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Subchondral bone mineral density patterns representing the loading history of the wrist joint after a proximal row carpectomy

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Abstract

To evaluate force transmission patterns in vivo of patients with complaints of wrist instability requiring a proximal row carpectomy, bone mineral density (BMD) patterns of the wrist were established using computed tomography absorptiometry. Normal wrists show a BMD pattern in which the scaphoid fossa and lunate fossa of the distal radius contain a center of force transmission. Wrists with pathology of the proximal carpal row or distal radius show a shift of BMD towards the dorsal edge and the styloid process of the scaphoid fossa. After a proximal row carpectomy, the BMD of the scaphoid fossa decreases, and a BMD center is formed in the center of the lunate fossa, demonstrating that the force transmission is concentrated in its center.

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Correspondence to M. M. Hoogbergen.

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Schots, J.M.P., Niessen, W.J., Schuurman, A.H. et al. Subchondral bone mineral density patterns representing the loading history of the wrist joint after a proximal row carpectomy. Eur J Plast Surg 31, 101–107 (2008). https://doi.org/10.1007/s00238-008-0230-6

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  • DOI: https://doi.org/10.1007/s00238-008-0230-6

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