Individual Carpal Bone Motion

  • M. Garcia-Elias
  • E. Horii
  • R. A. Berger


Wrist motion is the result of an interaction and accumulation of carpal kinematics occurring at the different levels of this complex and composite joint (Kapandji 1987; Kauer 1974; Lange, et al., 1985; Lange 1987; Linscheid 1986; Ruby, et al., 1988; Talesnik 1985). Understanding the individual carpal bone kinematics is of value not only from a basic perspective, but also from a clinical point of view, for many problems arising in the wrist are in fact the result of an alteration of the intracarpal motion (Berger, et al., 1982; Garcia-Elias, et al., 1989; Horii, et al., 1991; Ruby, et al., 1987; Smith, et al., 1989a.; Smith, et al., 1989b.). Its knowledge, therefore, is essential for a proper diagnosis and surgical treatment. Understanding carpal kinematics is also important to evaluate functional performance of the wrist under normal and pathological conditions, not to mention for the design of prosthetic devices (Chao and An, 1982; Youm, et al., 1978; Youm 1979).


Carpal Bone Flexor Carpus Radialis Screw Axis Ulnar Deviation Radial Deviation 
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  1. Andrews JG, Youm Y: A biomechanical investigation of wrist kinematics. J Biomechanics 1979;12:83–93.CrossRefGoogle Scholar
  2. Arkless R: Cineradiography in normal and abnormal wrists. Am J Roentgenology 1966;96:837–844.Google Scholar
  3. Berger RA, Crowninshield RD, Flatt AE: The three-dimensional rotational behaviors of the carpal bones. Clin Orthop 1982;167:303–310.Google Scholar
  4. Bryce TC: On certain points in the anatomy and mechanism of the wrist joint reviewed in the light of a series of roentgen ray photographs of the living hand. J Anat Physiol 1896;31:59–79.Google Scholar
  5. Chao EYS, An KN: Perspectives in measurements and modeling of musculoskeletal joint dynamics. In Huiskes R, Van Campen D, Wijn J (eds.): Biomechanics: Principles and Applications. The Hague, Martinus Nijhoff Publishers, 1982:ppl-18Google Scholar
  6. Chao EYS, Morrey BF: Three-dimensional rotation of the elbow. J Biomechanics 1978;11:57–73.CrossRefGoogle Scholar
  7. Cyriax EF: On the rotatory movements of the wrist. J Anat 1926;60:199–201.Google Scholar
  8. Erdman AG, Mayfield JK, Dorman F, Wallrich M, Dahlof W: Kinematic and kinetic analysis of the human wrist by stereoscopic instrumentation. J Biomechanical Engineering 1979;101:124–133.CrossRefGoogle Scholar
  9. Garcia-Elias M, Cooney WP, An KN, Linscheid RL, Chao EYS: Wrist kinematics after limited intercarpal arthrodesis. J Hand Surg 1989;14A:791–799.Google Scholar
  10. Horii E, Garcia-Elias M, An KN, Linscheid RL, Bishop AT, Cooney WP, Chao EYS:A Kinematic Study of Lunotriquetral dissociations. J Hand Surg 1991;16(2): 355–362.CrossRefGoogle Scholar
  11. Johnston HM: Varying positions of the carpal bones in the different movements at the wrist. Part I: J Anat Physiol 1907;41:109–122. Part II: Anat Physiol 1907;41:280–292Google Scholar
  12. Kapandji A: Biomêcanique du carpe et du poignet. Ann Chir Main 1987;6:147–169.CrossRefGoogle Scholar
  13. Kauer JMG: The interdependence of carpal articulation chains. Acta Anat 1974;88:481–501.CrossRefGoogle Scholar
  14. Lange A de: A kinematic study of the human wrist joint. Doctoral thesis. Nijmegen, Netherlands, 1987.Google Scholar
  15. Lange A de, Kauer JMG, Huiskes R: Kinematic behavior of the human wrist joint: a roentgen-stereophotogrammetric analysis. J Orthop Res 1985;3:56–64.CrossRefGoogle Scholar
  16. Linscheid RL: Kinematic Considerations of the Wrist. Clin Orthop 1986;202:27–39.Google Scholar
  17. Logan SE, Vannier MW, Bresina SJ, Weeks PM: Kinematic analysis of human wrist motion using a six-degree-of-freedom digitizer and computer-assisted design system. Surg Forum Amer Coll Surgeons 1985;36:568–571.Google Scholar
  18. Ruby LK, Cooney WP, An KN, Linscheid RL, Chao EYS: Relative motion of selected carpal bones: A kinematic analysis of the normal wrist. J Hand Surg 1988;13A:1–10.Google Scholar
  19. Ruby LK, An KN, Linscheid RL, Cooney WP, Chao EYS: The effect of scapholunate ligament section on scapholunate motion. J Hand Surg 1987;12A(2 Pt 1):767–771.Google Scholar
  20. Smith DK, Cooney WP, An KN, Linscheid RL, Chao, EYS: The effects of simulated unstable scaphoid fractures on carpal motion. J Hand Surg 1989a.;14A:283–291.Google Scholar
  21. Smith DK, An KN, Cooney WP, Linscheid RL, Chao EYS: Effects of a scaphoid waist osteotomy on carpal kinematics. J Orthop Res 1989b.;7:590–598.CrossRefGoogle Scholar
  22. Talesnik J: Carpal kinematics. In Taleisnik J, The Wrist. New York, Churchill Livingstone, 1985, pp39–49Google Scholar
  23. Von Bonin G: A note on the kinematics of the wrist joint. J Anat 1919;63:259–262.Google Scholar
  24. Weber ER: Concepts governing the rotational shift of the intercalated segment of the carpus. Orthop Clin N Amer 1984;15:193–207.Google Scholar
  25. Wright RD: A detailed study of movement of the wrist joint. J Anat 1935;70:137–142.Google Scholar
  26. Youm Y, Yoon YS: Analytical development in investigation of wrist kinematics. J Biomech 1979;12:613–621CrossRefGoogle Scholar
  27. Youm Y, McMurtry RY, Flatt AE, Gillespie TE: Kinematics of the wrist. I – An experimental study of radial/ulnar deviation and flexion/extension. J Bone Joint Surg 1978;60A:423–431Google Scholar

Copyright information

© Springer-Verlag New York, Inc. 1991

Authors and Affiliations

  • M. Garcia-Elias
  • E. Horii
  • R. A. Berger

There are no affiliations available

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