Abstract
Background
Maximum stresses show critical points on an object because failure may start from the area close to maximum stress points. However, there appears no study on maximum loading points of carpal bones.
Purpose
To clarify the loading pattern of each carpal bone during wrist movements.
Methods
A finite element wrist model was designed using a three-dimensional reconstruction of computed tomographic images from the distal end of radius and ulna to the proximal third of metacarpals. Loading was performed in neutral, 45° of flexion and extension, 5° of radial and 25° of ulnar deviation, and maximum loading points were plotted.
Results
In each position except for extension, minimum loads were carried by triquetrum, while minimum loads were carried by capitatum in extension. Maximum loads were carried by trapezium in neutral and ulnar deviation and flexion but by scaphoideum in radial deviation and extension.
Conclusion
Studies on maximum loading of each bone are a new approach and may help to improve the knowledge on wrist mechanics.
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References
Beardsley CL, Heiner AD, Marsh JL et al (1999) Mechanical characterization of a bone fracture surrogate. Presented at the 23rd annual meeting of the American Society of Biomechanics. University of Pittsburgh, 21–23 Oct 1999
Bicen AC, Gokdemir H, Seber S et al (2015) Load transmission characteristics of limited carpal fusions: a two-dimensional finite element study. Eur J Orthop Surg Traumatol 25(2):305–308
Chamoret D, Roth S, Feng Z-Q et al (2013) A novel approach to modelling and simulating the contact behaviour between a human hand model and a deformable object. Comput Methods Biomech Biomed Eng 16(2):130–140
Cuenod P (1999) Osteoligamentoplasty and limited dorsal capsulodesis for chronic scapholunate dissociation. Ann Chir Memb Super 18(1):38–53
Gíslason MK, Stansfield B, Bransby-Zachary M et al (2012) Load transfer through the radiocarpal joint and the effects of partial wrist arthrodesis on carpal bone behavior: a finite element study. J Hand Surg 37E(9):871–878
Gunal I, Ozcan O, Uyulgan B et al (2005) Biomechanical analysis of load transmission characteristics of limited carpal fusions used to treat Kienböck’s disease. Acta Orthop Traumatol Turc 39(4):351–355
Horii E, Garcia-Elias M, Bishop AT et al (1990) Effect on force transmission across the carpus in procedures used to treat Kinböck’s disease. J Hand Surg 15A(3):393–400
Kim HJ, Chun HJ, Moon SH et al (2010) Analysis of biomechanical changes after removal of instrumentation in lumbar arthrodesis by finite element analysis. Med Biol Eng Comput 48(7):703–709
Ko C, Brown TD (2007) A fluid-immersed multi-body contact finite element formulation for median nerve stress in the çarpal tunnel. Comput Methods Biomech Biomed Eng 10(5):343–349
Kofman KE, Schuurman AH, Mulder MC et al (2014) The pisotriquetral joint: osteoarthritis and enthesopathy. J Hand Microsurg 6(1):18–25
Kubicek M, Florian Z (2009) Stress strain analysis of knee joint. Eng Mech 16(3):315–322
Moulton MJ, Parentis MA, Kelly MJ et al (2001) Influence of metacarpophalangeal joint position on basal joint-loading in the thumb. J Bone Jt Surg 83A(5):709–716
Palmer AK, Werner FW (1984) Biomechanics of the distal radioulnar joint. Clin Orthop 187:26–35
Scordino LE, Bernstein J, Nakashian M et al (2014) Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis. J Hand Surg 39A(9):1677–1682
Silver FH, Bradica G, Tria A (2002) Elastic energy storage in human articular cartilage: estimation of the elastic modulus for type II collagen and changes associated with osteoarthritis. Matrix Biol 21(2):129–137
Xiao Z, Wang L, Gong H, Zhu D (2012) Biomechanical evaluation of three surgical scenarios of posterior lumbar interbody fusion by finite element analysis. Biomed Eng Online 11:31
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I. Gunal–Retired. Formerly Professor at Department of Orthopedics, Dokuz Eylul University Hospital.
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Oflaz, H., Gunal, I. Maximum loading of carpal bones during movements: a finite element study. Eur J Orthop Surg Traumatol 29, 47–50 (2019). https://doi.org/10.1007/s00590-018-2287-7
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DOI: https://doi.org/10.1007/s00590-018-2287-7