Document Detail

Normal range-of-motion of trapeziometacarpal joint.
MedLine Citation:
PMID:  19762264     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The range-of-motion of the trapeziometacarpal joint is difficult to assess clinically. The purpose of our study was to constitute a range-of-motion database from normal active trapeziometacarpal joints. MATERIAL AND METHODS: Two hundred hands from 101 healthy subjects (50 female and 51 male) with a mean age of 23.1 years (range: 22 to 35 years) have been evaluated. An optoelectronic device (Polaris) was used to analyse the thumbs range-of-motion. Splints were fitted so as to isolate the trapeziometacarpal joint and retroreflective markers were placed both on the splints and on the thumb. After active flexion-extension, abduction-adduction, axial rotation and circumduction, the different range-of-motion parameters were calculated. RESULTS: The mean range-of-motion of the trapeziometacarpal joint was 41 degrees for flexion-extension, 51 degrees for abduction-adduction and 21 degrees for axial rotation. Comparisons between female and male subjects showed significant differences concerning flexion-extension, abduction-adduction axial rotation and circumduction. No significant differences were noted between right and left hands except for the abduction-adduction movement. DISCUSSION AND CONCLUSION: One hundred and one healthy subjects were analysed for the development of a database of normal active range-of-motion parameters of the trapeziometacarpal joint, with an in vivo protocol. This database should allow comparing the range-of-motion of patients with osteoarthritic trapeziometacarpal joint and assessing surgical outcome.
J-N Goubier; L Devun; D Mitton; F Lavaste; E Papadogeorgou
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Publication Detail:
Type:  Journal Article; Validation Studies     Date:  2009-08-13
Journal Detail:
Title:  Chirurgie de la main     Volume:  28     ISSN:  1769-6666     ISO Abbreviation:  Chir Main     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2010-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100937750     Medline TA:  Chir Main     Country:  France    
Other Details:
Languages:  eng     Pagination:  297-300     Citation Subset:  IM    
Laboratoire de biom?canique, Ecole nationale des arts et m?tiers (Ensam), 151, boulevard de l'H?pital, 75013 Paris, France.
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MeSH Terms
Carpometacarpal Joints / physiology*
Range of Motion, Articular*
Reference Values
Trapezium Bone
Young Adult

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