Force Transmission Through the Proximal Carpal Row

  • Hans P. Kern
  • Hilaire A. C. Jacob
  • Gontran R. Sennwald
Chapter
Part of the NATO ASI Series book series (NSSA, volume 256)

Abstract

Knowledge of force transmission through the wrist is of paramount importance in understanding the normal joint mechanics, and in finding an explanation for the pathogenesis of osteoarthritis and other degenerative deformations like, for example, Kienböcks disease. Also, the reconstruction of ligaments and the performance of partial intracarpal arthrodesis of the wrist bones often leads to unsatisfactory results. This has prompted us to study the intracarpal force transmission in the immediate environment of the proximal carpal row. In contrast to the fingers and the forearm, the determination of forces of several carpal bones is reflected in just a few studies.6,9,11,12,13,14,15 We first used a simplified mathematical model and then carried out measurements on fresh autopsy specimens to confirm our findings.

Keywords

Force Transmission Carpal Bone Flexor Carpus Radialis Ulnar Deviation Radial Deviation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    K.N. An, E.Y.S. Chao, W.P. Cooney, and R.L. Linscheid, Forces in the normal and abnormal hand, J. Orthop. Res. 3:202 (1985).PubMedCrossRefGoogle Scholar
  2. 2.
    R.A. Berger, J.M.G. Kauer, and J.M.F. Landsmeer, Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists, J. Hand Surg. 16A:350 (1991).CrossRefGoogle Scholar
  3. 3.
    S. Bunnell, Surgery of the Hand, Edition 3, pp 42–48, JP Lippincott, Philadelphia (1956).Google Scholar
  4. 4.
    E.Y.S. Chao, J.D. Opgrande, and F.E. Axmear, Threedimensional force analysis of finger joints in selected isometric hand functions, J. Biomech. 9:387 (1976).PubMedCrossRefGoogle Scholar
  5. 5.
    W.P. Cooney, and E.Y.S. Chao, Biomechanical analysis of static forces in the thumb during hand function, J. Bone Joint Surg. 59A:27 (1977).PubMedGoogle Scholar
  6. 6.
    T. Hara, E. Horii, K.N. Nan, W.P. Cooney, R. Linscheid, and E.Y.S. Chao, Force distribution across wrist joint: application of pressure-sensitive conductive rubber, J. Hand Surg. 17A:339 (1992).CrossRefGoogle Scholar
  7. 7.
    E. Horii, M. Garcia-Elias, K.N. An, A.T. Bishop, W.P. Cooney, R.L. Linscheid, and E.Y.S. Chao, Effect on force transmission across the carpus in procedures used to treat Kienbock’s disease, J. Hand Surg. 15A:393 (1990).CrossRefGoogle Scholar
  8. 8.
    H.A.C. Jacob, C. Kunz, and G. Sennwald, Zur Biomechanik des Carpus — Funktionelle Anatomie und Bewegungsanalyse der Karpalknochen, Orthopäde 21:81 (1992).PubMedGoogle Scholar
  9. 9.
    C. Kenesi, D. Gastambide, and J.P. Lesage, Le syndrome de Kienböck; étude biomécanique, Rev. Chir. Orthop. 59:126 (1973).PubMedGoogle Scholar
  10. 10.
    J. Koebke, Ph. Fehrmann, and J. Mockenhaupt, Zur Beanspruchung des normalen und des pathologischen Handgelenks, Handchir. Mikrochir. Plast. Chir. 21:127 (1989).PubMedGoogle Scholar
  11. 11.
    A.K. Palmer, and F.W. Werner, The triangular fibrocartilage complex of the wrist — anatomy and function, J. Hand Surg. 6A:153 (1981).Google Scholar
  12. 12.
    A.K. Palmer, and F.W. Werner, Biomechanics of the distal radioulnar joint, Clin. Orthop. 187:26 (1984).PubMedGoogle Scholar
  13. 13.
    L. Romdhane, L. Chidgey, G. Miller, and P. Dell, Experimental investigation of the scaphoid strain during wrist motion, J. Biomech. 23:1277 (1990).PubMedCrossRefGoogle Scholar
  14. 14.
    T. Trumble, R.R. Glisson, A.V. Seaber, and J.R. Urbaniak, A biomechanical comparison of the methods for treating Kienböcks disease, J. Hand Surg. 11A:88 (1986).Google Scholar
  15. 15.
    T. Trumble, R.R. Glisson, A.V. Seaber, and J.R. Urbaniak, Forearm force transmission after surgical treatment of distal radioulnar joint disorders, J. Hand Surg. 12A:196 (1987).Google Scholar
  16. 16.
    E.R. Weber, Concepts governing the rotational shift of the intercalated segment of the carpus, Orthop. Clin. North Am. 15:193 (1984).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Hans P. Kern
    • 1
  • Hilaire A. C. Jacob
    • 1
  • Gontran R. Sennwald
    • 1
    • 2
  1. 1.Biomechanics Unit, Department of Orthopaedic Surgery, BalgristUniversity of ZürichZürichSwitzerland
  2. 2.Chirurgie St. LeonhardSt. GallenSwitzerland

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