Abstract
Normal carpal mechanics relies on the complex interplay between a sophisticated arrangement of carpal ligaments and carpal bone morphology.25,32 A number of biomechanical studies have been performed to define the kinematics of the normal wrist and the changes in kinematics seen in degenerative states. Early workers studied x-ray films and cadaver specimens to observe relative motions in the wrist.15,19,25 Investigators had also used quantified, three-dimensional techniques, such as sonic digitizers,2,5 instrumented electromechanical linkages,50 radiostereophotogrammetric techniques,10 or three-dimensional computer imaging,4 to define precise intercarpal motions.
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References
L. Ambrose, and M.A. Posner, Biplanar osteotomy for the treatment of malunited Colles’ fractures, Presented at the 43rd Annual Meeting of the American Society for Surgery of the Hand, Baltimore, MD. Sept. 14–17, (1988).
J.G. Andrew, and Y.A. Youm, A biomechanical investigation of wrist kinematics, J. Biomech. 12:83 (1979).
R.W. Bacorn, and J.F. Kurtzke, Colles fracture. A study of two thousand cases from the New York state workman’s compensation board, J. Bone Joint Surg. 35:643 (1953).
R.J. Belsole, D. Hilbelink, J.A. Llewellyn, M. Dale, S. Stenzler, and J.M. Raymack, Scaphoid orientation and location for computed three dimensional carpal models, Orthop. Clin. N. Am. 173:505 (1986).
R.A. Berger, R.D. Crowninshield, and A.E. Flatt, The three-dimensional rotational behavior of the carpal bones, Clin. Orthop. 167:303 (1982).
G. Blatt, Capsulodesis in reconstructive hand surgery: dorsal capsulodesis for the unstable scaphoid and volar capsulodesis following excision of the distal ulna, Hand Clinics 3:81 (1987).
A.D. Blevens, T.R. Light, W.S. Jablonsky, D.G. Smith, A.G. Patwardhan, M.E. Guay, and T.S. Woo, Radiocarpal articular contact characteristics with scaphoid instability, J. Hand Surg. 14A:781 (1989).
A. Colles, On the fractures of the carpal extremity of the radius, Ed. Med. Surg. J. 10:182 (1814).
W.P. Cooney, J.H. Dobyns, and R.L. Linscheid, Complications of Colles’ fracture, J. Bone Joint Surg. 62:613 (1980).
A. de Lange, J.M.G. Kauer, and R. Huiskes, Kinematic behavior of the human wrist joint: a roentgen-stereophotogrammetric analysis, J. Orthop. Res. 3:56 (1985).
J.H. Dobyns, R.L. Linscheid, E.Y.S. Chad, E.R. Weber, and G.E. Swanson, Traumatic instability of the wrist, Instructional Course Lectures, AAOS, St. Louis: The C.V. Mosby Co., pp. 182 (1975).
D.L. Fernandez, Correction of post-traumatic wrist deformity in adults by osteotomy, bone-grafting, and internal fixation, J. Bone Joint Surg. 64: 1164 (1982).
D.L. Fernandez, Radial osteotomy and bowers arthroplasty for malunited fractures of the distal end of the radius, J. Bone Joint Surg. 70:1538 (1988).
J.J. Jr Gartland, and C.W. Werley, Evaluation of healed Colles’ fractures, J. Bone Joint Surg. 33:895 (1951).
W.W. Gilford, R.H. Bolton, and C. Lambrinundri, The mechanism of the wrist joint with special reference to fractures of the scaphoid, Guys Hosp. Rep. 92:52 (1943).
L.A. Gilula, Ligament instability of the wrist: discussion of current classification systems, Wrist Investigators’ Workshop, Paris, France (April 5, 1989).
W.D. Gordon, and M.D. Armstrong, Rotational subluxation of the scaphoid, Canad. J. Surg. 11:306 (1968).
E.N. Hanley, D.M. Boland, and H.K. Watson, Intercarpal arthrodesis for rotary subluxation of the scaphoid, Orthopaedic Cons. 41:1 (1983).
W. Henke, Die bewegungen der wandwurzel, Z Rad Med III 7:27 (1859).
F.M. Howard, T. Fahey, and E. Wojcik, Rotatory subluxation of the navicular, Clin. Orthop. 104:134 (1974).
W.T. Jackson, and J.M. Protas, Snapping scapholunate subluxation, J. Hand Surg. 6:590 (1981).
N.H. Jenkins, and W.J. Mintowt-Czyz, Mal-union and dysfunction in Colles’ fracture, J. Hand Surg. 13:291 (1988).
J.B. Jupiter, and M. Masem, Reconstruction of post-traumatic deformity of the distal radius and ulna, Hand Clinics 4:377 (1988).
J.M. Kauer, The mechanism of the carpal joint, Clin. Orthop. 202:16 (1986).
J.M.B. Kauer, The interdependence of carpal articulation chains, Acta Anat. 88:481 (1974).
D.M. Lichtman, J.R. Schneider, A.R. Swafford, and G.R. Mack, Ulnar midcarpal instability-clinical and laboratory analysis, J. Hand Surg. 6:5\5 (1981).
A. Lindstrom, Fractures of the distal end of the radius, Acta Orthop. Scand. Suppl. 41, (1959).
R.L. Linscheid, Kinematic considerations of the wrist, Clin. Orthop. 202:27 (1986).
R.L. Linscheid, J.H. Dobyns, J.W. Beabout, and R.S. Bryan, Traumatic instability of the wrist, J. Bone Joint Surg. 54A:1612 (1972).
G.R. Mack, M.J. Bosse, R.H. Gelbermann, and E. Yu, The natural history of scaphoid non-union, J. Bone Joint Surg. 66A:504 (1984).
M. McQueen, and J. Caspers, Colles fracture: does the anatomical result affect the final function? J. Bone Joint Surg. 70:649 (1988).
J.K. Mayfield, R.P. Johnson, and R.F. Kilcoyne, The ligaments of the human wrist and their functional significance, Anat. Rec. 186:417 (1976).
J.K. Mayfield, R.P. Johnson, and R.K. Kilcoyne, Carpal dislocations: pathomechanics and progressive perilunar instability, J. Hand Surg. 5.226 (1980).
J.K. Mayfield, Patterns of Injury to Carpal Ligaments, Clin. Orthop. 187: 36 (1984).
A. Minami, T. Ogino, I. Ohshio, and M. Minami, Correlation between clinical results and carpal instabilities in patients after reduction of lunate and perilunar dislocations, J. Hand Surg. 11B:213 (1986).
L.G. Morawa, P.M. Ross, and C.C. Schock, Fractures and dislocations involving the navicular-lunate axis, Clin. Orthop. 118:48 (1976).
A. Mouchet, and J. Belot, Poignet à ressaut (subluxation médiocarpienne en avant), Bull. Mem. Soc. Nat. Chir. 60:1243, (1934).
T.M. Older, E.V. Stabler, and W.H. Cassebaum, Colles fracture: evaluation and selection of therapy, y. Trauma 5:469 (1965).
S. Overgaard, and S. Solgaard, Osteoarthritis after Colles’ fracture, Orthopedics 12:413 (1989).
A.K. Palmer, J.H. Dobyns, and R.L. Linscheid, Management of post-traumatic instability of the wrist secondary to ligament rupture, J. Hand Surg. 3:507 (1978).
A.K. Palmer, and F.W. Werner, Biomechanics of the distal radioulnar joint, Clin. Orthop. 187:26 (1984).
D.J. Pogue, S.F. Viegas, R.M. Patterson, P.D. Peterson, D.K. Jenkins, T.D. Sweo, and J.A. Hokanson, The effects of distal radius fracture malunion on wrist joint mechanics, J. Hand Surg. 15:721 (1990).
R.M. Rubinovich, and W.R. Rennie, Colles’ fracture: end results in relation to radiologic parameters, Canad. J. Surg. 26:361 (1983).
L.K. Ruby, W.P. Cooney III, K.N. An, R.L. Linscheid, and E.Y.S. Chao, Relative motion of selected carpal bones: a kinematic analysis of the normal wrist, J. Hand Surg. 13A:1 (1988).
L.K. Ruby, J. Stinson, and M.R. Belsky, The natural history of scaphoid non-union: a review of fifty-five cases, J. Bone Joint Surg. 67A:428 (1985).
T.B. Russell, Inter-carpal dislocations and fracture-dislocations, a review of fifty-nine cases, J. Bone Joint Surg. 31B:524 (1949).
W.H. Short, A.K. Palmer, F.W. Werner, and D.J. Murphy, A biomechanical study of distal radius fractures, J. Hand Surg. 12:529 (1987).
S. Solgaard, Classification of distal radius fractures, Acta Orthop. Scand. 56: 249 (1984).
S. Solgaard, Function after distal radius fracture, Acta Orthop. Scand. 59:39 (1988).
H.G. Sommer III, and N.R. Miller, A technique for kinematic modeling of anatomical joints, J. Biomech. Eng. 102:311 (1980).
H.D. Stewart, A.R. Innes, and F.D. Burke, Factors affecting the outcome of Colles’ fracture, an anatomical and functional study. Injury 16:289, 1985.
J. Taleisnik, and H.K. Watson, Midcarpal instability caused by malunited fractures of the distal radius, J. Hand Surg. 9:350 (1984).
O.J. Vaughan-Jackson, A case of recurrent subluxation of the carpal scaphoid, J. Bone Joint Surg. 31B:532 (1949).
M.I. Vender, H.K. Watson, B.D. Wiener, and D.M. Black, Degenerative change in symptomatic scaphoid nonunion, J. Hand Surg. 12A:514 (1987).
S.F. Viegas, The lunohamate articulation of the midcarpal joint, arthroscopy: J. Arthroscopic Rel. Surg. 6:5 (1990).
S.F. Viegas, J.W. Bean, and R.A. Schräm, Transscaphoid fracture/dislocations treated with open reduction and Herbert screw internal fixation, J. Hand Surg. 12:992 (1987).
S.F. Viegas, R.M. Patterson, G.R. Hillman, and P.D. Peterson, The simulated scaphoid proximal pole fracture: a biomechanical study, J. Hand Surg. 16A:495 (1991).
S.F. Viegas, R.M. Patterson, P.D. Peterson, M. Crossley, and R. Foster, The silastic scaphoid: a biomechanical study, J. Hand Surg. 16:91 (1991).
S.F. Viegas, R.M. Patterson, P.D. Peterson, D.J. Pogue, D.K. Jenkins, T.D. Sweo, and J.A. Hokanson, The evaluation of the biomechanical efficacy of limited intercarpal fusions for the treatment of scapho-lunate dissociation, J. Hand Surg. 15A:120 (1990).
S.F. Viegas, R.M. Patterson, P.D. Peterson, D.J. Pogue, D.K. Jenkins, T.D. Sweo, and J.A. Hokanson, Ulnar sided perilunate instability: an anatomic and biomechanic study, J. Hand Surg. 15A:268 (1990).
S.F. Viegas, R. Patterson, P. Peterson, J. Roefs, A. Tencer, and S. Choi, The effects of various load paths and different loads on the load transfer characteristics of the wrist, J. Hand Surg. 14A:458 (1989).
S.F. Viegas, D.J. Pogue, R.M. Patterson, and P.D. Peterson, The effects of radioulnar instability on the wrist: a biomechanical study, J. Hand Surg. 15:728 (1990).
S.F. Viegas, A.F. Tencer, J. Cantrell, M. Chang, P. Clegg, C. Hicks, C. O’Meara, and J.B. Williamson, Load transfer characteristics of the wrist: part I, the normal joint, J. Hand Surg. 12A:971 (1987).
S.F. Viegas, A.F. Tencer, J. Cantrell, M. Chang, P. Clegg, C. Hicks, C. O’Meara, and J.B. Williamson, Load transfer characteristics of the wrist: part II, perilunate instability, J. Hand Surg. 12A:978 (1987).
R.N. Villar, D. Marsh, N. Rushton, and R.A. Greatorex, Three years after Colles’ fracture, J. Bone Joint Surg. 69:635 (1987).
H.K. Watson, and F.L. Ballet, The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis, J. Hand Surg. 9A:358 (1984).
H.K. Watson, and L.H. Brenner, Degenerative disorders of the wrist, J. Hand Surg. 10A:1002 (1985).
H.K. Watson, and R.F. Hempton, Limited wrist arthrodesis I, the triscaphoid joint, J. Hand Surg. 5:320 (1980).
H.K. Watson, and J. Ryu, Evolution of arthritis of the wrist, Clin. Orthop. 202:57 (1986).
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Viegas, S.F., Patterson, R.M. (1994). Contact Pressures within Wrist Joints. In: Schuind, F., An, K.N., Cooney, W.P., Garcia-Elias, M. (eds) Advances in the Biomechanics of the Hand and Wrist. NATO ASI Series, vol 256. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9107-5_13
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