Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury
A kinematic analysis of a progressive, ulnar-sided wrist injury was performed using a cadaver model to study the static and dynamic stabilizers of the distal radioulnar joint with a 3-dimensional motion tracking system. Anatomically based loads were applied to achieve pronation and supination and th...
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Veröffentlicht in: | The Journal of hand surgery (American ed.) 2002-09, Vol.27 (5), p.854-862 |
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creator | Gupta, Ranjan Allaire, Robert B. Fornalski, Stefan Osterman, A. Lee Lee, Thay Q. |
description | A kinematic analysis of a progressive, ulnar-sided wrist injury was performed using a cadaver model to study the static and dynamic stabilizers of the distal radioulnar joint with a 3-dimensional motion tracking system. Anatomically based loads were applied to achieve pronation and supination and then the specimens were evaluated after serial transection of the triangular fibrocartilage, the extensor carpi ulnaris sheath, and the ulnocarpal ligaments. Statistically significant increases in translation of the radius relative to the ulna occurred with sectioning of both the triangular fibrocartilage proper and the extensor carpi ulnaris tendon sheath. No significant change in position of the forearm could be appreciated with subsequent sectioning of the ulnocarpal ligaments. Our observations support the idea that the ulnocarpal ligaments do not need to be surgically reconstructed when there are serious injuries to the triangular fibrocartilage complex. |
doi_str_mv | 10.1053/jhsu.2002.34375 |
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Lee ; Lee, Thay Q.</creator><creatorcontrib>Gupta, Ranjan ; Allaire, Robert B. ; Fornalski, Stefan ; Osterman, A. Lee ; Lee, Thay Q.</creatorcontrib><description>A kinematic analysis of a progressive, ulnar-sided wrist injury was performed using a cadaver model to study the static and dynamic stabilizers of the distal radioulnar joint with a 3-dimensional motion tracking system. Anatomically based loads were applied to achieve pronation and supination and then the specimens were evaluated after serial transection of the triangular fibrocartilage, the extensor carpi ulnaris sheath, and the ulnocarpal ligaments. Statistically significant increases in translation of the radius relative to the ulna occurred with sectioning of both the triangular fibrocartilage proper and the extensor carpi ulnaris tendon sheath. No significant change in position of the forearm could be appreciated with subsequent sectioning of the ulnocarpal ligaments. Our observations support the idea that the ulnocarpal ligaments do not need to be surgically reconstructed when there are serious injuries to the triangular fibrocartilage complex.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1053/jhsu.2002.34375</identifier><identifier>PMID: 12239676</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Biomechanical Phenomena ; Cadaver ; Cartilage, Articular - injuries ; Distal radioulnar joint ; Forearm - physiopathology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; kinematics ; Ligaments - physiology ; Medical sciences ; Osteoarticular system. Muscles ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Pronation - physiology ; Radius - physiopathology ; Supination - physiology ; Ulna - physiopathology ; Weight-Bearing - physiology ; Wrist Injuries - physiopathology ; wrist injury ; Wrist Joint - anatomy & histology ; Wrist Joint - physiopathology</subject><ispartof>The Journal of hand surgery (American ed.), 2002-09, Vol.27 (5), p.854-862</ispartof><rights>2002 American Society for Surgery of the Hand</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Sep 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1e94cb33f6dd376aa1d989b349449da9667aeee8f33143ca43dc99e0a69400d33</citedby><cites>FETCH-LOGICAL-c441t-1e94cb33f6dd376aa1d989b349449da9667aeee8f33143ca43dc99e0a69400d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0363502302000400$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13925682$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12239676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, Ranjan</creatorcontrib><creatorcontrib>Allaire, Robert B.</creatorcontrib><creatorcontrib>Fornalski, Stefan</creatorcontrib><creatorcontrib>Osterman, A. Lee</creatorcontrib><creatorcontrib>Lee, Thay Q.</creatorcontrib><title>Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>A kinematic analysis of a progressive, ulnar-sided wrist injury was performed using a cadaver model to study the static and dynamic stabilizers of the distal radioulnar joint with a 3-dimensional motion tracking system. Anatomically based loads were applied to achieve pronation and supination and then the specimens were evaluated after serial transection of the triangular fibrocartilage, the extensor carpi ulnaris sheath, and the ulnocarpal ligaments. Statistically significant increases in translation of the radius relative to the ulna occurred with sectioning of both the triangular fibrocartilage proper and the extensor carpi ulnaris tendon sheath. No significant change in position of the forearm could be appreciated with subsequent sectioning of the ulnocarpal ligaments. Our observations support the idea that the ulnocarpal ligaments do not need to be surgically reconstructed when there are serious injuries to the triangular fibrocartilage complex.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Cadaver</subject><subject>Cartilage, Articular - injuries</subject><subject>Distal radioulnar joint</subject><subject>Forearm - physiopathology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>kinematics</subject><subject>Ligaments - physiology</subject><subject>Medical sciences</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Pronation - physiology</subject><subject>Radius - physiopathology</subject><subject>Supination - physiology</subject><subject>Ulna - physiopathology</subject><subject>Weight-Bearing - physiology</subject><subject>Wrist Injuries - physiopathology</subject><subject>wrist injury</subject><subject>Wrist Joint - anatomy & histology</subject><subject>Wrist Joint - physiopathology</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10U1r3DAQBmBRWppt2nNvRRSSmzeSR5ZXxxKatCTQS3sWs9K4K-OPVGOn7L-PN7sQKPQkEM-8DPMK8VGrtVYVXLU7ntelUuUaDNTVK7HSFejCVta8FisFFopKlXAm3jG3SiltoXorznRZgrO1XYndXRqoxykFiQN2e04sx0ZOO5Ix8YSdzBjTOHcDZtmOaZgkNhNliZJTP3c4UZQPefydiTk9knyWBae4_P_NS4RMQzvn_XvxpsGO6cPpPRe_br7-vP5W3P-4_X795b4Ixuip0ORM2AI0NkaoLaKObuO2YJwxLqKztkYi2jQA2kBAAzE4RwqtM0pFgHNxecxdlvozE0--Txyo63CgcWZfl8ptKqcW-Pkf2I5zXm7AvtTKuBrqA7o6opBH5kyNf8ipx7z3WvlDA_7QgD804J8bWCY-nWLnbU_xxZ9OvoCLE0AO2DUZh5D4xYErK7spF-eOjpZrPSbKnkOiIVBMmcLk45j-u8QTb0ujcA</recordid><startdate>20020901</startdate><enddate>20020901</enddate><creator>Gupta, Ranjan</creator><creator>Allaire, Robert B.</creator><creator>Fornalski, Stefan</creator><creator>Osterman, A. Lee</creator><creator>Lee, Thay Q.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20020901</creationdate><title>Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury</title><author>Gupta, Ranjan ; Allaire, Robert B. ; Fornalski, Stefan ; Osterman, A. Lee ; Lee, Thay Q.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1e94cb33f6dd376aa1d989b349449da9667aeee8f33143ca43dc99e0a69400d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Cadaver</topic><topic>Cartilage, Articular - injuries</topic><topic>Distal radioulnar joint</topic><topic>Forearm - physiopathology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>kinematics</topic><topic>Ligaments - physiology</topic><topic>Medical sciences</topic><topic>Osteoarticular system. Muscles</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Pronation - physiology</topic><topic>Radius - physiopathology</topic><topic>Supination - physiology</topic><topic>Ulna - physiopathology</topic><topic>Weight-Bearing - physiology</topic><topic>Wrist Injuries - physiopathology</topic><topic>wrist injury</topic><topic>Wrist Joint - anatomy & histology</topic><topic>Wrist Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Ranjan</creatorcontrib><creatorcontrib>Allaire, Robert B.</creatorcontrib><creatorcontrib>Fornalski, Stefan</creatorcontrib><creatorcontrib>Osterman, A. 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Lee</au><au>Lee, Thay Q.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2002-09-01</date><risdate>2002</risdate><volume>27</volume><issue>5</issue><spage>854</spage><epage>862</epage><pages>854-862</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>A kinematic analysis of a progressive, ulnar-sided wrist injury was performed using a cadaver model to study the static and dynamic stabilizers of the distal radioulnar joint with a 3-dimensional motion tracking system. Anatomically based loads were applied to achieve pronation and supination and then the specimens were evaluated after serial transection of the triangular fibrocartilage, the extensor carpi ulnaris sheath, and the ulnocarpal ligaments. Statistically significant increases in translation of the radius relative to the ulna occurred with sectioning of both the triangular fibrocartilage proper and the extensor carpi ulnaris tendon sheath. No significant change in position of the forearm could be appreciated with subsequent sectioning of the ulnocarpal ligaments. Our observations support the idea that the ulnocarpal ligaments do not need to be surgically reconstructed when there are serious injuries to the triangular fibrocartilage complex.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>12239676</pmid><doi>10.1053/jhsu.2002.34375</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Biological and medical sciences Biomechanical Phenomena Cadaver Cartilage, Articular - injuries Distal radioulnar joint Forearm - physiopathology Humans Investigative techniques, diagnostic techniques (general aspects) kinematics Ligaments - physiology Medical sciences Osteoarticular system. Muscles Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Pronation - physiology Radius - physiopathology Supination - physiology Ulna - physiopathology Weight-Bearing - physiology Wrist Injuries - physiopathology wrist injury Wrist Joint - anatomy & histology Wrist Joint - physiopathology |
title | Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury |
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