In vivo analysis of carpal kinematics and comparative review of the literature

Autor: Mooijen, T.M., Snel, J.G., Ritt, M.J., Venema, H.W., Kauer, J.M.G., Bos, K.E.
Rok vydání: 2003
Předmět:
Zdroj: The Journal of Hand Surgery, 28, 1, pp. 81-7
The Journal of Hand Surgery, 28, 81-7
ISSN: 0363-5023
Popis: Item does not contain fulltext PURPOSE: Techniques have been developed very recently with which it is possible to quantify accurately in vivo 3-dimensional (3-D) carpal kinematics. The aim of this study was to evaluate the feasibility of our novel 3-D registration technique by comparing our data with data found in the literature. METHOD: The right wrists of 11 healthy volunteers were imaged by spiral computed tomography (CT) during radial-ulnar deviation and 5 of those wrists were imaged also during flexion-extension motion. With a matching technique relative translations and rotations of the carpal bones were traced. We compared our in vivo results with data presented in the literature. RESULTS: We found our in vivo data largely to concur with in vitro data presented in the literature. In vivo studies revealed only larger out-of-plane motions within the proximal carpal row than described in most in vitro studies. In vivo studies also showed larger interindividual variations. CONCLUSIONS: A single functional model of carpal kinematics could not be determined. We expect that in vivo 3-D CT studies on carpal kinematics, especially when applied to dynamic wrist motion, will have future diagnostic applications and provide information on long-term results of surgical interventions.
Databáze: OpenAIRE