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OALib Journal期刊
ISSN: 2333-9721
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-  2018 

Three

DOI: 10.1177/1753193417744420

Keywords: Lunate morphology,three-dimensional kinematics,wrist,carpal bones,lunotriquetral ligament,hamate arthrosis

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Abstract:

The purpose of this study was to investigate the differences in three-dimensional carpal kinematics between type 1 and 2 lunates. We studied 15 instances of wrist flexion to extension (nine type 1, six type 2), 13 of radial to ulnar deviation (seven type 1, six type 2), and 12 of dart-throwing motion (six each of type 1 and 2) in 25 normal participants based on imaging with computerized tomography. Mean proximal translation of the distal articular midpoint of the triquetrum relative to type 2 lunates during wrist radioulnar deviation was 2.9?mm (standard deviation (SD) 0.7), which was significantly greater than for type 1 lunates, 1.6?mm (SD 0.6). The hamate contacted the lunate in ulnar deviation and ulnar flexion of wrists with type 2 lunates but not with type 1. We conclude that the four-corner kinematics of the wrist joint are different between type 1 and 2 lunates

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