The hysteresis effect in carpal kinematics.

The Journal of Hand Surgery
Sunjay BerdiaManohar Panjabi

Abstract

Carpal bones show hysteresis that is dependent on the direction of wrist motion during a continuous active loading protocol. We describe an accurate methodology for analyzing the hysteresis effect and we apply this model to analyze the effect of sequential ligament sectioning on scapholunate instability. In 8 fresh cadaver forearms scaphoid, lunate, and third metacarpal motions were recorded while each wrist was moved in continuous cycles of active motion in flexion-extension and radioulnar deviation. Motions were analyzed for the intact state and after sequential sectioning of the scapholunate interosseous, scaphotrapezium, and radioscaphocapitate ligaments. Carpal motion was curve-fitted with respect to the third metacarpal motion using optimization criteria. The area between the 2 curves that represents opposite directions of wrist motion was measured to give the total hysteresis area. Repeated-measures analysis of variance was used to determine significance. In the flexion-extension trials the scaphoid and lunate total hysteresis area was significantly greater than the intact state only after all 3 ligaments were sectioned. In the radioulnar deviation trials the scaphoid total hysteresis area was significantly greater than ...Continue Reading

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Citations

Oct 4, 2014·Medical Engineering & Physics·Ita Suzana Mat JaisShian Chao Tay
Feb 8, 2011·The Journal of Hand Surgery·Jun TanJin Bo Tang
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Nov 2, 2019·The Bone & Joint Journal·Jordy WhiteChris Jeffery
Mar 27, 2021·The Journal of Hand Surgery·Jessica FigueroaWalter H Short

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