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In-vivo kinematics of the trapeziometacarpal joint in dynamic pinch motion using four-dimensional computed tomography imaging

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Abstract

Objective

CT imaging precisely and quantitatively analyzes the kinematics of the carpal bones to evaluate the etiology of related osteoarthritis. Previous studies have investigated the kinematics of the trapeziometacarpal joint using static CT scans of various postures including the pinch position. This study analyzed the in-vivo kinematics of the trapeziometacarpal joint during dynamic pinch motion in young healthy volunteers using four-dimensional CT.

Materials and methods

Twelve healthy young volunteers participated in this study. Each participant held the pinch meter between their thumb and index finger and pinched it with maximum force for a period of 6 s. This series of movement was recorded using a four-dimensional CT. The surface data of the trapezium and first metacarpal of all frames were reconstructed, and bone movement at the trapeziometacarpal joint was calculated using sequential three-dimensional registration. The instantaneous pinch force of each frame was measured using a pointer on a pinch meter that was reconstructed from the CT data.

Results

The first metacarpal was abducted (15.9 ± 8.3°) and flexed (12.2 ± 7.1°) relative to the trapezium, and significantly translated to the volar　(0.8 ± 0.6 mm) and ulnar directions (0.9 ± 0.8 mm) with maximum pinch force. This movement consistently increased with the pinch force.

Conclusion

This study successfully employed 4D-CT to precisely demonstrate changes in rotation and translation at the trapeziometacarpal joint during pinch motion for various instantaneous forces.

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Data availability

The datasets analyzed during the current study are not publicly available due to ethical restrictions imposed by the Ethics Committee.

References

  1. Marshall M, Van der Windt D, Nicholls E, Myers H, Dziedzic K. Radiographic thumb osteoarthritis: frequency, patterns, and associations with pain and clinical assessment findings in a community-dwelling population. Rheumatology (Oxford). 2011;50(4):735–9. https://doi.org/10.1093/rheumatology/keq371.

    Article  PubMed  Google Scholar 

  2. Cooney WP 3rd, Chao EY. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am. 1977;59(1):27–36. https://doi.org/10.2106/00004623-197759010-00004.

    Article  PubMed  Google Scholar 

  3. Kawanishi Y, Oka K, Tanaka H, Okada K, Sugamoto K, Murase T. In vivo 3-dimensional kinematics of thumb carpometacarpal joint during thumb opposition. J Hand Surg Am. 2018;43(2):182.e1-182.e7. https://doi.org/10.1016/j.jhsa.2017.07.028.

    Article  PubMed  Google Scholar 

  4. Su FC, Lin CJ, Wang CK, et al. In vivo analysis of trapeziometacarpal joint arthrokinematics during multi directional thumb motions. Clin Biomech. 2014;29(9):1009–15. https://doi.org/10.1016/j.clinbiomech.2014.08.012.

    Article  Google Scholar 

  5. Crisco JJ, Halilaj E, Moore DC, Patel T, Weiss AP, Ladd AL. In vivo kinematics of the trapeziometacarpal joint during thumb extension-flexion and abduction-adduction. J Hand Surg Am. 2015;40(2):289–96. https://doi.org/10.1016/j.jhsa.2014.10.062.

    Article  PubMed  Google Scholar 

  6. Kuo LC, Lin CJ, Chen GP, et al. In vivo analysis of trapeziometacarpal joint kinematics during pinch tasks. Biomed Res Int. 2014;2014:157295. https://doi.org/10.1155/2014/157295.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Halilaj E, Rainbow MJ, Got C, et al. In vivo kinematics of the thumb carpometacarpal joint during three isometric functional tasks. Clin Orthop Relat Res. 2014;472(4):1114–22. https://doi.org/10.1007/s11999-013-3063-y.

    Article  PubMed  Google Scholar 

  8. Goto A, Leng S, Sugamoto K, Cooney WP 3rd, Kakar S, Zhao K. In vivo pilot study evaluating the thumb carpometacarpal joint during circumduction. Clin Orthop Relat Res. 2014;472(4):1106–13. https://doi.org/10.1007/s11999-013-3066-8.

    Article  PubMed  Google Scholar 

  9. de Roo MGA, Muurling M, Dobbe JGG, Brinkhorst ME, Streekstra GJ, Strackee SD. A four-dimensional-CT study of in vivo scapholunate rotation axes: possible implications for scapholunate ligament reconstruction. J Hand Surg Eur. 2019;44(5):479–87. https://doi.org/10.1177/1753193419830924.

    Article  Google Scholar 

  10. Brinkhorst M, Foumani M, Rosmalen J, et al. Quantifying in vivo scaphoid, lunate, and capitate kinematics using four-dimensional computed tomography. Skeletal Radiol. 2021;50(2):351–9. https://doi.org/10.1007/s00256-020-03543-4.

    Article  PubMed  Google Scholar 

  11. Rauch A, Arab WA, Dap F, Dautel G, Blum A, Gondim Teixeira PA. Four-dimensional CT analysis of wrist kinematics during radioulnar deviation. Radiology. 2018;289(3):750–8. https://doi.org/10.1148/radiol.2018180640.

    Article  PubMed  Google Scholar 

  12. Matsumura N, Oki S, Fukasawa N, et al. Glenohumeral translation during active external rotation with the shoulder abducted in cases with glenohumeral instability: a 4-dimensional computed tomography analysis. J Shoulder Elbow Surg. 2019;28(10):1903–10. https://doi.org/10.1016/j.jse.2019.03.008.

    Article  PubMed  Google Scholar 

  13. Oki S, Kaneda K, Yamada Y, et al. Four-dimensional CT analysis using sequential 3D-3D registration. J Vis Exp. 2019;(153). https://doi.org/10.3791/59857.

  14. Wijesooriya K, Weiss E, Dill V, et al. Quantifying the accuracy of automated structure segmentation in 4D CT images using a deformable image registration algorithm. Med Phys. 2008;35(4):1251–60. https://doi.org/10.1118/1.2839120.

    Article  Google Scholar 

  15. Biswas D, Bible JE, Bohan M, et al. Radiation exposure from musculoskeletal computerized tomographic scans. J Bone Joint Surg Am. 2009;91(8):1882–9. https://doi.org/10.2106/JBJS.H.01199.

    Article  PubMed  Google Scholar 

  16. Cooney WP 3rd, Lucca MJ, Chao EY, Linscheid RL. The kinesiology of the thumb trapeziometacarpal joint. J Bone Joint Surg Am. 1981;63(9):1371–81. https://doi.org/10.2106/00004623-198163090-00002.

    Article  PubMed  Google Scholar 

  17. Wu G, Van der Helm FC, Veeger HE, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion–Part II: shoulder, elbow, wrist and hand. J Biomech. 2005;38(5):981–92. https://doi.org/10.1016/j.jbiomech.2004.05.042.

    Article  CAS  PubMed  Google Scholar 

  18. Cheze L, Dumas R, Comtet JJ, Rumelhart C, Fayet M. A joint coordinate system proposal for the study of the trapeziometacarpal joint kinematics. Comput Methods Biomech Biomed Engin. 2009;12(3):277–82. https://doi.org/10.1080/10255840802459404.

    Article  CAS  PubMed  Google Scholar 

  19. Akoglu H. User’s guide to correlation coefficients. Turk J Emerg Med. 2018;18(3):91–3. https://doi.org/10.1016/j.tjem.2018.08.001.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Cerveri P, De Momi E, Marchente M, et al. Method for the estimation of a double hinge kinematic model for the trapeziometacarpal joint using MR imaging. Comput Methods Biomech Biomed Engin. 2010;13(3):387–96. https://doi.org/10.1080/10255840903260818.

    Article  CAS  PubMed  Google Scholar 

  21. Tang J, Zhang X, Li ZM. Operational and maximal workspace of the thumb. Ergonomics. 2008;51(7):1109–18. https://doi.org/10.1080/00140130801958667.

    Article  PubMed  Google Scholar 

  22. Imaeda T, Niebur G, Cooney WP 3rd, Linscheid RL, An KN. Kinematics of the normal trapeziometacarpal joint. J Orthop Res. 1994;12(2):197–204. https://doi.org/10.1002/jor.1100120208.

    Article  CAS  PubMed  Google Scholar 

  23. Hollister A, Buford WL, Myers LM, Giurintano DJ, Novick A. The axes of rotation of the thumb carpometacarpal joint. J Orthop Res. 1992;10(3):454–60. https://doi.org/10.1002/jor.1100100319.

    Article  CAS  PubMed  Google Scholar 

  24. Moulton MJ, Parentis MA, Kelly MJ, Naidu SH, Pellegrini VD Jr. Influence of metacarpophalangeal joint position on basal joint-loading in the thumb. J Bone Joint Surg Am. 2001;83(5):709–16. https://doi.org/10.2106/00004623-200105000-00009.

    Article  CAS  PubMed  Google Scholar 

  25. Edmunds JO. Current concepts of the anatomy of the thumb trapeziometacarpal joint. J Hand Surg Am. 2011;36(1):170–82. https://doi.org/10.1016/j.jhsa.2010.10.029.

    Article  PubMed  Google Scholar 

  26. Wang KK, Zhang X, McCombe D, Ackland DC, Ek ET, Tham SK. Quantitative analysis of in-vivo thumb carpometacarpal joint kinematics using four-dimensional computed tomography. J Hand Surg Eur. 2018;43(10):1088–97. https://doi.org/10.1177/1753193418789828.

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank Taku Suzuki, MD, PhD, and Noboru Matsumura, MD, PhD, from the Department of Orthopedic Surgery, School of Medicine, Keio University, for their clinical advice. The authors would also like to thank the radiology technicians at Keio University Hospital for 4DCT scanning.

Funding

This research did not receive any specific grants from funding agencies in the public, commercial, or nonprofit sectors.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Keio University School of Medicine, Shinanomachi 35, Shinjuku-Ku, Tokyo, 160-8582, Japan

    Naoto Inaba, Satoshi Oki, Takeo Nagura, Takuji Iwamoto & Masaya Nakamura

  2. Institute for Integrated Sports Medicine, Keio University School of Medicine, Shinanomachi 35, Shinjuku-Ku, Tokyo, 160-8582, Japan

    Kazuki Sato

  3. Department of Diagnostic Radiology, Keio University School of Medicine, Shinanomachi 35, Shinjuku-Ku, Tokyo, 160-8582, Japan

    Masahiro Jinzaki

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  1. Naoto Inaba
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Correspondence to Satoshi Oki.

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Inaba, N., Oki, S., Nagura, T. et al. In-vivo kinematics of the trapeziometacarpal joint in dynamic pinch motion using four-dimensional computed tomography imaging. Skeletal Radiol 53, 129–140 (2024). https://doi.org/10.1007/s00256-023-04387-4

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