Contributions of the Radiocarpal and Midcarpal Jointin Flexion-extension Motion of Wrist / 대한정형외과학회잡지

ABSTRACT

PURPOSE: Flexion and extension of the wrist occurs at the radiocarpal and midcarpal joints. This study examined the angular contribution of the radiocarpal and midcarpal joints to the total arc of motion. MATERIALS AND METHODS: Five healthy adults were selected and ten wrists were tested. Lateral X-rays were taken with the wrist in the neutral position, 30 degrees flexion, 60 degrees flexion, 90 degrees flexion, 30 degrees extension, 60 degrees extension, and 90 degrees extension. The radiocarpal and midcarpal angle were measured. The angular contribution of the radiocarpal and midcarpal angle was calculated at each phase of motion; neutral to 30 degrees, 30 degrees to 60 degrees, 60 degrees to 90 degrees. RESULTS: During wrist flexion, the angular contribution of the midcarpal joint was 65%, 72%, 71% at each phase of motion, respectively. During wrist extension, the angular contribution of midcarpal joint was 37%, 53%, 78% at each phase of motion, respectively. Therefore, during wrist extension, the main contributor of motion is changed from the radiocarpal joint in the early phase to the midcarpal joint in the late phase. CONCLUSION: It is suggested that the proximal carpal low is not moved passively by just the link system but the motion is guided by the peculiar shape of midcarpal articulation and ligaments complex at each phase. The link system is believed to act in the early phase of flexion and in late phase of extension.