DYNAMIC ANALYSIS OF PROFUNDUS TENDON FUNCTION

被引:43
作者
GREENWALD, D [1 ]
SHUMWAY, S [1 ]
ALLEN, C [1 ]
MASS, D [1 ]
机构
[1] UNIV S FLORIDA,DEPT PLAST SURG,TAMPA,FL
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 04期
关键词
D O I
10.1016/0363-5023(94)90272-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A method for analysis of hand function is reported through evaluation and characterization of flexor digitorum profundus (FDP) tendon mechanics. A testing platform is used that allows for the dynamic evaluation of intact cadaver hand mechanics under normal and pathologic conditions using simultaneous measurements of tendon load, tendon excursion, grip strength, pinch strength, and joint angle. This study of FDP tendons in normal fresh cadaver hands demonstrates that FDP tendon excursion increases as the number and size of joints flexed increases. Extensor counterweighting 500 g, increases FDP tendon load and work but not excursion requirements, and FDP loads of up to 75 N are required for single finger grip strengths of 4 kg force. These loads do not result in permanent (plastic) deformation of either the tendon or the restraining soft tissues. Detailed descriptions of the platform and the mechanical tests performed are provided.
引用
收藏
页码:626 / 635
页数:10
相关论文
共 22 条
[1]  
Brand, Cranor, Ellis, Tendon and pulleys at the metacarpophalangeal joint of a finger, J Bone Joint Surg, 57 A, pp. 779-784, (1975)
[2]  
Brand, Beach, Thompson, Relative tension and potential excursion of muscles in the forearm and hand, The Journal of Hand Surgery, 6, pp. 209-221, (1981)
[3]  
Landsmeer, Studies in the anatomy of articulation, Acta Morph Neurol Scand, 3, pp. 287-303, (1961)
[4]  
Leijnse, Bonte, Landsmeer, Kalker, Van Der Meulen, Snidjers, Biomechanics of the finger with anatomical restrictions: the significance for the exercising musician, J Biomech, 25, pp. 1253-1264, (1992)
[5]  
An, Ueba, Chao, Cooney, Linscheid, Tendon excursion and moment arm on index finger muscles, J Biomech, 16, pp. 419-425, (1983)
[6]  
Armstrong, Chaffin, An investigation of the relationships between displacements of the finger and wrist joints and the extrinsic flexor tendons, J Biomech, 11, pp. 119-128, (1978)
[7]  
Mathiowetz, Kashman, Volland, Weber, Dowe, Rogers, Grip and pinch strength: normative data for adults, Arch Phys Med Rehabil, 66, pp. 69-74, (1985)
[8]  
Ketchum, Thompson, An experimental investigation into the forces internal to the human hand, Clinical mechanics of the hand, pp. 325-331, (1985)
[9]  
Wehbe, Hunter, Flexor tendon gliding in the hand. Part I: In vivo excursion, J Hand Surg, 10 A, pp. 570-574, (1985)
[10]  
Wehbe, Hunter, Flexor tendon gliding in the hand. Part II: Differential gliding, J Hand Surg, 10 A, pp. 575-579, (1985)