Role of the Wrist Ligaments with Respect to Carpal Kinematics and Carpal Mechanism

  • John M. G. Kauer
  • Hans H. C. M. Savelberg
  • Rik Huiskes
  • Jan G. M. Kooloos
Chapter
Part of the NATO ASI Series book series (NSSA, volume 256)

Abstract

Diagnosis and treatment of carpal joint disturbances require detailed insight into the function of the structures involved in the carpal mechanism. Kinematic analyses of carpal joint motions1,3,5 have given evidence for the specificity of the carpal bone motion patterns in the various movements of the hand to the forearm. Destot6 already offered an important contribution to the understanding of the disturbed carpal joint mechanism, stressing the functional interrelationship between carpal bone geometries and the ligamentous interconnections of these bones. In his view ligaments act as constraints as to intercarpal and radiocarpal mobility and direct the movements of the carpals during flexion and deviation of the hand. This does not alter the fact that in the recent litterature2,4,18,19,21,22,23 the role of the ligaments with respect to the carpal mechanism has been interpreted differently. As a result we encounter different classifications of ligament trauma where the concept is followed that ligamentous interconnections can be depicted as separable entities that restrict passively mutual displacements of the carpals one on another and with respect to the bones of the forearm.

Keywords

Wrist Joint Carpal Bone Scapholunate Ligament Roentgen Stereophotogrammetric Analysis Interosseous Ligament 
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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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • John M. G. Kauer
    • 1
  • Hans H. C. M. Savelberg
    • 1
  • Rik Huiskes
    • 2
  • Jan G. M. Kooloos
    • 1
  1. 1.Department of Anatomy and EmbryologyKhatolieke University NijmegenNijmegenThe Netherlands
  2. 2.Institute of OrthopaedicsKhatolieke University NijmegenNijmegenThe Netherlands

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