Document Detail

Wrist kinematics. Row, column or both?
MedLine Citation:
PMID:  7797964     Owner:  NLM     Status:  MEDLINE    
Analysis of radiographs of 52 wrists showed that, from ulnar to radial deviation, the amount of scaphoid shortening and ulnar translation of the scaphoid varies in a normal distribution. There is a significant correlation between the two measurements, such that the more the scaphoid shortens the less it translates and vice versa. Females subjects were more likely to have greater scaphoid shortening and less translation. It is felt that carpal kinematics thus cover a spectrum from the "row" theory to the "column" theory which is normally distributed and that women are more likely to have a column type wrist. This variation may affect the result of treatment of scapholunate dissociation by techniques such as scapho-lunate fusion. A "CR index" is proposed so that the tendency of a wrist towards row or column theory can be quantified. This may be used to predict the success of some surgical procedures in the treatment of scapho-lunate dissociation.
M A Craigen; J K Stanley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  20     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-08-03     Completed Date:  1995-08-03     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  165-70     Citation Subset:  IM    
Department of Upper Limb Surgery, Wrightington Hospital, Wigan, UK.
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MeSH Terms
Carpal Bones / physiopathology,  radiography*
Joint Instability / physiopathology,  radiography*
Range of Motion, Articular / physiology*
Reference Values
Wrist Joint / physiopathology,  radiography*

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