The effect of lunate position on range of motion after a four-corner arthrodesis: A biomechanical simulation study

Dvinskikh, N.A.; Blankevoort, Leendert; Strackee, Simon D.; Grimbergen, C.A.; Streekstra, Geert J.

doi:10.1016/j.jbiomech.2010.12.025

Cited by 19 publications

(13 citation statements)

References 40 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a clinical setting, musculoskeletal models can be used for pre‐operative planning (Dvinskikh et al. ; Galarraga et al. ) and prosthesis development (Gustus et al.…”

Section: Introductionmentioning

confidence: 99%

“…In fundamental research, models can be used to gather insights into hand function, motion control and cartilage deformation (Lieber & Frid en, 2001). In a clinical setting, musculoskeletal models can be used for pre-operative planning (Dvinskikh et al 2011;Galarraga et al 2017) and prosthesis development (Gustus et al 2012;Wolf et al 2004).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The digital human forearm and hand

2018

View full text Add to dashboard Cite

How changes in anatomy affect joint biomechanics can be studied using musculoskeletal modelling, making it a valuable tool to explore joint function in healthy and pathological joints. However, gathering the anatomical, geometrical and physiological data necessary to create a model can be challenging. Very few integrated datasets exist and even less raw data is openly available to create new models. Therefore, the goal of the present study is to create an integrated digital forearm and make the raw data available via an open-access database. An un-embalmed cadaveric arm was digitized using 7T MRI and CT scans. 3D geometrical models of bones, cartilage, muscle and muscle pathways were created. After MRI and CT scanning, physiological muscle parameters (e.g. muscle volume, mass, length, pennation angle, physiological cross-sectional area, tendon length) were obtained via detailed dissection. After dissection, muscle biopsies were fixated and confocal microscopy was used to visualize and measure sarcomere lengths. This study provides an integrated anatomical dataset on which complete and accurate musculoskeletal models of the hand can be based. By creating a 3D digital human forearm, including all relevant anatomical parameters, a more realistic musculoskeletal model can be created. Furthermore, open access to the anatomical dataset makes it possible for other researchers to use these data in the development of a musculoskeletal model of the hand.

show abstract

“…In a clinical setting, musculoskeletal models can be used for pre‐operative planning (Dvinskikh et al. ; Galarraga et al. ) and prosthesis development (Gustus et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The digital human forearm and hand

2018

View full text Add to dashboard Cite

show abstract

“…The proximal SE4CF model is based on the assumption that fusion during SE4CF does not directly disturb the articulation between the radius and lunate. The distal SE4CF model is based on the assumption similar to that used in a recent 3D mathematical model of the SE4CF wrist (Dvinskikh et al, 2011). The PRC axes of rotation (right, red solid lines) are defined based on Blankenhorn et al (2007).…”

Section: Figmentioning

confidence: 99%

Orientations of wrist axes of rotation influence torque required to hold the hand against gravity: A simulation study of the nonimpaired and surgically salvaged wrist

Nichols¹,

Bednar²,

Murray³

2013

Journal of Biomechanics

View full text Add to dashboard Cite

The wrist is a complex kinematic link connecting the forearm and hand. The kinematic design of the wrist is permanently altered during surgical salvage procedures, such as proximal row carpectomy (PRC) and scaphoid-excision four-corner fusion (SE4CF), which have the unintended consequence of long-term functional impairments to both the wrist and hand. We developed simulations of the nonimpaired, PRC, and SE4CF wrists to evaluate if surgically altered wrist kinematics contribute to functional impairments. Specifically, as a step toward understanding the connection between kinematics and function, we examined the torque necessary to statically maintain functional postures. All simulations included only bone geometry and joint kinematics; soft tissues were excluded. Our simulations demonstrate that the torque necessary to maintain a functional posture is influenced by the orientations of the flexion and deviation axes of rotation relative to each other and the anatomical planes of the radius. The magnitude of torque required to hold the hand against gravity decreased in simulations of the PRC wrist compared to the nonimpaired wrist. In contrast, the torque required increased relative to the nonimpaired wrist in simulations of the SE4CF wrist. These divergent results are directly related to how motion is coupled between the flexion–extension and deviation axes of rotation. This study highlights that, even without considering the effects of soft tissues, changing the kinematic design of the wrist influences function; therefore, kinematics should be considered when surgically redesigning the wrist.

show abstract

“…6, 9 Alternatively, simulation studies of SE4CF have separately assumed that midcarpal fusion results in wrist motion consistent with either the axes of rotation of only the nonimpaired proximal row 10 or those of only the nonimpaired distal row. 11 Thus, quantitative studies describing joint axes of rotation following these wrist surgeries are needed.…”

Section: Introductionmentioning

confidence: 99%

Decoupling the Wrist: A Cadaveric Experiment Examining Wrist Kinematics Following Midcarpal Fusion and Scaphoid Excision

Nichols¹,

Bednar

Havey

et al. 2017

Journal of Applied Biomechanics

View full text Add to dashboard Cite

At the wrist, kinematic coupling (the relationship between flexion-extension and radial-ulnar deviation) facilitates function. Although the midcarpal joint is critical for kinematic coupling, many surgeries, such as four-corner fusion (4CF) and scaphoid-excision four-corner fusion (SE4CF), modify the midcarpal joint. This study examines how 4CF and SE4CF influence kinematic coupling by quantifying wrist axes of rotation. Wrist axes of rotation were quantified in eight cadaveric specimens using an optimization algorithm, which fit a two-revolute joint model to experimental data. In each specimen, data measuring the motion of the third metacarpal relative to the radius was collected for three conditions (nonimpaired, 4CF, SE4CF). The calculated axes of rotation were compared using spherical statistics. The angle between the axes of rotation was used to assess coupling, as the nonimpaired wrist has skew axes (i.e., angle between axes approximately 60°). Following 4CF and SE4CF, the axes are closer to orthogonal than those of the nonimpaired wrist. The mean angle (±95 percent confidence interval) between the axes was 92.6° ± 25.2° and 99.8° ± 22.0° for 4CF and SE4CF, respectively. The axes of rotation defined in this study can be used to define joint models, which will facilitate more accurate computational and experimental studies of these procedures.

show abstract

The effect of lunate position on range of motion after a four-corner arthrodesis: A biomechanical simulation study

Cited by 19 publications

References 40 publications

The digital human forearm and hand

The digital human forearm and hand

Orientations of wrist axes of rotation influence torque required to hold the hand against gravity: A simulation study of the nonimpaired and surgically salvaged wrist

Decoupling the Wrist: A Cadaveric Experiment Examining Wrist Kinematics Following Midcarpal Fusion and Scaphoid Excision

Contact Info

Product

Resources

About