In-vivo three-dimensional motion analysis of the wrist during dart-throwing motion after midcarpal fusion and radioscapholunate fusion

2020 ◽  
Vol 45 (5) ◽  
pp. 501-507
Author(s):  
Lisa Reissner ◽  
Olga Politikou ◽  
Gabriella Fischer ◽  
Maurizio Calcagni
Keyword(s):  
Range Of Motion ◽  
Motion Capture ◽  
Three Dimensional ◽  
Healthy Controls ◽  
Dart Throwing ◽  
Radioscapholunate Fusion ◽  
Infrared Cameras ◽  
Basic Motion ◽  
Throwing Motion

We recorded the dart-throwing motion and basic motion tasks in patients following radioscapholunate fusion and midcarpal fusion with a three-dimensional motion capture system in vivo, using digital infrared cameras to track the movement of reflective skin markers on the hand and forearm. During the dart-throwing motion, 20 healthy volunteers showed a median range of motion of 107°. As expected, patients had significantly reduced wrist range of motion during basic motion tasks and dart-throwing motion compared with the healthy controls, except for ulnar flexion occurring in the dart-throwing motion in patients treated by midcarpal fusion and radial deviation after midcarpal fusion or radioscapholunate fusion. In addition, patients who had undergone radioscapholunate fusion had significantly reduced range of motion during dart-throwing motion compared with patients after midcarpal fusion.

scholarly journals In Vivo Measurement of Wrist Movements during the Dart-Throwing Motion Using Inertial Measurement Units

Sensors ◽  
2021 ◽  
Vol 21 (16) ◽  
pp. 5623
Author(s):  
Gabriella Fischer ◽  
Michael Alexander Wirth ◽  
Simone Balocco ◽  
Maurizio Calcagni
Keyword(s):  
Range Of Motion ◽  
Motion Capture ◽  
Absolute Difference ◽  
Measurement Unit ◽  
Inertial Measurement Units ◽  
Mean Absolute Difference ◽  
Inertial Measurement ◽  
Dart Throwing ◽  
Measurement Units ◽  
Throwing Motion

Background: This study investigates the dart-throwing motion (DTM) by comparing an inertial measurement unit-based system previously validated for basic motion tasks with an optoelectronic motion capture system. The DTM is interesting as wrist movement during many activities of daily living occur in this movement plane, but the complex movement is difficult to assess clinically. Methods: Ten healthy subjects were recorded while performing the DTM with their right wrist using inertial sensors and skin markers. Maximum range of motion obtained by the different systems and the mean absolute difference were calculated. Results: In the flexion–extension plane, both systems calculated a range of motion of 100° with mean absolute differences of 8°, while in the radial–ulnar deviation plane, a mean absolute difference of 17° and range of motion values of 48° for the optoelectronic system and 59° for the inertial measurement units were found. Conclusions: This study shows the challenge of comparing results of different kinematic motion capture systems for complex movements while also highlighting inertial measurement units as promising for future clinical application in dynamic and coupled wrist movements. Possible sources of error and solutions are discussed.

Kinematics of the Midtarsal Joint During Standing Leg Rotation

2002 ◽  
Vol 92 (2) ◽  
pp. 77-81 ◽  
Author(s):  
Christopher Nester ◽  
Peter Bowker ◽  
Peter Bowden
Keyword(s):  
Range Of Motion ◽  
Three Dimensional ◽  
In Vivo Studies ◽  
Kinematic Data ◽  
Joint Characteristics ◽  
Infrared Cameras ◽  
Cadaver Studies ◽  
Midtarsal Joint ◽  
Invasive Techniques

Building on previous work that was cadaver based or involved invasive techniques, this study quantifies the kinematics of an approximation of the midtarsal joint with a noninvasive method. Three-dimensional kinematic data describing the motion of the forefoot and heel during transverse plane rotation of the leg were collected from 25 subjects by means of reflective markers and four infrared cameras. The motion between these segments was assumed to be the best possible clinical approximation of the midtarsal joint. The kinematic characteristics of the midtarsal joint were described in terms of the range and direction of motion in each cardinal body plane, the ratio of the range of motion in each plane, and the orientation of the axis of rotation. The characteristics of the midtarsal joint changed during the range of motion; thus, multiple axes of rotation could be calculated and joint characteristics were varied among subjects. The results of this in vivo method were generally consistent with those of cadaver studies and invasive in vivo studies. (J Am Podiatr Med Assoc 92(2): 77-81, 2002)

A Normative Database of Thumb Circumduction in Vivo: Center of Rotation and Range of Motion

2002 ◽  
Vol 46 (13) ◽  
pp. 1167-1171 ◽  
Author(s):  
Peter Braido ◽  
Xudong Zhang ◽  
Robert Hefner ◽  
Mark Redden
Keyword(s):  
Range Of Motion ◽  
Motion Capture ◽  
Local Coordinate System ◽  
Hand Movement ◽  
Three Dimensional ◽  
Biomechanical Modeling ◽  
Motion Capture System ◽  
Normative Database ◽  
Center Of Rotation

This study aimed to explore the use of a contemporary motion capture system for measuring in vivo maximum thumb circumduction, and through biomechanical modeling and statistical analysis, to establish a normative database of three-dimensional functional thumb range of motion (ROM) and examine the effects of anthropometry and gender. Twenty-eight (14 males and 14 females) anthropometrically diversified subjects performed maximum voluntary thumb circumductions, as the trajectories of surface markers placed on their thumb landmarks were measured by an opto-electronic motion capture system. Aglobographic representation method determined the best fitting spheres, the center of rotation (COR) expressed in a local coordinate system, and reference axes of thumb circumduction. Thumb ROM was quantified using (1) the cone volume circumscribed by the thumb, and (2) the time-varying included angle with respect to a reference axis, expressed as the joint sinus. Statistical analyses suggest that gender is the most important factor ( p < 0.05) in determining the COR while anthropometry has the most significant effect on the cone volume ( p < 0.0001), but neither affects the joint sinus measures. The results provide valuable data as well as insights for biomechanical modeling of hand movement, ergonomic design of hand-operated controls or devices, and evaluation of thumb impairments or disorders.

Three-dimensional kinematics of the lunate, hamate, capitate and triquetrum with type 1 or 2 lunate morphology

2017 ◽  
Vol 43 (4) ◽  
pp. 380-386 ◽  
Author(s):  
Shingo Abe ◽  
Hisao Moritomo ◽  
Kunihiro Oka ◽  
Kazuomi Sugamoto ◽  
Kenji Kasubuchi ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Wrist Joint ◽  
Three Dimensional ◽  
Wrist Flexion ◽  
Ulnar Deviation ◽  
Dart Throwing ◽  
Carpal Kinematics ◽  
Throwing Motion

The purpose of this study was to investigate the differences in three-dimensional carpal kinematics between type 1 and 2 lunates. We studied 15 instances of wrist flexion to extension (nine type 1, six type 2), 13 of radial to ulnar deviation (seven type 1, six type 2), and 12 of dart-throwing motion (six each of type 1 and 2) in 25 normal participants based on imaging with computerized tomography. Mean proximal translation of the distal articular midpoint of the triquetrum relative to type 2 lunates during wrist radioulnar deviation was 2.9 mm (standard deviation (SD) 0.7), which was significantly greater than for type 1 lunates, 1.6 mm (SD 0.6). The hamate contacted the lunate in ulnar deviation and ulnar flexion of wrists with type 2 lunates but not with type 1. We conclude that the four-corner kinematics of the wrist joint are different between type 1 and 2 lunates.

scholarly journals Functional Dart-Throwing Motion: A Clinical Comparison of Four-Corner Fusion to Radioscapholunate Fusion Using Inertial Motion Capture

2020 ◽  
Vol 09 (04) ◽  
pp. 321-327
Author(s):  
Sina Babazadeh ◽  
Ferraby Ling ◽  
Nhan B. Nguyen ◽  
Trieu H. Pham ◽  
Pubudu N. Pathirana ◽  
...  
Keyword(s):  
Cohort Study ◽  
Level Of Evidence ◽  
Fusion Surgery ◽  
Tertiary Center ◽  
Significant Difference ◽  
Partial Fusion ◽  
Dart Throwing ◽  
Radioscapholunate Fusion ◽  
Healthy Control ◽  
Throwing Motion

Abstract Background Dart-throwing motion (DTM) is an important functional arc of the wrist from radial extension to ulna flexion. An aim of partial fusion surgery of the wrist is to maintain maximal functional motion while addressing the pathology. The radioscapholunate (RSL) fusion, accompanied with partial resection of the distal scaphoid, is thought to allow better DTM than other partial wrist fusions such as the four-corner fusion (4CF). Question Does an RSL fusion allow better functional DTM than 4CF, and how does this range compare with healthy wrists and the patient's contralateral wrist? Patients and Methods Patients who have undergone an RSL fusion or 4CF at our tertiary center were identified and invited to present to have their DTM arc measured. To accurately measure DTM, a previously validated inertial measurement device was used. Patient's functional DTM arc was measured in both unrestrained (elbow and shoulder free to move) and restrained (elbow and shoulder immobilized) fashions. This was compared with their contralateral wrist and a group of healthy control volunteers. Results Overall five RSL fusions, 10 4CF and 24 control patients were enrolled in the study. There was no significant difference between functional DTM when 4CF and RSL fusion were compared. Both had significantly reduced functional DTM arc than control patients. There was no significant difference between the operated wrist compared with the patient's contralateral unoperated wrist. Conclusion RSL fusion is not significantly better at maintaining functional DTM when compared with 4CF. Both surgeries result in decreased functional DTM arc when compared with control patients. This is a cohort study and reflects a level of evidence IV. Level of Evidence This is a Leve IV, cohort study.

In-vivo confirmation of the use of the dart thrower’s motion during activities of daily living

2012 ◽  
Vol 39 (4) ◽  
pp. 373-378 ◽  
Author(s):  
G.H.O. Brigstocke ◽  
A. Hearnden ◽  
C. Holt ◽  
G. Whatling
Keyword(s):  
Activities Of Daily Living ◽  
Motion Capture ◽  
Daily Living ◽  
Three Dimensional ◽  
Wrist Motion ◽  
Radiocarpal Joint ◽  
Infra Red ◽  
Wrist Function ◽  
Midcarpal Joint

The dart thrower’s motion is a wrist rotation along an oblique plane from radial extension to ulnar flexion. We report an in-vivo study to confirm the use of the dart thrower’s motion during activities of daily living. Global wrist motion in ten volunteers was recorded using a three-dimensional optoelectronic motion capture system, in which digital infra-red cameras track the movement of retro-reflective marker clusters. Global wrist motion has been approximated to the dart thrower’s motion when hammering a nail, throwing a ball, drinking from a glass, pouring from a jug and twisting the lid of a jar, but not when combing hair or manipulating buttons. The dart thrower’s motion is the plane of global wrist motion used during most activities of daily living. Arthrodesis of the radiocarpal joint instead of the midcarpal joint will allow better wrist function during most activities of daily living by preserving the dart thrower’s motion.

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.

A Determination of Ankle Kinematics Using Fluoroscopy

2000 ◽  
Vol 21 (4) ◽  
pp. 343-350 ◽  
Author(s):  
Richard D. Komistek ◽  
James B. Stiehl ◽  
Frederick F. Buechel ◽  
Eric J. Northcut ◽  
Mary E. Hajner
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Plantar Flexion ◽  
Weight Bearing ◽  
Distal Tibia ◽  
Three Dimensional ◽  
Contact Points ◽  
Ligament Instability ◽  
Video Fluoroscopy

In vivo weight-bearing studies utilizing dynamic video fluoroscopy have been shown to offer an accurate and reproducible method for determining the kinematics of a joint. The purpose of this study was to evaluate translational and rotational motions of the distal tibia relative to the talus in the sagittal and frontal planes. Ten subjects, each having a normal ankle and a total ankle arthroplasty on the opposite side (Buechel-Pappas Total Ankle, Endotec, South Orange, NJ), were studied under in vivo, weight-bearing conditions using video fluoroscopy. All ten subjects were judged to have a successful arthroplasty without demonstrable pain or ligament instability. Under weight-bearing conditions, each subject performed successive motions moving from maximum dorsiflexion to plantarflexion. At maximum dorsiflexion, both the normal and implanted ankles had similar sagittal midline talar contact positions but with plantar flexion, implanted ankles had increased posterior talar contact. Contact points on the distal tibia revealed that the lateral surface contacted at the midline or posterior throughout range-of-motion with minimal translation. The medial distal tibia contacted the talus posterior on plantarflexion and often moved anteriorly with dorsiflexion. This translation described relative external rotation of the distal tibia on plantar flexion and internal rotation on dorsiflexion. The measured distances were larger for the implanted ankles with higher variability. The average range-of-motion was 37.4° for normal ankles and 32.3° for implanted ankles. This study defines the normal kinematic rotational and translational motions of the ankle joint by accurately describing the three dimensional joint orientations. The implanted ankles experienced rotational and translational motions but had contacts more posterior, possibly related to surgical technique or alterations of ligamentous tension.

Reliability and responsiveness of a goniometric device for measuring the range of motion in the dart-throwing motion plane

2018 ◽  
Vol 35 (3) ◽  
pp. 298-304
Author(s):  
Kenji Kasubuchi ◽  
Yoshihiro Dohi ◽  
Hiroyuki Fujita ◽  
Takahiko Fukumoto
Keyword(s):  
Range Of Motion ◽  
Dart Throwing ◽  
Throwing Motion ◽  
Motion Plane
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