Ono Tomoki, Iwamoto Koji, Monma Masahiko, Takahashi Makoto, Tomita Kazuhide
Graduate School of Health Science, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Inashiki-gun, Ibaraki 300-0394, Japan.
Mejiro Orthopedics and Internal Medicine Clinic, Japan.
J Phys Ther Sci. 2024 Nov;36(11):739-744. doi: 10.1589/jpts.36.739. Epub 2024 Nov 1.
[Purpose] Changes in forearm interosseous membrane dynamics during forearm rotation relative to the shoulder joint position remain poorly understood. The purpose of this study was to clarify interosseous membrane dynamics during forearm rotation in shoulder abduction and external rotation positions. [Participants and Methods] We conducted open magnetic resonance imaging on 17 healthy forearms in the prone position. Three limb positions were set for measuring the forearm rotation angle: intermediate, maximum pronation, and maximum supination. Images were obtained with the shoulder joint abducted at 90°and externally rotated at 90°. The forearm interosseous membrane angle was measured at three points: the apex of the forearm interosseous membrane, the radius, and the ulna. The measurement of the interosseous angle was repeated thrice. [Results] Sufficient intra-rater reliability was confirmed for the forearm interosseous membrane angle measurement. The interosseous membrane of the forearm showed a mean dorsal convex shape during forearm pronation (141.7° ± 0.83°), and the mean palmar convex shape during forearm supination (-141.6° ± 0.64°). [Conclusion] This study provides useful information for future research by quantifying the dynamics of the interosseous membrane of the forearm, which is an important soft tissue for forearm rotation. The establishment of a quantitative evaluation method for forearm interosseous morphological changes will help further elucidate forearm rotation movements during sports activities.
[目的] 相对于肩关节位置,在前臂旋转过程中前臂骨间膜动力学的变化仍知之甚少。本研究的目的是阐明在肩关节外展和外旋位时前臂旋转过程中的骨间膜动力学。[参与者与方法] 我们对17例处于俯卧位的健康前臂进行了开放式磁共振成像。设置了三个肢体位置来测量前臂旋转角度:中间位、最大旋前位和最大旋后位。在肩关节外展90°且外旋90°时获取图像。在前臂骨间膜的三个点测量前臂骨间膜角度:前臂骨间膜顶点、桡骨和尺骨。骨间膜角度测量重复三次。[结果] 证实了前臂骨间膜角度测量具有足够的评分者内信度。前臂骨间膜在旋前时呈现平均背侧凸形(141.7°±0.83°),在旋后时呈现平均掌侧凸形(-141.6°±0.64°)。[结论] 本研究通过量化前臂骨间膜的动力学为未来研究提供了有用信息,前臂骨间膜是前臂旋转的重要软组织。建立前臂骨间膜形态变化的定量评估方法将有助于进一步阐明体育活动中的前臂旋转运动。