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2007年国际手部与显微外科联合会腕部生物力学委员会报告:腕部所谓投镖动作的生物力学

2007 IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist.

作者信息

Moritomo Hisao, Apergis Emmanuel P, Herzberg Guillaume, Werner Frederick W, Wolfe Scott W, Garcia-Elias Marc

机构信息

Osaka University Medical School, Suita-shi, Osaka, Japan.

出版信息

J Hand Surg Am. 2007 Nov;32(9):1447-53. doi: 10.1016/j.jhsa.2007.08.014.

Abstract

The dart-throwing motion (DTM) plane can be defined as a plane in which wrist functional oblique motion occurs, specifically from radial extension to ulnar flexion. Most activities of daily living are performed using a DTM. The DTM utilizes the midcarpal joint to a great extent. Scaphotrapezio-trapezoidal anatomy and kinematics may be important factors that cause a DTM to be a more stable and controlled motion. During a DTM, there is less scaphoid and lunate motion than during pure flexion-extension or radioulnar deviation. Clinically, a DTM at the plane approximately 30 degrees to 45 degrees from the sagittal plane allows continued functional wrist motion while minimizing radiocarpal motion when needed for rehabilitation.

摘要

掷镖动作(DTM)平面可定义为腕关节功能性斜向运动发生的平面,具体是从桡侧伸展到尺侧屈曲。大多数日常生活活动都是通过DTM进行的。DTM在很大程度上利用了腕中关节。舟月三角骨关节的解剖结构和运动学可能是导致DTM成为更稳定、更可控运动的重要因素。在DTM过程中,舟骨和月骨的运动比单纯屈伸或桡尺偏斜时要少。临床上,与矢状面成约30度至45度平面的DTM可在康复需要时减少桡腕关节运动的同时,让腕关节持续进行功能性运动。

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