Interosseous Membrane of the Forearm: An Anatomical Study of Ligament Attachment Locations

Noda, Kazuo; Gotō, Akira; Murase, Tsuyoshi; Sugamoto, Kazuomi; Yoshikawa, Hideki; Moritomo, Hisao

doi:10.1016/j.jhsa.2008.10.025

Cited by 177 publications

(185 citation statements)

References 19 publications

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“…The optimal cutoff point was suggested as 1.0 mm mm, respectively [5]. The mean thickness of the DOB was 1.5 mm in the study by Noda et al [3].…”

Section: Discussionmentioning

confidence: 97%

“…Noda et al reported an frequency of 40% (12/30) in a study using 30 forearms from 15 embalmed cadavers (9 females and 6 males, mean age 85 years), [3] and Kitamura et al found that 4 out of the 10 fresh-frozen cadavers (5 females and 5 males, mean age 79 years) had the DOB [5]. Our study found that the mean thickness of the DIOM in the DOB group was 1.4 mm and that in the no-DOB group was 0.6 mm, which were comparable to the study by Kitamura et al, where these values were 1.2 mm and 0.4 Fig.…”

Section: Discussionmentioning

confidence: 99%

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Magnetic Resonance Imaging Evaluation of the Distal Oblique Bundle in the Distal Interosseous Membrane of the Forearm

Gong

Park

Kim

et al. 2016

Hand (New York, N,Y.)

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Background: Some cadaveric studies have reported the role of the distal oblique bundle (DOB) in the distal radioulnar joint stability. We aimed to determine whether the presence of the DOB can be identified and its thickness can be measured in magnetic resonance imaging (MRI) examinations. Methods: We retrospectively reviewed 468 wrist and forearm MRIs. Inclusion criteria were wrist or forearm MRIs taken in patients older than 18 years of age, and exclusion criteria were patients with acute wrist or forearm fractures, infections, or malignant tumors. We selected 80 MRIs that provided adequate coverage of the distal interosseous membrane (DIOM). The thickness of the DIOM in the T2-weighted transverse plane was measured on the picture archiving and communicating system. We used a model-based clustering method to determine whether some individuals have thicker DIOMs that can be considered as the DOB. Results: The thickness of the DIOM demonstrated a bimodal distribution, indicating the presence of patients with a thick DIOM (DOB). The model-based clustering method indicated that the optimal cutoff point was 1.0 mm. Twenty-six individuals (32.5%) had thick DIOMs with a mean thickness of 1.4 mm (standard deviation, 0.2 mm), while 54 individuals (67.5%) had thin DIOMs with a mean thickness of 0.6 mm (standard deviation, 0.2 mm). Conclusion: Our study demonstrates that it is possible to identify the DOB and measure its thickness using MRI. Future in-vivo studies of the DOB using MRI in patients with distal radioulnar joint pathologies may reveal its role in the distal radioulnar joint stability.

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“…The optimal cutoff point was suggested as 1.0 mm mm, respectively [5]. The mean thickness of the DOB was 1.5 mm in the study by Noda et al [3].…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Imaging Evaluation of the Distal Oblique Bundle in the Distal Interosseous Membrane of the Forearm

Gong

Park

Kim

et al. 2016

Hand (New York, N,Y.)

View full text Add to dashboard Cite

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“…2) on the mirror image of the contralateral normal bones by combining osseous images and anatomic data of ligament attachments according to the method described by Moritomo et al [22] and Noda et al [25] (Fig. 2A).…”

Section: Methodsmentioning

confidence: 99%

“…The interosseous membrane is a complex of ligaments and membranes, each of which plays a different functional role [8,22,25,33]. Moritomo et al [22] investigated in vivo and 3D change in length of the interosseous membrane ligaments using a novel technique combined with normal anatomic data.…”

Section: Introductionmentioning

confidence: 99%

In Vivo Three-dimensional Motion Analysis of Chronic Radial Head Dislocations

Miyake

Moritomo

Kataoka

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Forearm kinematics and interosseous membrane function in chronic radial head dislocations sustained in childhood are unknown. Several procedures have been performed to reduce the radial head on the basis of static preoperative assessment in only one forearm position, but clinical results are not always favorable. Questions/purposes We investigated the in vivo threedimensional (3D) kinematics and length changes of interosseous membrane ligaments during forearm rotation in chronic radial head dislocations using 3D CT registration techniques. Methods We examined 10 patients with chronic radial head dislocations (seven Type 1 and three Type 4 Monteggia lesions). To quantify kinematics, the axis of rotation (AOR) and radial head motion were investigated using computer bone models constructed from CT data placing the forearm in three positions. We also created six interosseous membrane ligaments and calculated their 3D lengths during forearm rotation.

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“…The membrane apart from providing surface for attachment for muscles; stabilizes the radius and ulna during forearm rotation and actively transmits forces from the radius to the ulna through its five ligaments: central band, accessory band, distal oblique bundle, proximal oblique cord, and dorsal oblique accessory cord. 2 Three dimensional MRI observations suggest that the thick and strong central tendinous part of IOM remains taut throughout rotation to provide stability between the radius and ulna. The thin and soft membranous parts of IOM present adjacent to proximal and distal borders of central band, deform and becomes wavy.…”

Section: Introductionmentioning

confidence: 99%