Comparative in vivo kinematic analysis of normal and osteoarthritic trapeziometacarpal joints

Miura, Toshiki; Ohe, Takashi; Masuko, Tatsuya

doi:10.1016/j.jhsa.2003.11.002

Cited by 45 publications

(39 citation statements)

References 9 publications

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“…However, this study advances our understanding of CMC kinematics by demonstrating that coupling of the primary motions with internal-external rotations and translation along the screw axes are continuous functions of the direction of motion. This is in contrast to other studies that have reported minimal or no coupled motions, perhaps because those studies were focused on the primary motions [1,4,[6][7][8]23,[26][27][28], or because the kinematic data were acquired using surface marker-based motion capture systems where skin motion artifact can be large enough to mask the more modest coupled motions. Coupling with internal-external rotations is evident by the nonzero value of ele, in which positive values of ele indicate coupling with internal rotations and negative values of ele indicate coupling with external rotation.…”

Section: Discussionmentioning

confidence: 76%

“…Subsequently, in a review of thumb CMC instability and dislocation, Edmunds proposed that the soft tissues surrounding the CMC joint generate a stabilizing screw-home motion at the end of thumb opposition, indicating a coupling between flexion and internal rotation [2,3]. Previous experimental studies, however, have not reported translational or a rotational coupling motions of the thumb CMC joint consistent with such a screw-home mechanism [1,[4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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The Envelope of Physiological Motion of the First Carpometacarpal Joint

Crisco

Patel

Halilaj

et al. 2015

Journal of Biomechanical Engineering

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Much of the hand's functional capacity is due to the versatility of the motions at the thumb carpometacarpal (CMC) joint, which are presently incompletely defined. The aim of this study was to develop a mathematical model to completely describe the envelope of physiological motion of the thumb CMC joint and then to examine if there were differences in the kinematic envelope between women and men. In vivo kinematics of the first metacarpal with respect to the trapezium were computed from computed tomography (CT) volume images of 44 subjects (20M, 24F, 40.3 6 17.7 yr) with no signs of CMC joint pathology. Kinematics of the first metacarpal were described with respect to the trapezium using helical axis of motion (HAM) variables and then modeled with discrete Fourier analysis. Each HAM variable was fit in a cyclic domain as a function of screw axis orientation in the trapezial articular plane; the RMSE of the fits was 14.5 deg, 1.4 mm, and 0.8 mm for the elevation, location, and translation, respectively. After normalizing for the larger bone size in men, no differences in the kinematic variables between sexes could be identified. Analysis of the kinematic data also revealed notable coupling of the primary rotations of the thumb with translation and internal and external rotations. This study advances our basic understanding of thumb CMC joint function and provides a complete description of the CMC joint for incorporation into future models of hand function. From a clinical perspective, our findings provide a basis for evaluating CMC pathology, especially the mechanically mediated aspects of osteoarthritis (OA), and should be used to inform artificial joint design, where accurate replication of kinematics is essential for long-term success.

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Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

The Envelope of Physiological Motion of the First Carpometacarpal Joint

Crisco

Patel

Halilaj

et al. 2015

Journal of Biomechanical Engineering

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“…Electrogoniometric studies with a gimbal coordinate system provide estimates on elbow [76] and wrist [19,84,94] ROM for functional activities. The functional CMC joint range is harder to assess even with constraining experiments [43,55,74], given the discrete but exacting motion of this joint and the functional restriction splints might impart [87].…”

Section: Thumb Motion Relative To the Upper Limbmentioning

confidence: 99%

The 2014 ABJS Nicolas Andry Award: The Puzzle of the Thumb: Mobility, Stability, and Demands in Opposition

Ladd

Crisco

Hagert

et al. 2014

Clin Orthop Relat Res

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“…Uchiyama et al (2000) reported 1 mm movement of the PIP center-ofrotation during F3 flexion. Somewhat related, Miura et al (2004) reported in vivo translations of 2 mm for the center-ofrotation of the trapeziometacarpal joint. Previous optical motion capture studies used a single tracking marker on the dorsal aspect of the finger joints, allowing calculation of one and two DOF joint angles.…”

Section: Introductionmentioning

confidence: 89%