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使用小型运动传感器测量拇指旋前和掌侧外展角度:与卡潘迪评分的比较。

Measurement of thumb pronation and palmar abduction angles with a small motion sensor: a comparison with Kapandji scores.

作者信息

Kuroiwa Tomoyuki, Nimura Akimoto, Suzuki Shiro, Sasaki Toru, Okawa Atsushi, Fujita Koji

机构信息

1 Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

2 Department of Functional Joint Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Hand Surg Eur Vol. 2019 Sep;44(7):728-733. doi: 10.1177/1753193419843837. Epub 2019 Apr 29.

DOI:10.1177/1753193419843837
PMID:31033377
Abstract

The Kapandji score is used widely to record thumb opposition and is the only alternative to angular measurements. We aimed to verify the extent to which the Kapandji score reflects the angle of pronation. We recruited volunteers with unaffected upper limbs (33 hands) and patients with carpal tunnel syndrome (20 hands). We attached a small gyroscope to the thumb metacarpal and measured the pronation and palmar abduction angles at each position of the Kapandji score in both groups. The Kapandji score showed a strong ceiling effect, and the increase in angle size at each Kapandji score levelled off around a score of 6 in both groups. A Kapandji score greater than 6 does not necessarily reflect thumb opposition. III.

摘要

卡潘迪评分被广泛用于记录拇指对掌功能,并且是角度测量的唯一替代方法。我们旨在验证卡潘迪评分在多大程度上反映旋前角度。我们招募了上肢未受影响的志愿者(33只手)和腕管综合征患者(20只手)。我们在两组的卡潘迪评分的每个位置,将一个小型陀螺仪附着于拇指掌骨,并测量旋前和掌侧外展角度。卡潘迪评分显示出很强的天花板效应,两组中在每个卡潘迪评分时角度大小的增加在评分约为6时趋于平稳。卡潘迪评分大于6并不一定反映拇指对掌功能。 三、

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