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BibTeX
Forearm rotation alters interosseous ligament strain distribution
The Journal of hand surgery (American ed.), 2000-11, Vol.25 (6), p.1058-1063
Manson, Theodore T.
Pfaeffle, H.James
Herdon, James H.
Tomaino, Matthew M.
Fischer, Kenneth J.
2000
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Manson, Theodore T.
Pfaeffle, H.James
Herdon, James H.
Tomaino, Matthew M.
Fischer, Kenneth J.
Titel
Forearm rotation alters interosseous ligament strain distribution
Ist Teil von
The Journal of hand surgery (American ed.), 2000-11, Vol.25 (6), p.1058-1063
Ort / Verlag
New york, NY: Elsevier Inc
Erscheinungsjahr
2000
Quelle
MEDLINE
Beschreibungen/Notizen
Recent interest in reconstruction of the interosseous ligament (IOL) of the forearm has led to questions concerning optimal placement of the reconstructive graft as well as the ideal rotational position of the forearm during graft tensioning. We therefore studied the strain distribution in the IOL to determine which fibers are strained in different positions of forearm rotation. Five cadaveric human forearms were subjected to compressive axial load (simulating power grip) and the strain values across the entire IOL were measured with the forearm in neutral, supination, and pronation. The strain distribution in the IOL changed with forearm rotation. The highest overall strain was found in neutral. In neutral and pronation, higher strain was observed in the proximal region of the IOL. In supination, however, higher average strain was seen in the distal region of the IOL. These results suggest that a reconstructive graft placed in the proximal region of the IOL and tensioned in neutral rotation would provide balanced constraint in different positions of forearm rotation. A graft placed in the distal region and tensioned in forearm neutral, however, may limit forearm rotation. (J Hand Surg 2000;25A:1058-1063. Copyright © 2000 by the American Society for Surgery of the Hand.)
Sprache
Englisch
Identifikatoren
ISSN: 0363-5023
eISSN: 1531-6564
DOI: 10.1053/jhsu.2000.17869
Titel-ID: cdi_proquest_miscellaneous_72487225
Format
–
Schlagworte
Adolescent
,
Adult
,
Aged
,
Biological and medical sciences
,
Cadaver
,
distal radioulnar joint
,
Forearm - diagnostic imaging
,
Forearm - physiology
,
Forearm - surgery
,
Humans
,
In Vitro Techniques
,
interosseous ligament
,
Interosseous membrane
,
Investigative techniques, diagnostic techniques (general aspects)
,
ligament reconstruction
,
Ligaments - diagnostic imaging
,
Ligaments - physiology
,
Ligaments - surgery
,
Medical sciences
,
Middle Aged
,
Osteoarticular system. Muscles
,
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
,
radial head fracture
,
Rotation
,
Stress, Mechanical
,
Tomography, X-Ray Computed
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