Ligaments and muscles stabilizing the radio-ulno-carpal joint

被引:8
作者
Garcia-Elias, Marc [1 ]
Ananos, Dirck [2 ]
Esplugas, Mireia [1 ]
Hagert, Elisabet [3 ,4 ]
Heras-Palou, Carlos [5 ]
Kakar, Sanjeev [6 ]
机构
[1] Inst Kaplan, Hand & Upper Limb Surg, Passeig Reina Elisenda 17, Barcelona 08034, Spain
[2] Royal Perth Hosp, Sir Charles Gairdner Hosp, Fremantle Hand Unit, Perth, WA, Australia
[3] Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden
[4] Sophiahemmet Univ, Musculoskeletal & Sports Injury Epidemiol Ctr, Stockholm, Sweden
[5] Royal Derby Hosp, Pulvertaft Hand Ctr, Derby, England
[6] Mayo Clin, Rochester, MN USA
关键词
Radio-ulno-carpal joint; wrist biomechanics; wrist stabilization; distal radioulnar joint; triangular fibrocartilage complex;
D O I
10.1177/17531934211042316
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The technical simplicity of the Darrach procedure may explain why it has been so popular. Excising the distal ulna, however, may have potentially undesired consequences to the biomechanics in two areas: the distal radioulnar and the ulno-carpal joints. These conjointly define the radio-ulno-carpal joint (RUCJ). The RUCJ is not a small and irrelevant articulation that can be removed without possibly paying a functional penalty. It is an important link of the antebrachial frame that provides stability to the distal forearm and the carpus. This article revisits the mechanisms by which some ligaments and muscles ensure that all forces about and within the RUCJ are dealt with efficiently.
引用
收藏
页码:65 / 72
页数:8
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