Kinematics of the wrist. II. Clinical applications.

McMurtry, Robert Y.; Youm, Youngil; Flatt, Adrian E.; Gillespie, T E

doi:10.2106/00004623-197860070-00014

Cited by 202 publications

(76 citation statements)

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“…The pathogenesis of carpal instability in RA and the order of changes are yet unknown. Ulnar translocation is found very often in RA and rarely in other diseases of the wrist [4,14]. Pathognomonic for this type of instability is translocation of lunate and capitate towards ulna, followed by scaphoid [4].…”

Section: Discussionmentioning

confidence: 99%

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Determination of the Carpal Unstability in Patients with Rheumatoid Arthritis

Spasovski¹

2016

Interdiscip J Microinflammation

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Introduction: The carpal instability is a biomechanical alteration with multiple pathogenesis. It ensues due to disturbance of the normal ligament and bone connections that control the wrist. There are four major types of carpal instability: 1 Dorsal intercalated segment instability (DISI) 2.Volar intercalated segment instability (VISI) 3.Ulnar translocation, and 4. Medial carpal instability. Instability in the wrist in Rheumatoid arthritis (RA) appears as a result of incongruity between joint and bone surfaces, capsular and ligament laxity and muscle-tendon imbalance, and to evaluate carpal instability in RA and to determine the type of carpal instability using radiography.

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Section: Discussionmentioning

confidence: 99%

“…This leads to broadening of the space between styloid processus of the radius and scaphoid [4]. Pathogenetically, it seems that there is a direct relation between ulnar translocation of the metacarpophalangeal joints and ulnar translocation of the wrist [14].…”

Section: Discussionmentioning

confidence: 99%

Determination of the Carpal Unstability in Patients with Rheumatoid Arthritis

Spasovski¹

2016

Interdiscip J Microinflammation

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“…This deformity has been described to be due to destruction of the articular disk and the internal ligamentous structures of the radiocarpal joint [ 14 ]. The scapholunate ligament is prone to weakening from the synovitis, leading to fl exion of the scaphoid and an increase in the scapholunate angle, promoting collapse of the radial column [ 15 ].…”

Section: Radiocarpal Deformitymentioning

confidence: 99%

Biomechanics of the Rheumatoid Wrist Deformity

Bain

Clifton

Costi

et al. 2016

Clinical Management of the Rheumatoid Hand, Wrist, and Elbow

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“…Bei allen Patienten wurde die Bestimmung der Karpalindizes nach McMurtry und Mitarbeitern [13] und Youm und Mitarbeitern [30] präoperativ, postoperativ sowie zum Zeitpunkt der Nachuntersuchung zur Beurteilung der rheumatischen Deformität und des Verlaufs der karpalen Veränderungen durchgeführt. Diese Indizes wurden zur Beurteilung des Ausmaßes der Deformität des Handgelenkes herangezogen und ergeben sich wie folgt (vergleiche zur graphischen Veranschaulichung ⊡ Abb.…”

Section: Abb2 ▲ 56jährige Patientin Chronische Polyarthritis Mitunclassified