“…29,40 The difference between the preoperative computer simulation and the postoperative result was calculated with 6 of freedom based on the local coordinate system by the Euler angle method. 20,21,33 The intraobserver and interobserver reliabilities of this evaluation technique were demonstrated to be very high, at 0.90 to 0.98 and 0.92 to 0.96, respectively, in the previous study. 33…”
Section: Accuracy Evaluationmentioning
confidence: 65%
“…We measured the humerus-elbow-wrist angle, which is defined by the longitudinal axis of the humerus and a line passing through the proximal and distal midpoints of the radius and ulna on anteroposterior radiographs. 31,33,34 We also measured the tilting angle, which is defined as the anterior tilt of the articular condyles with respect to the long axis of the humerus on the lateral radiographs. 33,34 For clinical evaluation, we measured the range of elbow flexion-extension by a goniometer, with the forearm in neutral position.…”
Section: Surgical Methodsmentioning
confidence: 99%
“…18,27,33 Slice thickness was 1.25 mm. We created 3D bone surface models of the bilateral humerus, radius, and ulna from digital data and evaluated the deformity and simulated preoperative planning with commercially available software (Bone Viewer and Bone Simulator; Orthree Co, Ltd, Osaka-City, Japan).…”
Section: Image Acquisition and Preoperative Simulationmentioning
confidence: 99%
“…33 Moderate to severe deformities lead to unsightly appearance, limited range of elbow flexion, joint instability, and tardy nerve palsy. 1,11,16,17,24,25 To solve these problems, several methods of corrective osteotomy have been performed.…”
“…29,40 The difference between the preoperative computer simulation and the postoperative result was calculated with 6 of freedom based on the local coordinate system by the Euler angle method. 20,21,33 The intraobserver and interobserver reliabilities of this evaluation technique were demonstrated to be very high, at 0.90 to 0.98 and 0.92 to 0.96, respectively, in the previous study. 33…”
Section: Accuracy Evaluationmentioning
confidence: 65%
“…We measured the humerus-elbow-wrist angle, which is defined by the longitudinal axis of the humerus and a line passing through the proximal and distal midpoints of the radius and ulna on anteroposterior radiographs. 31,33,34 We also measured the tilting angle, which is defined as the anterior tilt of the articular condyles with respect to the long axis of the humerus on the lateral radiographs. 33,34 For clinical evaluation, we measured the range of elbow flexion-extension by a goniometer, with the forearm in neutral position.…”
Section: Surgical Methodsmentioning
confidence: 99%
“…18,27,33 Slice thickness was 1.25 mm. We created 3D bone surface models of the bilateral humerus, radius, and ulna from digital data and evaluated the deformity and simulated preoperative planning with commercially available software (Bone Viewer and Bone Simulator; Orthree Co, Ltd, Osaka-City, Japan).…”
Section: Image Acquisition and Preoperative Simulationmentioning
confidence: 99%
“…33 Moderate to severe deformities lead to unsightly appearance, limited range of elbow flexion, joint instability, and tardy nerve palsy. 1,11,16,17,24,25 To solve these problems, several methods of corrective osteotomy have been performed.…”
“…2B-C). Osseous deformity also could be determined in 3D using this technique [1,23,35]. The six paths were modeled on the affected side according to the method described by Marai et al [19]; the method used to calculate the shortest ligaments takes into account that the ligament does not form a straight line from origin to insertion, but detours around bony protrusions (Fig.…”
Background Forearm kinematics and interosseous membrane function in chronic radial head dislocations sustained in childhood are unknown. Several procedures have been performed to reduce the radial head on the basis of static preoperative assessment in only one forearm position, but clinical results are not always favorable. Questions/purposes We investigated the in vivo threedimensional (3D) kinematics and length changes of interosseous membrane ligaments during forearm rotation in chronic radial head dislocations using 3D CT registration techniques. Methods We examined 10 patients with chronic radial head dislocations (seven Type 1 and three Type 4 Monteggia lesions). To quantify kinematics, the axis of rotation (AOR) and radial head motion were investigated using computer bone models constructed from CT data placing the forearm in three positions. We also created six interosseous membrane ligaments and calculated their 3D lengths during forearm rotation.
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