1
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Lopez MJ, Takawira C, Fox MP, Wang P, Boatwright E, Lucak T, Liu CC, Fugarino B. Wrist motion is distinct between touch screen and manual or digital devices. PLoS One 2023; 18:e0290973. [PMID: 37812609 PMCID: PMC10561845 DOI: 10.1371/journal.pone.0290973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 08/21/2023] [Indexed: 10/11/2023] Open
Abstract
BACKGROUND Restricted motion during touch screen device use may contribute to wrist overuse injuries. Wrist radioulnar deviation and extension while using touch screen devices and digital or manual counterparts in male and female medical professional dominant and non-dominant hands were quantified to test the hypothesis that mobile touch screen device use reduces wrist motion. METHODS An active motion detection system was used to record wrist motion of 12 participants while: tablet swiping and turning book pages; raising a cell and traditional phone to the ear; texting and typing; and entering numbers on a cell phone and manual calculator. Medial and lateral wrist surface range of motion (ROM) and minimum and maximum wrist radial-ulnar deviation and flexion-extension were quantified. RESULTS Device, sex and handedness effects were determined (P<0.05). Maximum medial radial deviation and ROM were greater using a cell versus traditional phone. Maximum medial radial deviation was higher in the nondominant wrist during backward tablet swiping and while backward page turning versus tablet swiping. Maximum and minimum medial extension angles and ROM were greater while typing versus texting. Female nondominant hand maximum lateral extension and ROM were greater for typing versus texting and maximum medial extension and lateral extension ROM greater during manual versus cell phone calculator use with handedness combined. Maximum lateral extension and ROM were greater in females versus males using manual calculators. CONCLUSIONS Sex and handedness should instruct touch screen, digital and manual device design and use for optimal performance and injury prevention.
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Affiliation(s)
- Mandi J. Lopez
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, United States of America
| | - Catherine Takawira
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, United States of America
| | - Mary P. Fox
- Department of Orthopaedic Surgery, School of Medicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, United States of America
| | - Pengju Wang
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, United States of America
| | - Evan Boatwright
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, United States of America
| | - Thomas Lucak
- Department of Orthopaedic Surgery, School of Medicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, United States of America
| | - Chin-Chi Liu
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, United States of America
| | - Bryce Fugarino
- Department of Orthopaedic Surgery, School of Medicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, United States of America
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2
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Gatt IT, Allen T, Wheat J. Effects of using rigid tape with bandaging techniques on wrist joint motion during boxing shots in elite male athletes. Phys Ther Sport 2023; 61:82-90. [PMID: 36965458 DOI: 10.1016/j.ptsp.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 03/08/2023] [Accepted: 03/12/2023] [Indexed: 03/19/2023]
Abstract
OBJECTIVES To investigate the effects of bandaging techniques on wrist motion on impact during different shot types in elite male boxers. DESIGN Repeated-measures study. SETTING Field Experiment PARTICIPANTS: Two shot types, straight and bent arm, were assessed with 18 elite male boxers wearing either bandage only or bandage plus tape. MAIN OUTCOMES MEASURES Wrist motions and time to peak wrist angles, on impact, were measured with an electromagnetic tracking system. RESULTS Wrist motion on impact occurred concurrently in flexion and ulnar deviation for both shot types. For both motions, significant (p < 0.001) effects for bandaging techniques (η2 = 0.580-0.729) and shot types (η2 = 0.165-0.280) were observed. For straight and bent arm shots, wrist motion on impact occurred within 50% and 40% respectively of total active wrist motion for bandage only compared to within 20% and 15% for bandage plus tape. Time to peak wrist angle on impact increased significantly (p < 0.001) for both shot types when adding tape to bandage. CONCLUSIONS Adding tape provided an additional 25-30% reduction in wrist motion compared to bandage only, with a 1.2-1.4 increase in time to peak wrist angle, on impact for both shot types. This information could assist various individuals and organisations towards better hand-wrist protection.
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Affiliation(s)
- Ian T Gatt
- Physiotherapy Department, English Institute of Sport, Sheffield, UK; Sports Engineering Research Group, Sheffield Hallam University, UK.
| | - Tom Allen
- Sports Engineering Research Team, Manchester Metropolitan University, UK
| | - Jon Wheat
- Sports Engineering Research Group, Sheffield Hallam University, UK
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3
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Mack ZE, Kamal RN, Best GM, Wolfe SW, Pichora DR, Rainbow MJ. The Intercalated Segment: Does the Triquetrum Move in Synchrony With the Lunate? J Hand Surg Am 2022; 47:762-771. [PMID: 34627631 DOI: 10.1016/j.jhsa.2021.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 06/20/2021] [Accepted: 08/20/2021] [Indexed: 02/02/2023]
Abstract
PURPOSE To quantify the relative motion between the lunate and triquetrum during functional wrist movements and to examine the impact of wrist laxity on triquetral motion. METHODS A digital database of wrist bone anatomy and carpal kinematics for 10 healthy volunteers in 10 different positions was used to study triquetral kinematics. The orientation of radiotriquetral (RT) and radiolunate rotation axes was compared during a variety of functional wrist movements, including radioulnar deviation (RUD) and flexion-extension (FE), and during a hammering task. The motion of the triquetrum relative to the radius during wrist RUD was compared with passive FE range of motion measurements (used as a surrogate measure for wrist laxity). RESULTS The difference in the orientation of the radiolunate and RT rotation axes was less than 20° during most of the motions studied, except for radial deviation and for the first stage of the hammering task. During wrist RUD, the orientation of the RT rotation axis varied as a function of passive FE wrist range of motion. CONCLUSIONS The suggestion that the lunate and triquetrum move together as an intercalated segment may be an oversimplification. We observed synchronous movement during some motions, but as the wrist entered RUD, the lunate and triquetrum no longer moved synchronously. These findings challenge the assumptions behind models describing the mechanical function of the carpals. CLINICAL RELEVANCE Individual-specific differences in the amount of relative motion between the triquetrum and lunate may contribute to the variability in outcomes following lunotriquetral arthrodesis. Variation in triquetral motion patterns may also have an impact on the ability of the triquetrum to extend the lunate, affecting the development of carpal instability.
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Affiliation(s)
- Zoe E Mack
- Department of Mechanical and Materials Engineering, Queen's University, Kingston, ON, Canada
| | - Robin N Kamal
- Department of Orthopaedic Surgery, Stanford University, Redwood City, CA
| | - Gordon M Best
- Department of General Surgery, University of Ottawa, Ottawa, ON, Canada
| | - Scott W Wolfe
- Department of Orthopaedic Surgery, Hospital for Special Surgery and Weill Cornell Medical Centre, New York, NY
| | - David R Pichora
- Department of Mechanical and Materials Engineering, Queen's University, Kingston, ON, Canada; Division of Orthopaedic Surgery, Queen's University, Kingston, ON, Canada
| | - Michael J Rainbow
- Department of Mechanical and Materials Engineering, Queen's University, Kingston, ON, Canada.
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4
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Bird EE, Kivell TL, Skinner MM. Patterns of internal bone structure and functional adaptation in the hominoid scaphoid, lunate, and triquetrum. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2021. [DOI: 10.1002/ajpa.24449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Emma E. Bird
- Skeletal Biology Research Centre, School of Anthropology and Conservation University of Kent Canterbury UK
| | - Tracy L. Kivell
- Skeletal Biology Research Centre, School of Anthropology and Conservation University of Kent Canterbury UK
- Department of Human Evolution Max Planck Institute for Evolutionary Anthropology Leipzig Germany
| | - Matthew M. Skinner
- Skeletal Biology Research Centre, School of Anthropology and Conservation University of Kent Canterbury UK
- Department of Human Evolution Max Planck Institute for Evolutionary Anthropology Leipzig Germany
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5
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Brinkhorst M, Foumani M, van Rosmalen J, Selles R, Hovius S, Strackee S, Streekstra G. Four-dimensional CT analysis of carpal kinematics: An explorative study on the effect of sex and hand-dominance. J Biomech 2021; 139:110870. [PMID: 34838290 DOI: 10.1016/j.jbiomech.2021.110870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/13/2021] [Accepted: 11/16/2021] [Indexed: 10/19/2022]
Abstract
Wrist pathology is often diagnosed by using the contralateral wrist as a comparison of baseline motion and strength. However, recent range of motion studies suggest that females have different carpal motion patterns compared to males and that the dominant carpal bones have different motion patterns. The purpose of this study is to evaluate the effect of sex and hand dominance on in vivo kinematics of the scaphoid, lunate and capitate using four-dimensional computed tomography (4D-CT) analysis in healthy uninjured volunteers. In this prospective study, both wrist of 20 uninjured Caucasian volunteers (11 men and 9 women) were assessed using 4D-CT during active flexion-extension and radial-ulnar deviation. A linear mixed model was used to compare the carpal motion patterns. Sex had no influence on carpal kinematics. Hand-dominance in males did have a significant effect on carpal kinematics. During flexion-extension of the male wrist, more radial-ulnar deviation of the lunate, scaphoid and capitate of the non-dominant hand was seen. During radial-ulnar deviation of the male wrist, radial-ulnar deviation and pro-supination of the lunate was more in the dominant hand. This study provides a better understanding of carpal kinematics and the effect of sex and hand-dominance on the scaphoid, lunate and capitate in uninjured wrists.
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Affiliation(s)
- Michelle Brinkhorst
- Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
| | - Mahyar Foumani
- Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital, Groningen, the Netherlands.
| | - Joost van Rosmalen
- Department of Biostatistics, Erasmus MC, University Medical Center, Rotterdam, Rotterdam, the Netherlands.
| | - Ruud Selles
- Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
| | - Steven Hovius
- Xpert Clinic, Hand and Wrist Clinic, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Radboudumc, Nijmegen, the Netherlands
| | - Simon Strackee
- Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, University of Amsterdam, the Netherlands.
| | - Geert Streekstra
- Department of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
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6
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Sobinov AR, Bensmaia SJ. The neural mechanisms of manual dexterity. Nat Rev Neurosci 2021; 22:741-757. [PMID: 34711956 DOI: 10.1038/s41583-021-00528-7] [Citation(s) in RCA: 51] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2021] [Indexed: 01/22/2023]
Abstract
The hand endows us with unparalleled precision and versatility in our interactions with objects, from mundane activities such as grasping to extraordinary ones such as virtuoso pianism. The complex anatomy of the human hand combined with expansive and specialized neuronal control circuits allows a wide range of precise manual behaviours. To support these behaviours, an exquisite sensory apparatus, spanning the modalities of touch and proprioception, conveys detailed and timely information about our interactions with objects and about the objects themselves. The study of manual dexterity provides a unique lens into the sensorimotor mechanisms that endow the nervous system with the ability to flexibly generate complex behaviour.
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Affiliation(s)
- Anton R Sobinov
- Department of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA.,Neuroscience Institute, University of Chicago, Chicago, IL, USA
| | - Sliman J Bensmaia
- Department of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA. .,Neuroscience Institute, University of Chicago, Chicago, IL, USA. .,Committee on Computational Neuroscience, University of Chicago, Chicago, IL, USA.
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7
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Koç U, Ercan I, Özdemir S, Bolu S, Yabaci A, Taydaş O. Statistical shape analysis of hand and wrist in paediatric population on radiographs. Turk J Med Sci 2020; 50:1288-1297. [PMID: 32490637 PMCID: PMC7491272 DOI: 10.3906/sag-2002-176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Accepted: 05/19/2020] [Indexed: 11/23/2022] Open
Abstract
Background/aim The goal of this study was to compare differences in hand and wrist shapes and to evaluate these according to growth and allometry in children on radiographs related to bone age. Materials and methods The study included 263 males and 189 females. A total of 452 left hand and wrist radiographs were retrospectively collected. Standard anatomical landmarks marked on radiographs. Results There were seen to be significant differences in comparisons of hand and wrist shapes according to sex (P = 0.009). The most suitable model in the growth models was seen as the Gompertz growth model for both females and males (model P < 0.001). For the relationship between shape and size to evaluate allometry, significant models were obtained in females (model P = 0.017, MSE = 0.0002) and in males (model P < 0.001, MSE = 0.0002). In our study, the difference between the sexes was found mostly in the radiocarpal region. It was observed that the deformation of the carpal bones started in the distal row carpal bones. Conclusion Significant differences were found in hand and wrist shapes according to sex. Models for growth and allometry of hand and wrist shapes were found to be significant in children.
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Affiliation(s)
- Ural Koç
- Department of Radiology, Ankara Şehit Ahmet Özsoy State Hospital, Ankara, Turkey
| | - Ilker Ercan
- Department of Biostatistics, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Senem Özdemir
- Department of Anatomy, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Semih Bolu
- Department of Pediatric Endocrinology, Adıyaman Training and Research Hospital, Adıyaman, Turkey
| | - Ayşegül Yabaci
- Department of Biostatistics, Faculty of Medicine, Uludağ University, Bursa, Turkey,Department of Biostatistics and Medical Informatics, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, Turkey
| | - Onur Taydaş
- Department of Radiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
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8
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Akhbari B, Morton AM, Shah KN, Molino J, Moore DC, Weiss APC, Wolfe SW, Crisco JJ. Proximal-distal shift of the center of rotation in a total wrist arthroplasty is more than twice of the healthy wrist. J Orthop Res 2020; 38:1575-1586. [PMID: 32401391 PMCID: PMC7336861 DOI: 10.1002/jor.24717] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 03/02/2020] [Accepted: 05/08/2020] [Indexed: 02/04/2023]
Abstract
Reproduction of healthy wrist biomechanics should minimize the abnormal joint forces that could potentially result in the failure of a total wrist arthroplasty (TWA). To date, the in vivo kinematics of TWA have not been measured and it is unknown if TWA preserves healthy wrist kinematics. Therefore, the purpose of this in vivo study was to determine the center of rotation (COR) for a current TWA design and to compare its location to the healthy wrist. The wrist COR for six patients with TWA and 10 healthy subjects were calculated using biplane videoradiography as the subjects performed various range-of-motion and functional tasks that included coupled wrist motions. An open-source registration software, Autoscoper, was used for model-based tracking and kinematics analysis. It was demonstrated that the COR was located near the centers of curvatures of the carpal component for the anatomical motions of flexion-extension and radial-ulnar deviation. When compared to healthy wrists, the COR of TWAs was located more distal in both pure radial deviation (P < .0001) and pure ulnar deviation (P = .07), while there was no difference in its location in pure flexion or extension (P = .99). Across all coupled motions, the TWA's COR shifted more than two times that of the healthy wrists in the proximal-distal direction (17.1 vs 7.2 mm). We postulate that the mismatch in the COR location and behavior may be associated with increased loading of the TWA components, leading to an increase in the risk of component and/or interface failure.
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Affiliation(s)
- Bardiya Akhbari
- Center for Biomedical Engineering and School of Engineering, Brown University, Providence, RI 02912
| | - Amy M. Morton
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Kalpit N. Shah
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Janine Molino
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Douglas C. Moore
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Arnold-Peter C. Weiss
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Scott W. Wolfe
- Hand and Upper Extremity Center, Hospital for Special Surgery, New York, NY 10021,Weill Medical College of Cornell University, New York, NY 10021
| | - Joseph J. Crisco
- Center for Biomedical Engineering and School of Engineering, Brown University, Providence, RI 02912,Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
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9
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Akhbari B, Moore DC, Laidlaw DH, Weiss APC, Akelman E, Wolfe SW, Crisco JJ. Predicting Carpal Bone Kinematics Using an Expanded Digital Database of Wrist Carpal Bone Anatomy and Kinematics. J Orthop Res 2019; 37:2661-2670. [PMID: 31378991 PMCID: PMC7376386 DOI: 10.1002/jor.24435] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 07/24/2019] [Indexed: 02/04/2023]
Abstract
The wrist can be considered a 2 degrees-of-freedom joint with all movements reflecting the combination of flexion-extension and radial-ulnar deviation. Wrist motions are accomplished by the kinematic reduction of the 42 degrees-of-freedom of the individual carpal bones. While previous studies have demonstrated the minimal motion of the scaphoid and lunate as the wrist moves along the dart-thrower's path or small relative motion between hamate-capitate-trapezoid, an understanding of the kinematics of the complete carpus across all wrist motions remains lacking. To address this, we assembled an open-source database of in vivo carpal motions and developed mathematical models of the carpal kinematics as a function of wrist motion. Quadratic surfaces were trained for each of the 42-carpal bone degrees-of-freedom and the goodness of fits were evaluated. Using the models, paths of wrist motion that generated minimal carpal rotations or translations were determined. Model predictions were best for flexion-extension, radial-ulnar deviation, and volar-dorsal translations for all carpal bones with R 2 > 0.8, while the estimates were least effective for supination-pronation with R 2 < 0.6. The wrist path of motion's analysis indicated that the distal row of carpal bones moves rigidly together (<3° motion), along the anatomical axis of wrist motion, while the bones in the proximal row undergo minimal motion when the wrist moves in a path oblique to the main axes. The open-source dataset along with its graphical user interface and mathematical models should facilitate clinical visualization and enable new studies of carpal kinematics and function. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:2661-2670, 2019.
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Affiliation(s)
- Bardiya Akhbari
- Center for Biomedical Engineering and School of Engineering, Brown University, Providence, RI 02912
| | - Douglas C. Moore
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - David H. Laidlaw
- Department of Computer Science, Brown University, Providence, RI 02912
| | - Arnold-Peter C. Weiss
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Edward Akelman
- Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
| | - Scott W. Wolfe
- Hand and Upper Extremity Center, Hospital for Special Surgery, New York, NY 10021
| | - Joseph J. Crisco
- Center for Biomedical Engineering and School of Engineering, Brown University, Providence, RI 02912,Department of Orthopedics, The Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI 02903
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10
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de Roo MGA, Muurling M, Dobbe JGG, Brinkhorst ME, Streekstra GJ, Strackee SD. A four-dimensional-CT study of in vivo scapholunate rotation axes: possible implications for scapholunate ligament reconstruction. J Hand Surg Eur Vol 2019; 44:479-487. [PMID: 30813846 PMCID: PMC6537143 DOI: 10.1177/1753193419830924] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Additional fixation of the palmar scapholunate interosseous ligament has been advocated to improve the long-term results of dorsal scapholunate interosseous ligament reconstruction. To investigate the validity of this approach, we determined normal scapholunate motion patterns and calculated the location of the scapholunate rotation axis. We hypothesized that the optimal location of the scapholunate interosseous ligament insertion could be determined from the scapholunate rotation axis. Four-dimensional computerized tomography was used to study the wrist motion in 21 healthy participants. During flexion-extension motions, the scaphoid rotates 38° (SD 0.6°) relative to the lunate; the rotation axis intersects the dorsal ridge of the proximal pole of the scaphoid and the dorsal ridge of the lunate. Minimal scapholunate motion is present during radioulnar deviation. Since the scapholunate rotation axis runs through the dorsal proximal pole of the scaphoid, this is probably the optimal location for attaching the scapholunate ligament during reconstructive surgery.
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Affiliation(s)
- Marieke G. A. de Roo
- Plastic, Reconstructive and Hand
Surgery, University of Amsterdam, Amsterdam UMC, The Netherlands,Biomedical Engineering and Physics,
University of Amsterdam, Amsterdam UMC, The Netherlands,Marieke G. A. de Roo, Biomedical Engineering
and Physics, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The
Netherlands.
| | - Marijn Muurling
- Department of Biomechanical Engineering,
Technical University Delft, Delft, The Netherlands
| | - Johannes G. G. Dobbe
- Biomedical Engineering and Physics,
University of Amsterdam, Amsterdam UMC, The Netherlands
| | - Michelle E. Brinkhorst
- Department of Plastic, Reconstructive
and Hand Surgery, University Medical Center Rotterdam, Rotterdam, The
Netherlands
| | - Geert J. Streekstra
- Biomedical Engineering and Physics,
University of Amsterdam, Amsterdam UMC, The Netherlands
| | - Simon D. Strackee
- Plastic, Reconstructive and Hand
Surgery, University of Amsterdam, Amsterdam UMC, The Netherlands
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11
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Foster BH, Shaw CB, Boutin RD, Joshi AA, Bayne CO, Szabo RM, Chaudhari AJ. A principal component analysis-based framework for statistical modeling of bone displacement during wrist maneuvers. J Biomech 2019; 85:173-181. [PMID: 30738587 DOI: 10.1016/j.jbiomech.2019.01.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Revised: 01/13/2019] [Accepted: 01/16/2019] [Indexed: 01/06/2023]
Abstract
We present a method for the statistical modeling of the displacements of wrist bones during the performance of coordinated maneuvers, such as radial-ulnar deviation (RUD). In our approach, we decompose bone displacement via a set of basis functions, identified via principal component analysis (PCA). We utilized MRI wrist scans acquired at multiple static positions for deriving these basis functions. We then utilized these basis functions to compare the displacements undergone by the bones of the left versus right wrist in the same individual, and between bones of the wrists of men and women, during the performance of the coordinated RUD maneuver. Our results show that the complex displacements of the wrist bones during RUD can be modeled with high reliability with just 5 basis functions, that captured over 91% of variation across individuals. The basis functions were able to predict intermediate wrist bone poses with an overall high accuracy (mean error of 0.26 mm). Our proposed approach found statistically significant differences between bone displacement trajectories in women versus men, however, did not find significant differences in those of the left versus right wrist in the same individual. Our proposed method has the potential to enable detailed analysis of wrist kinematics for each sex, and provide a robust framework for characterizing the normal and pathologic displacement of the wrist bones, such as in the context of wrist instability.
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Affiliation(s)
- Brent H Foster
- Department of Biomedical Engineering, University of California Davis, Davis, CA 95616, USA
| | - Calvin B Shaw
- Department of Radiology, University of California Davis School of Medicine, Sacramento, CA 95817, USA
| | - Robert D Boutin
- Department of Radiology, University of California Davis School of Medicine, Sacramento, CA 95817, USA
| | - Anand A Joshi
- Signal and Image Processing Institute, University of Southern California, Los Angeles, CA 90089, USA
| | - Christopher O Bayne
- Department of Orthopedic Surgery, University of California Davis School of Medicine, Sacramento, CA 95817, USA
| | - Robert M Szabo
- Department of Orthopedic Surgery, University of California Davis School of Medicine, Sacramento, CA 95817, USA
| | - Abhijit J Chaudhari
- Department of Radiology, University of California Davis School of Medicine, Sacramento, CA 95817, USA.
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12
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Functional Morphology of the Primate Hand: Recent Approaches Using Biomedical Imaging, Computer Modeling, and Engineering Methods. ACTA ACUST UNITED AC 2016. [DOI: 10.1007/978-1-4939-3646-5_9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023]
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13
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Rasquinha BJ, Rainbow MJ, Zec ML, Pichora DR, Ellis RE. Principal components of wrist circumduction from electromagnetic surgical tracking. Int J Comput Assist Radiol Surg 2016; 12:315-324. [DOI: 10.1007/s11548-016-1460-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Accepted: 07/12/2016] [Indexed: 10/21/2022]
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14
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Experimental Research on Hand Use and Function in Primates. DEVELOPMENTS IN PRIMATOLOGY: PROGRESS AND PROSPECTS 2016. [DOI: 10.1007/978-1-4939-3646-5_10] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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15
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Kraszewski AP, Osei DA, Garg R, Jang E, Hillstrom HJ, Lenhoff MW, Wolfe SW. The effect of wrist surgery on the kinematic consistency of joint axis reconstruction in a static posture. J Orthop Res 2015; 33:1341-7. [PMID: 25940572 DOI: 10.1002/jor.22912] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 03/23/2015] [Accepted: 03/25/2015] [Indexed: 02/04/2023]
Abstract
Three-dimensional analysis of wrist motion is a growing focus in orthopedic research, however, our understanding of its validity (accuracy and reliability) remains limited. Nine human cadavers were tested to estimate wrist joint axes alignment in a postural static pose. The objective was to investigate a rater's ability to reliably align three skin- tracked wrist joint coordinate system (WJCS) definitions across baseline and reconstructive wrist states (intact, mid-carpal arthrodesis, and proximal-row carpectomy). Two WJCSs (legacy, anatomic) were based on palpated bony landmarks and the third (functional) was based on both landmarks and passive flexion-extension motion. A coordinate frame based on the anatomic definition was tracked with bone pins and served as a reference. Each WJCS was tested in each wrist state and in three forearm position (45° pronation, neutral, 45° supination). The angular offset about each axis of the WJCS frames were calculated with respect to the reference in flexion-extension, radial-ulnar deviation, and pronation-supination for every iteration. Reliability and root mean square deviation values were analyzed across wrist states. Our data suggest that no WJCS is uniformly more reliable than another. The functional WJCS definition was most consistent across intact and post-operative states for pronation-supination offset, but this was dependent on rater interpretation. It still however offers the practical benefit of requiring fewer landmarks.
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Affiliation(s)
- Andrew P Kraszewski
- Leon Root, MD Motion Analysis Laboratory, Hospital for Special Surgery, New York
| | - Daniel A Osei
- Department of Orthopedic Surgery, Washington University School of Medicine, Missouri
| | - Rohit Garg
- Graduate Medical Education, University of Illinois College of Medicine, Illinois
| | - Eugene Jang
- Columbia University College of Physicians and Surgeons, New York
| | - Howard J Hillstrom
- Leon Root, MD Motion Analysis Laboratory, Hospital for Special Surgery, New York
| | - Mark W Lenhoff
- Leon Root, MD Motion Analysis Laboratory, Hospital for Special Surgery, New York
| | - Scott W Wolfe
- Hand and Upper Extremity Service, Hospital for Special Surgery, New York
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Wollstein R, Wollstein A, Rodgers J, Ogden TJ. A hand therapy protocol for the treatment of lunate overload or early Kienbock's disease. J Hand Ther 2014; 26:255-59; quiz 260. [PMID: 23465629 DOI: 10.1016/j.jht.2012.12.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2012] [Revised: 12/20/2012] [Accepted: 12/25/2012] [Indexed: 02/03/2023]
Abstract
We describe a hand therapy protocol aimed at unloading the wrist and increasing blood supply to the wrist, specifically to the lunate. The protocol was used in a series of patients with clinical radial wrist pain, dysfunction and changes on wrist imaging studies. The patients were not candidates for surgical treatment. Application of the therapy protocol improved objective and subjective parameters such as pain and motion, and may provide a viable treatment option for patients with lunate overload or early Kienbock's disease that are not candidates for surgery.
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Affiliation(s)
- Ronit Wollstein
- Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
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In vivo kinematics of the scaphoid, lunate, capitate, and third metacarpal in extreme wrist flexion and extension. J Hand Surg Am 2013; 38:278-88. [PMID: 23266007 PMCID: PMC3557539 DOI: 10.1016/j.jhsa.2012.10.035] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2011] [Revised: 10/17/2012] [Accepted: 10/20/2012] [Indexed: 02/02/2023]
Abstract
PURPOSE Insights into the complexity of active in vivo carpal motion have recently been gained using 3-dimensional imaging; however, kinematics during extremes of motion has not been elucidated. The purpose of this study was to determine motion of the carpus during extremes of wrist flexion and extension. METHODS We obtained computed tomography scans of 12 healthy wrists in neutral grip, extreme loaded flexion, and extreme loaded extension. We obtained 3-dimensional bone surfaces and 6-degree-of-freedom kinematics for the radius and carpals. The flexion and extension rotation from neutral grip to extreme flexion and extreme extension of the scaphoid and lunate was expressed as a percentage of capitate flexion and extension and then compared with previous studies of active wrist flexion and extension. We also tested the hypothesis that the capitate and third metacarpal function as a single rigid body. Finally, we used joint space metrics at the radiocarpal and midcarpal joints to describe arthrokinematics. RESULTS In extreme flexion, the scaphoid and lunate flexed 70% and 46% of the amount the capitate flexed, respectively. In extreme extension, the scaphoid extended 74% and the lunate extended 42% of the amount the capitates extended, respectively. The third metacarpal extended 4° farther than the capitate in extreme extension. The joint contact area decreased at the radiocarpal joint during extreme flexion. The radioscaphoid joint contact center moved onto the radial styloid and volar ridge of the radius in extreme flexion from a more proximal and ulnar location in neutral. CONCLUSIONS The contributions of the scaphoid and lunate to capitate rotation were approximately 25% less in extreme extension compared with wrist motion through an active range of motion. More than half the motion of the carpus when the wrist was loaded in extension occurred at the midcarpal joint. CLINICAL RELEVANCE These findings highlight the difference in kinematics of the carpus at the extremes of wrist motion, which occur during activities and injuries, and give insight into the possible etiologies of the scaphoid fractures, interosseous ligament injuries, and carpometacarpal bossing.
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Kivell TL, Guimont I, Wall CE. Sex-Related Shape Dimorphism in the Human Radiocarpal and Midcarpal Joints. Anat Rec (Hoboken) 2012; 296:19-30. [DOI: 10.1002/ar.22609] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2011] [Accepted: 09/23/2012] [Indexed: 11/12/2022]
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van de Giessen M, Foumani M, Vos FM, Strackee SD, Maas M, Van Vliet LJ, Grimbergen CA, Streekstra GJ. A 4D statistical model of wrist bone motion patterns. IEEE TRANSACTIONS ON MEDICAL IMAGING 2012; 31:613-625. [PMID: 22057049 DOI: 10.1109/tmi.2011.2174159] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Direct imaging of ligament damage in the wrist remains a challenge. Still, such damage can be assessed indirectly through the analysis of changes in wrist pose and motion pattern. For this purpose we built a statistical reference model that describes healthy motion patterns. We show that such a model can also be used to detect and quantify pathologies. A model that only describes the global translations and rotations of the carpal bones is insufficiently accurate due to size and shape variations of the bones. We present a local statistical motion model that minimizes the influence of size and shape differences by analyzing the coordinate differences of pairs of points on adjacent bone surfaces. These differences are determined in a set of 14 healthy example wrists imaged in a range of poses by means of 4D-RX imaging. The distribution of the differences as a function of the pose form the local statistical motion model (LSMM). Translations of 2 mm and rotations of 20° with respect to the healthy example wrists are detected as outliers in the point pair distributions. An evaluation involving wrists with a damaged ligament between scaphoid and lunate shows that not only joint space widenings can be detected, but also shifts of congruent bone surfaces. The LSMM is also used to perform a virtual reconstruction of the most likely healthy wrist after a simulated perturbation of bones. The reconstruction precision is shown to be about 1 mm. Therefore, the presented 4D statistical model of wrist bone movement may become a valuable clinical tool for diagnosis and surgical planning.
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Orr CM, Leventhal EL, Chivers SF, Marzke MW, Wolfe SW, Crisco JJ. Studying primate carpal kinematics in three dimensions using a computed-tomography-based markerless registration method. Anat Rec (Hoboken) 2010; 293:692-709. [PMID: 20235325 DOI: 10.1002/ar.21137] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The functional morphology of the wrist pertains to a number of important questions in primate evolutionary biology, including that of hominins. Reconstructing locomotor and manipulative capabilities of the wrist in extinct species requires a detailed understanding of wrist biomechanics in extant primates and the relationship between carpal form and function. The kinematics of carpal movement, and the role individual joints play in providing mobility and stability of the wrist, is central to such efforts. However, there have been few detailed biomechanical studies of the nonhuman primate wrist. This is largely because of the complexity of wrist morphology and the considerable technical challenges involved in tracking the movements of the many small bones that compose the carpus. The purpose of this article is to introduce and outline a method adapted from human clinical studies of three-dimensional (3D) carpal kinematics for use in a comparative context. The method employs computed tomography of primate cadaver forelimbs in increments throughout the wrist's range of motion, coupled with markerless registration of 3D polygon models based on inertial properties of each bone. The 3D kinematic principles involved in extracting motion axis parameters that describe bone movement are reviewed. In addition, a set of anatomically based coordinate systems embedded in the radius, capitate, hamate, lunate, and scaphoid is presented for the benefit of other primate functional morphologists interested in studying carpal kinematics. Finally, a brief demonstration of how the application of these methods can elucidate the mechanics of the wrist in primates illustrates the closer-packing of carpals in chimpanzees than in orangutans, which may help to stabilize the midcarpus and produce a more rigid wrist beneficial for efficient hand posturing during knuckle-walking locomotion.
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Affiliation(s)
- Caley M Orr
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287-2402, USA.
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