Effect of scaphoid and triquetrum excision after limited stabilisation on cadaver wrist movement

2009 ◽  
Vol 34 (5) ◽  
pp. 614-617 ◽  
Author(s):  
G. I. BAIN ◽  
A. SOOD ◽  
N. ASHWOOD ◽  
P. C. TURNER ◽  
Q. A. FOGG
Keyword(s):  
Range Of Motion ◽  
Wrist Joint ◽  
Wrist Movement ◽  
Wrist Motion ◽  
Flexion Extension ◽  
Before And After

This study assessed the effect of excision of the scaphoid and triquetrum on the range of motion of the embalmed cadaver wrist joint after midcarpal stabilisation. The range of motion was measured in 12 cadaver wrists before and after stabilisation of the joints between the lunate, capitate, triquetrum and hamate. This was measured again following resection of the scaphoid and then the triquetrum. Scaphoid excision after four-corner stabilisation increased the radioulnar (RU) arc by 12° and the flexion–extension (F–E) arc by 10°. Subsequent excision of the triquetrum, to produce a three-corner stabilisation, further increased the RU arc by 7° and the F–E arc by 6°. Three-corner stabilisation with excision of scaphoid and triquetrum improved wrist motion in embalmed cadavers.

EFEITOS DO DEEP RUNNING SOBRE A AMPLITUDE DE MOVIMENTO E A CAPACIDADE FUNCIONAL DOS MEMBROS SUPERIORES DE MULHERES MASTECTOMIZADAS: RELATO DE CASOS

2019 ◽  
pp. 121-131
Keyword(s):  
Range Of Motion ◽  
Upper Limb ◽  
Functional Capacity ◽  
External Rotation ◽  
Treatment Protocol ◽  
Range Of Movement ◽  
Flexion Extension ◽  
Before And After ◽  
In The Beginning ◽  
And Function

Introduction: Breast cancer is the most common type of cancer among women in Brazil and in the worl. The surgical treatment procedure may cause severe morbidity in the upper limb homolateral to surgery, including the reduction of the range of motion, with consequent impairment of function. A physiotherapeutic approach has an important role in the recover range of motion and the functionality of these women, guaranteeing the occupational, domestestic, familiar and conjugated activities, and, in this way, also improving the quality of life. Objectives: To analyse chances in the shoulder's range of motion and the functional capacity of the upper limbs, promoted by the deep running procedure in women with late postoperative mastectomy. Methods: All the patients were submitted to an evaluation in the beginning and end of the treatment, including: goniometry of flexion, extension, abduction, adduction, internal and external rotation of the shoulder joint; and function capacity analysis in activities that involve the upper members by DASH questionnaire. The treatment protocol includes twelve sessions of deep running, realized twice a week, in deep pool, for 20-minute during six weeks. Results: Were submitted to treatment a total of 4 patients. Despite the improvement in the numerical values, statistically significant differences were not found on the range of movements and in the functional capacity of upper members before and after the deep running sessions in post-mastectomy women. Conclusion: Deep running had effects on the numerical values of range of movement and upper limb functionality in women in the late postoperative period of the mastectomy procedure, but without statistically significant differences.

Biomechanics of a Novel Minimally Invasive Lumbar Interspinous Spacer: Effects on Kinematics, Facet Loads, and Foramen Height

2010 ◽  
Vol 66 (suppl_1) ◽  
pp. ons-126-ons-133 ◽  
Author(s):  
Bruno C.R. Lazaro ◽  
Leonardo B.C. Brasiliense ◽  
Anna G.U. Sawa ◽  
Phillip M. Reyes ◽  
Nicholas Theodore ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Axial Rotation ◽  
Surface Strain ◽  
Interspinous Spacer ◽  
Instantaneous Axis Of Rotation ◽  
Flexion Extension ◽  
Before And After ◽  
Biomechanical Effect ◽  
Foraminal Height

Abstract Objective: To study the alteration to normal biomechanics after insertion of a lumbar interspinous spacer (ISS) in vitro by nondestructive cadaveric flexibility testing. Methods: Seven human cadaveric specimens were studied before and after ISS placement at L1–L2. Angular range of motion, lax zone, stiff zone, sagittal instantaneous axis of rotation (IAR), foraminal height, and facet loads were compared between conditions. Flexion, extension, lateral bending, and axial rotation were induced using pure moments (7.5 Nm maximum) while recording motion optoelectronically. The IAR was measured during loading with a 400 N compressive follower. Foraminal height changes were calculated using rigid body methods. Facet loads were assessed from surface strain and neural network analysis. Results: After ISS insertion, range of motion and stiff zone during extension were significantly reduced (P < .01). Foraminal height was significantly reduced from flexion to extension in both normal and ISS-implanted conditions; there was significantly less reduction in foraminal height during extension with the ISS in place. The ISS reduced the mean facet load by 30% during flexion (P < .02) and 69% during extension (P < .015). The IAR after ISS implantation was less than 1 mm from the normal position (P > .18). Conclusion: The primary biomechanical effect of the ISS was reduced extension with associated reduced facet loads and smaller decrease in foraminal height. The ISS had little effect on sagittal IAR or on motion or facet loads in other directions.

scholarly journals Biomechanical Comparison of Dart-Throw Motions after Partial Wrist Fusions

2021 ◽  
Author(s):  
Dami O. Oluyede ◽  
Frederick W. Werner ◽  
Garrett Esper ◽  
Michael Schreck
Keyword(s):  
Range Of Motion ◽  
Limited Information ◽  
Wrist Motion ◽  
Flexion Extension ◽  
Dart Throwing ◽  
Fresh Frozen ◽  
Biomechanical Comparison ◽  
Other Orientation ◽  
Comprehensive Compilation ◽  
Throwing Motion

Abstract Background Multiple partial wrist fusions exist for the management of arthritic disease. Limited information is available on their effect on wrist range of motion in the dart-throwing direction of wrist motion, even though it is used in most activities of daily living. Purpose The purpose of this study was to measure the retained motion for different orientations of dart-throwing motion for seven different partial wrist fusions and proximal row carpectomy (PRC). Methods Eight fresh frozen right cadavers were tested with the wrist intact and followed simulated fusions. Fusions were performed using an external fixation technique and included scaphocapitate, scapholunate (SL), capitolunate, radiolunate, radioscapholunate, scaphotrapeziotrapezoid, 4 corner fusion, and PRC. Results In the intact wrist, the average arc of wrist motion with the wrist oriented at 20 degrees away from the flexion-extension axis was significantly larger than at any other orientation of motion. All partial wrist fusions and the PRC had significantly smaller average dart-throw arc of motion compared with intact at an orientation 20 and 25 degrees away from flexion-extension. The SL fusion provided a significantly larger arc of motion than most of the other fusions at most orientations. Conclusion/Clinical Relevance This study provides a comprehensive compilation of the range of motion in a functional plane, “the dart-throw motion,” for limited wrist fusions and PRC. These data provide the clinician with important information that can be used to educate patients regarding expectations after surgery.

scholarly journals Carpal Pronation and Supination Changes in the Unstable Wrist

2018 ◽  
Vol 07 (04) ◽  
pp. 298-302
Author(s):  
Walter Short ◽  
Frederick Werner
Keyword(s):  
Clinical Relevance ◽  
Wrist Flexion ◽  
New Techniques ◽  
Interosseous Ligament ◽  
Wrist Motion ◽  
Extensor Carpi Ulnaris ◽  
Flexion Extension ◽  
Before And After ◽  
Dart Throwing ◽  
Throwing Motion

Background Little is known about changes in scaphoid and lunate supination and pronation following scapholunate interosseous ligament (SLIL) injury. Information on these changes may help explain why some SLIL reconstructions have failed and help in the development of new techniques. Purpose To determine if following simulated SLIL injury there was an increase in scaphoid pronation and lunate supination and to determine if concurrently there was an increase in the extensor carpi ulnaris (ECU) force. Materials and Methods Scaphoid and lunate motion were measured before and after sectioning of the SLIL and two volar ligaments in 22 cadaver wrists, and before and after sectioning of the SLIL and two dorsal ligaments in 15 additional wrists. Each wrist was dynamically moved through wrist flexion/extension, radioulnar deviation, and a dart-throwing motion. Changes in the ECU force were recorded during each wrist motion. Results Scaphoid pronation and lunate supination significantly increased following ligamentous sectioning during each motion. There were significant differences in the amount of change in lunate motion, but not in scaphoid motion, between the two groups of sectioned ligaments. Greater percentage ECU force was required following ligamentous sectioning to achieve the same wrist motions. Conclusion Carpal supination/pronation changed with simulated damage to the scapholunate stabilizers. This may be associated with the required increases in the ECU force. Clinical Relevance In reconstructing the SLIL, one should be aware of the possible need to correct scaphoid pronation and lunate supination that occur following injury. This may be more of a concern when the dorsal stabilizers are injured.

Practical Application of a Biaxial Goniometer to the Wrist Joint

1995 ◽  
Vol 39 (10) ◽  
pp. 558-562
Author(s):  
Bryan Buchholz ◽  
Helen Wellman
Keyword(s):  
Wrist Joint ◽  
Forearm Rotation ◽  
Wrist Movement ◽  
Calibration Technique ◽  
Ulnar Deviation ◽  
Angle Measurements ◽  
Flexion Extension ◽  
Angular Data ◽  
Mathematical Equations ◽  
Goniometric Measurements

The objectives of this study were: 1) to determine errors in wrist angle measurements from a commercially-available biaxial electrogoniometer and 2) to develop a calibration routine in order to correct for these errors. Goniometric measurements were simultaneously collected with true angular data using a fixture that allowed wrist movement in one plane while restricting motion in the orthogonal plane. These data were collected in two sets of trials: 1) flexion/extension with radial/ulnar deviation restricted and 2) radial/ulnar deviation with flexion/extension restricted. During these trials, discrete 30 degree increments of forearm rotation were studied. The results showed the expected cross talk and zero drift errors during forearm rotation. The application of mathematical equations that describe the effect of goniometer twist during forearm rotation resulted in significant error reduction for most trials. The calibration technique employs both a slope and a displacement transformation to improve the accuracy of angular data. The calibration technique may be used on data collected in the field if forearm rotation is measured simultaneously with the goniometer data.

The Effects of Complex Wrist and Forearm Posture on Wrist Range of Motion

1997 ◽  
Vol 41 (1) ◽  
pp. 629-633
Author(s):  
Matthew M. Marshall ◽  
Jacqueline Reynolds Mozrall ◽  
Jasper E. Shealy
Keyword(s):  
Range Of Motion ◽  
Ulnar Deviation ◽  
Wrist Motion ◽  
Practical Applications ◽  
Motion Data ◽  
Flexion Extension ◽  
Repetitive Trauma

In order to minimize the risk of repetitive trauma injuries, postures or motions that place joints near the limits of their range of motion (RoM) should be avoided. Before it can be determined that a posture or motion approaches the limit of a joint's motion, these limits need to be established. Previous research on wrist functionality has focused almost entirely on RoM in two or three isolated planes (flexion/extension, radial/ulnar deviation, and forearm pronation/supination), without investigating potential effects of complex wrist/forearm posture on RoM. Since most practical applications of this wrist motion data involve more than these isolated planar deviations, the effects of complex wrist/forearm posture on wrist functionality need to be understood.

Smartphone photography utilized to measure wrist range of motion

2017 ◽  
Vol 43 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Eric R. Wagner ◽  
Megan Conti Mica ◽  
Alexander Y. Shin
Keyword(s):  
Range Of Motion ◽  
High Reliability ◽  
Wrist Flexion ◽  
Wrist Movement ◽  
Level Of Evidence ◽  
Ulnar Deviation ◽  
Wrist Motion ◽  
Observer Reliability ◽  
Clinical Measurements ◽  
Very High

The purpose was to determine if smartphone photography is a reliable tool in measuring wrist movement. Smartphones were used to take digital photos of both wrists in 32 normal participants (64 wrists) at extremes of wrist motion. The smartphone measurements were compared with clinical goniometry measurements. There was a very high correlation between the clinical goniometry and smartphone measurements, as the concordance coefficients were high for radial deviation, ulnar deviation, wrist extension and wrist flexion. The Pearson coefficients also demonstrated the high precision of the smartphone measurements. The Bland–Altman plots demonstrated 29–31 of 32 smartphone measurements were within the 95% confidence interval of the clinical measurements for all positions of the wrists. There was high reliability between the photography taken by the volunteer and researcher, as well as high inter-observer reliability. Smartphone digital photography is a reliable and accurate tool for measuring wrist range of motion. Level of evidence: II

scholarly journals The Effect of Eight Weeks of Hand-Selected Strength Training and Cinnamon-Honey Supplementation on Strength and Range of Motion of Wrist Joint in Elderly Women with Osteoarthritis

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Shayesteh Hassani ◽  
Sedigheh Hosseinpour Delavare ◽  
Hassan Safikhani
Keyword(s):  
Resistance Training ◽  
Strength Training ◽  
Range Of Motion ◽  
Elderly Women ◽  
Wrist Joint ◽  
Training Group ◽  
Control Group ◽  
Hand Osteoarthritis ◽  
Before And After ◽  
And Control

Background: Osteoarthritis is one of the articular disorders. This disorder causes pain, impaired physical function and thus affecting the quality of life of individuals by limiting individual independence. Objectives: The purpose of the current study was to investigate the effect of eight weeks of hand-selected strength training and cinnamon-honey supplementation on strength and range of motion of wrist joint in elderly women with osteoarthritis. Methods: In this study, 48 women with hand-osteoarthritis were selected and randomly divided into four groups (strength training, cinnamon-honey supplementation, combinatory and control). The training group underwent the hand-selected strength training; the second group used honey and cinnamon powder supplement for 8 weeks and once a day. The third group also received hand-selected training and cinnamon and honey supplements simultaneously. The fourth group also participated in this study as a control group without any training or supplementation. Patients’ wrist strength and range of motion were measured before and after applying the independent variables and were compared. Results: The results showed that by applying the strength training and cinnamon-honey supplementary as well as the combination of training and supplementary have had a positive effect on strength and range of motion of wrist in fact, 8 weeks of resistance training and using cinnamon-honey supplements in women with hand osteoarthritis have led to a increases. Conclusions: Therefore, it is recommended to use resistance training with cinnamon and honey supplements to accelerate the recovery of the disease.

scholarly journals An Approach to Robotic Testing of the Wrist Using Three-Dimensional Imaging and a Hybrid Testing Methodology

2020 ◽  
Vol 142 (6) ◽  
Author(s):  
Rohit Badida ◽  
Edgar Garcia-Lopez ◽  
Claire Sise ◽  
Douglas C. Moore ◽  
Joseph J. Crisco
Keyword(s):  
Degrees Of Freedom ◽  
Soft Tissues ◽  
Wrist Joint ◽  
Ct Imaging ◽  
Coordinate Systems ◽  
Standard Material ◽  
Wrist Motion ◽  
Flexion Extension ◽  
Robotic Testing

Abstract Robotic technology is increasingly used for sophisticated in vitro testing designed to understand the subtleties of joint biomechanics. Typically, the joint coordinate systems in these studies are established via palpation and digitization of anatomic landmarks. We are interested in wrist mechanics in which overlying soft tissues and indistinct bony features can introduce considerable variation in landmark localization, leading to descriptions of kinematics and kinetics that may not appropriately align with the bony anatomy. In the wrist, testing is often performed using either load or displacement control with standard material testers. However, these control modes either do not consider all six degrees-of-freedom (DOF) or reflect the nonlinear mechanical properties of the wrist joint. The development of an appropriate protocol to investigate complexities of wrist mechanics would potentially advance our understanding of normal, pathological, and artificial wrist function. In this study, we report a novel methodology for using CT imaging to generate anatomically aligned coordinate systems and a new methodology for robotic testing of wrist. The methodology is demonstrated with the testing of 9 intact cadaver specimens in 24 unique directions of wrist motion to a resultant torque of 2.0 N·m. The mean orientation of the major principal axis of range of motion (ROM) envelope was oriented 12.1 ± 2.7 deg toward ulnar flexion, which was significantly different (p < 0.001) from the anatomical flexion/extension axis. The largest wrist ROM was 98 ± 9.3 deg in the direction of ulnar flexion, 15 deg ulnar from pure flexion, consistent with previous studies [1,2]. Interestingly, the radial and ulnar components of the resultant torque were the most dominant across all directions of wrist motion. The results of this study showed that we can efficiently register anatomical coordinate systems from CT imaging space to robotic test space adaptable to any cadaveric joint experiments and demonstrated a combined load-position strategy for robotic testing of wrist.

Scaphoid Motion of the Wrist with Scapho-trapezio-trapezoidal Osteoarthritis-A Pilot Study

2020 ◽  
Vol 16 (3) ◽  
pp. 206-209
Author(s):  
Ronit Wollstein ◽  
Hisao Moritomo ◽  
Iida Akio ◽  
Shohei Omokawa
Keyword(s):  
Neutral Position ◽  
Wrist Flexion ◽  
Wrist Movement ◽  
Ulnar Deviation ◽  
Wrist Motion ◽  
3 Dimensional ◽  
Active Flexion ◽  
Extended Position ◽  
Flexion Extension ◽  
Surface Models

Background: The purpose of this study was to investigate scaphoid motion within the scapho-trapezio-trapezoidal (STT) joint during wrist motion in the presence of STT joint osteoarthritis (OA). Methods: We studied 11 wrists with STT OA and 5 normal wrists. Computed tomography (CT) images were acquired in five wrist positions (maximum active flexion, extension, radial deviation, ulnar deviation, and neutral position). The 3-dimensional surface models of the radius and scaphoid were constructed and the motion of scaphoid relative to the radius was calculated. Results and Conclusion: During wrist flexion/extension motion, the scaphoid rotated mostly in the flexion/extension plane. The angle tended to be smaller in STT OA than in normal. During wrist radioulnar deviation, the scaphoid was in an extended position in neutral wrist in STT OA. The motion of scaphoid in STT OA was divided into two types: a rigid type and mobile type. The mobile type rotated closer to the flexion/extension plane than the rigid type. Taking into account scaphoid motion during wrist movement before surgery may provide better results in the treatment of STT OA.

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