Center of Rotation and Hysteresis Quantification in the Wrist Utilizing Four-Dimensional Computed Tomography

Elizabeth Norman; Sydney Robinson; Spencer Chambers; Michael Rainbow; Nina Suh; Emily Lalone

doi:10.1055/a-2498-0568

Journal of Wrist Surgery, Table of Contents

J Wrist Surg
DOI: 10.1055/a-2498-0568

Scientific Article

Center of Rotation and Hysteresis Quantification in the Wrist Utilizing Four-Dimensional Computed Tomography

Authors

Elizabeth Norman

¹Department of Biomedical Engineering, Western University, London, Ontario, Canada

²The Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada
Sydney Robinson

¹Department of Biomedical Engineering, Western University, London, Ontario, Canada

²The Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada
Spencer Chambers

³Department of Plastic and Reconstructive Surgery, St. Joseph's Hand and Upper Limb Clinic, Western University, London, Ontario, Canada
Michael Rainbow

⁴Human Mobility Research Centre, Queen's University, Kingston, Canada

⁵Department of Mechanical and Materials Engineering, Queen's University, Kingston Canada
Nina Suh

⁶Department of Surgery, Western University, London, Ontario, Canada

⁷Department of Orthopaedics, Emory University, Atlanta, Georgia
Emily Lalone

¹Department of Biomedical Engineering, Western University, London, Ontario, Canada

²The Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada

Abstract

Background Wrist injuries limit function and can lead to long-term pain and disability. Current interventions aim to decrease pain and restore healthy function; however, healthy function during dynamic motion has not been fully characterized. Four-dimensional computed tomography (4DCT) can capture dynamic bony motion providing new insight to the dynamic wrist joint.

Materials and Methods Ten young healthy participants were scanned using a 4DCT scanner and three-dimensional (3D) models were made of the radius and carpal bones. Using helical axes and local coordinate systems for the radius, rotations of each bone were measured, and center of rotation was determined. In addition, hysteresis was quantified by measuring hysteresis area, the area between the curves of the forward and reverse motion of the wrist joint.

Results The results showed that the wrist axis of rotation was located more proximal (−15.2 ± 1.3 mm distal) and dorsal (−0.8 ± 2.6 mm dorsal) in extension as compared with the flexion positions (−20.4 ± 1.6 mm distal; 3.9 ± 2.5 mm volar). In addition, no statistical differences were identified between the different directions of motion at each angle of wrist motion, with the exception of the trapezium at 30 degrees of extension. The largest hysteresis effect was noted in the trapezoid (112.8 deg²) and the smallest effect identified in the lunate (46.0 deg²).

Conclusion The results of this study may provide a better understanding of the dynamic nature of the wrist joint for identification of ligamentous injuries and replication of joint motion after surgical intervention.

Keywords

wrist - hysteresis - center of rotation - 4DCT - kinematics

Full Text

References

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