogan ◽  
...  

Because wrist rotation dynamics are dominated by stiffness (Charles SK, Hogan N. J Biomech 44: 614–621, 2011), understanding how humans plan and execute coordinated wrist rotations requires knowledge of the stiffness characteristics of the wrist joint. In the past, the passive stiffness of the wrist joint has been measured in 1 degree of freedom (DOF). Although these 1-DOF measurements inform us of the dynamics the neuromuscular system must overcome to rotate the wrist in pure flexion-extension (FE) or pure radial-ulnar deviation (RUD), the wrist rarely rotates in pure FE or RUD. Instead, understanding natural wrist rotations requires knowledge of wrist stiffness in combinations of FE and RUD. The purpose of this report is to present measurements of passive wrist stiffness throughout the space spanned by FE and RUD. Using a rehabilitation robot designed for the wrist and forearm, we measured the passive stiffness of the wrist joint in 10 subjects in FE, RUD, and combinations. For comparison, we measured the passive stiffness of the forearm (in pronation-supination), as well. Our measurements in pure FE and RUD agreed well with previous 1-DOF measurements. We have linearized the 2-DOF stiffness measurements and present them in the form of stiffness ellipses and as stiffness matrices useful for modeling wrist rotation dynamics. We found that passive wrist stiffness was anisotropic, with greater stiffness in RUD than in FE. We also found that passive wrist stiffness did not align with the anatomical axes of the wrist; the major and minor axes of the stiffness ellipse were rotated with respect to the FE and RUD axes by ∼20°. The direction of least stiffness was between ulnar flexion and radial extension, a direction used in many natural movements (known as the “dart-thrower's motion”), suggesting that the nervous system may take advantage of the direction of least stiffness for common wrist rotations.



2006 ◽  
Vol 19 (4) ◽  
pp. 439
Author(s):  
Ann Marie Lucado
Keyword(s):  




2014 ◽  
Vol 61 (8) ◽  
pp. 2235-2244 ◽  
Author(s):  
Autumn L. Pando ◽  
Hyunglae Lee ◽  
Will B. Drake ◽  
Neville Hogan ◽  
Steven K. Charles
Keyword(s):  


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