Stress Analysis of the Radiocarpal Joint from a Determination of the Subchondral Mineralisation Pattern

  • Magdalena Müller-Gerbl
  • Nicholas Löwer
  • Klaus Wilhelm
  • Rolf Kenn
  • Reinhard Putz
Part of the NATO ASI Series book series (NSSA, volume 256)


It is well known that there is a regularity of distribution of the subchondral bone density in the larger joints. This has been shown by Knief1 and Konermann,5 using x-ray densitometry. Some years ago, Pauwels12 convincingly demonstrated that the distribution of the subchondral bone density reflects the localisation of the long-term stresses acting upon the articular surface of a joint. For a very long time no diagnostic method has been available by which the long-term stress to which joints are subjected can be accurately assessed in vivo. The conventional AP x-rays are summation pictures which can give no precise information about the actual area of distribution.


Distal Radius Articular Surface Distal Radius Fracture Wrist Joint Density Pattern 
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  1. 1.
    J.J. Knief, Materialverteilung und Beanspruchungsverteilung im coxalen Femurende Densitometrische und spannungsoptische Untersuchungen, Z. AnatEntwickl-Gesch 126:81 (1967).CrossRefGoogle Scholar
  2. 2.
    J. Koebke, Anatomie des Handgelenkes und der Handwurzel, Unfallchirurgie 14:74 (1988).PubMedGoogle Scholar
  3. 3.
    J. Koebke, Subchondral bone density as a key for normal and pathological wrist stress, Presented at the Nato Advanced Research Workshop, Brussels, May 22–23 (1992).Google Scholar
  4. 4.
    J. Koebke, J. Mockenhaupt, and A. Lorbach, Die Subtraktionsäquidensitometrie als Methode zur Analyse der Gelenkbeanspruchung — dargestellt am Beispiel des Radiokarpalgelenkes, in: “Osteologie Interdisziplinär”, eds Werner E. and Matthiass H.H., Springer, Berlin (1991).Google Scholar
  5. 5.
    H. Konermann, Quantitative Bestimmung der Materialverteilung nach Röntgenbildern des Knochens mit einer neuen photographischen Methode, Z. Anat Entwickl-Gesch 134:13 (1971).CrossRefGoogle Scholar
  6. 6.
    E. Koob, Die Mondbeinnekrose, Handchirurgie 5:173 (1973).PubMedGoogle Scholar
  7. 7.
    M.A. McConnaill, and J.V. Basmajian, “Muscles and movements, a Basis for Human Kinesiology”, William and Wilkins, Baltimore (1969).Google Scholar
  8. 8.
    N. Möllers, K. Lehmann, and J. Köbke, Die Verteilung des subchondralen Knochenmaterials an der distalen Gelenkfläche des Radius, Anat Anz 161:151 (1968).Google Scholar
  9. 9.
    M. Müller-Gerbl, R. Putz, N. Hodapp, E. Schulte, and B. Wimmer, Computed tomography-osteoabsorptiometry for assessing the density distribution of subchondral bone as a measure of long-term mechanical adaptation in individual joints, Skeletal Radiol. 18:507 (1989).PubMedCrossRefGoogle Scholar
  10. 10.
    M. Müller-Gerbl, R. Putz, N. Hodapp, E. Schulte, and B. Wimmer, Computed tomography-osteoab-sorptiometry: a method of assessing the mechanical condition in the major joints in a living subject, Clin. Biomech. 5:193 (1990).CrossRefGoogle Scholar
  11. 11.
    M. Müller-Gerbl, R. Putz, and R. Kenn, Demonstration of subchondral bone density patterns by three-dimensional Ct osteoabsorptiometry (CT OAM) as a non-invasive method for in vivo assessment of individual long-term stress in joints, J. Bone Mineral Research (in press).Google Scholar
  12. 12.
    F. Pauwels, “Gesammelte Abhandlungen zur funktionellen Anatomie des Bewegungsapparates”, Springer, Berlin (1965).Google Scholar
  13. 13.
    F. Pauwels, “Atlas zur Biomechanik der gesunden und kranken Hüfte”, Springer, Berlin (1973).CrossRefGoogle Scholar
  14. 14.
    F. Pauwels, “Biomechanics of the Locomotor Apparatus”, Springer, New York (1980).CrossRefGoogle Scholar
  15. 15.
    G. Segmüller, Zur Lunatum-Malazie (Morbus Kienböck), Orthopäde 10:47 (1981).PubMedGoogle Scholar
  16. 16.
    G. Sennwald, “Das Handgelenk”, Springer, Berlin (1987).CrossRefGoogle Scholar
  17. 17.
    S.F. Viegas, R. Patterson, R. Peterson, J. Roefs, A. Tencer, and S. Choi, The effects of various load paths and different loads on the load transfer characteristics of the wrist, J. Hand Surg. 14:458 (1989).CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Magdalena Müller-Gerbl
    • 1
  • Nicholas Löwer
    • 1
  • Klaus Wilhelm
    • 2
  • Rolf Kenn
    • 3
  • Reinhard Putz
    • 1
  1. 1.Anatomische AnstaltLudwig-Maximilians-Universität MünchenMünchen 2Germany
  2. 2.Department of Hand SurgeryLudwig-Maximilians-Universität MünchenMünchen 2Germany
  3. 3.Department of RadiologyLudwig-Maximilians-Universität MünchenMünchen 2Germany

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