Length changes of scapholunate interosseous ligament at different wrist positions: an in vivo 3-dimension image study

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• 作者：Jing Chen ; Jun Tan ; Jin Bo Tang
• 关键词：Wrist ligament ; Full extension ; Forearm rotation ; In vivo joint biomechanics
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：37
• 期：7
• 页码：765-772
• 全文大小：1,695 KB
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• 作者单位：Jing Chen (1) (2)
  Jun Tan (1) (2)
  Jin Bo Tang (1) (2)
  
  1. Department of Hand Surgery, Hand Surgery Research Center, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong, 226001, Jiangsu, China
  2. Jiangsu Hand Surgery Center, Nantong, China
  
• 刊物主题：Imaging / Radiology; Orthopedics; Anatomy;
• 出版者：Springer Paris
• ISSN：1279-8517

文摘

Purpose The scapholunate interossous ligament (SLIL) has a critical role in maintaining the proper kinematic relationship between the scaphoid and the lunate. We hypothesize that the length of SLIL changes significantly at wrist full extension and during forearm rotation. The aim of this study was to investigate the length changes of SLIL at wrist full extension and forearm rotation in vivo. Methods Twelve volunteers were randomly divided to two groups. We obtained computed tomography scans of the wrists at different wrist positions. The three regions of the SLIL were measured and analyzed with computer modeling. Results The results showed that from the neutral to full extension of the wrist, the length of volar SLIL and volar, middle portions of the proximal SLIL increased significantly. The volar and proximal SLIL increased significantly in maximal forearm pronation. Conclusions The lengths of the volar and proximal regions of SLIL increase substantially at wrist full extension, but only slightly at maximal forearm pronation. Clinically, wrist full extension may make the SLIL ligament vulnerable to disruption.