Tensions in the palmar ligaments of the wrist. I. The normal wrist. 1994

L Weaver, and A F Tencer, and T E Trumble
Department of Orthopedics, Harborview Medical Center, University of Washington, Seattle 98104.

We developed a method for measurement of the in situ tensions in the ligaments of the palmar side of the wrist in cadaver specimens. The technique is based on deflecting the ligaments transversely (i.e., perpendicular to their longitudinal axis) using an instrumented probe. Based on measurement of the load required to deflect the ligament, magnitude of the transverse deflection, and axial length of the ligament, the axial tension in the ligament can be determined without otherwise disturbing it. The tensions in 8 palmar ligaments in 10 functional positions of the wrist in each of 5 fresh cadaver specimens were assessed. The position of the wrist was monitored, but the specimen was not loaded. We concluded that (1) the palmar ligaments are in tension, even with the wrist in neutral position and unloaded; (2) the following ligaments act as passive stabilizers: in neutral the triquetrocapitate and distal part of the radioscaphocapitate, in radial deviation the radiolunate, in ulnar deviation the ulnolunate, in pronation the proximal part of the radioscaphocapitate, in supination the ulnolunate, and in extension the ulnolunate, radiolunate, and radioscaphocapitate; (3) in any position some ligaments are in a state of greater tension than others. The radiolunate, ulnolunate, radioscaphocapitate had the greatest tension; and the lunotriquetral, trapeziocapitate, and scaphocapitate had the least.

UI MeSH Term Description Entries
D008023 Ligaments, Articular Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint. Articular Ligament,Articular Ligaments,Ligament, Articular
D011884 Radius The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it. Radial Tuberosity,Radial Tuberosities,Tuberosities, Radial,Tuberosity, Radial
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D014457 Ulna The inner and longer bone of the FOREARM. Semilunar Notch,Trochlear Notch,Ulnar Coronoid Process,Ulnar Trochlear Groove,Coronoid Process, Ulnar,Semilunar Notchs,Trochlear Groove, Ulnar,Trochlear Notchs,Ulnar Coronoid Processes,Ulnar Trochlear Grooves,Ulnas
D014953 Wrist The region of the upper limb between the metacarpus and the FOREARM. Wrists
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face

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