A three-dimensional (3D) computational model of the wrist examined the biomechanical effects of the proximal row carpectomy (PRC), a surgical treatment of certain wrist degenerative conditions but with functional consequences. Model simulations, replicating the 3D bony anatomy, soft tissue restraints, muscle loading, and applied perturbations, demonstrated quantitatively accurate responses for the decreased motions subsequent to the surgical procedure. It also yielded some knowledge of alterations in radiocarpal contact force which likely increase contact pressure as well as additional insight into the importance of the triangular fibrocartilage complex and retinacular/capsular structures for stabilizing the deficient wrist. As better understanding of the wrist joint is achieved, this model could serve as a useful clinical tool.
Application of a Three-Dimensional Computational Wrist Model to Proximal Row Carpectomy
Manuscript received August 13, 2014; final manuscript received January 13, 2015; published online March 18, 2015. Assoc. Editor: Zong-Ming Li.
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Wayne, J. S., and Mir, A. Q. (June 1, 2015). "Application of a Three-Dimensional Computational Wrist Model to Proximal Row Carpectomy." ASME. J Biomech Eng. June 2015; 137(6): 061001. https://doi.org/10.1115/1.4029902
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