Predicting Carpal Bone Kinematics Using an Expanded Digital Database of Wrist Carpal Bone Anatomy and Kinematics

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Bardiya AkhbariJ J Crisco

Abstract

The wrist can be considered a 2 degrees-of-freedom joint with all movements reflecting the combination of flexion-extension and radial-ulnar deviation. Wrist motions are accomplished by the kinematic reduction of the 42 degrees-of-freedom of the individual carpal bones. While previous studies have demonstrated the minimal motion of the scaphoid and lunate as the wrist moves along the dart-thrower's path or small relative motion between hamate-capitate-trapezoid, an understanding of the kinematics of the complete carpus across all wrist motions remains lacking. To address this, we assembled an open-source database of in vivo carpal motions and developed mathematical models of the carpal kinematics as a function of wrist motion. Quadratic surfaces were trained for each of the 42-carpal bone degrees-of-freedom and the goodness of fits were evaluated. Using the models, paths of wrist motion that generated minimal carpal rotations or translations were determined. Model predictions were best for flexion-extension, radial-ulnar deviation, and volar-dorsal translations for all carpal bones with R 2  > 0.8, while the estimates were least effective for supination-pronation with R 2  < 0.6. The wrist path of motion's analysis indicated th...Continue Reading

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Feb 8, 2019·Journal of Biomechanical Engineering·Bardiya AkhbariJoseph Crisco

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Citations

Dec 17, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Amy M MortonJoseph J Crisco
May 14, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Bardiya AkhbariJoseph J Crisco
Mar 23, 2021·Journal of Biomechanics·Brian McHughJoseph J Crisco
Apr 26, 2021·Journal of Biomechanics·Bardiya AkhbariJoseph J Crisco
Jun 11, 2021·Journal of Wrist Surgery·Bardiya AkhbariJoseph J Crisco
Aug 13, 2021·Journal of Wrist Surgery·Bardiya AkhbariJoseph J Crisco

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