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
Hauptverfasser: Gupta, Ranjan, Allaire, Robert B., Fornalski, Stefan, Osterman, A. Lee, Lee, Thay Q.
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container_end_page 862
container_issue 5
container_start_page 854
container_title The Journal of hand surgery (American ed.)
container_volume 27
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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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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