FLEXOR TENDON FORCES - INVIVO MEASUREMENTS

被引:340
作者
SCHUIND, F [1 ]
GARCIAELIAS, M [1 ]
COONEY, WP [1 ]
AN, KN [1 ]
机构
[1] MAYO CLIN & MAYO FDN,DEPT ORTHOPED,ORTHOPED BIOMECH LAB,ROCHESTER,MN 55905
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 02期
关键词
D O I
10.1016/0363-5023(92)90408-H
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
S-shaped force transducers were developed for measurement of the forces along intact tendons. After calibration, the transducers were applied to the flexor pollicis longus and flexor digitorum superficialis and profundus tendons of the index finger in five patients operated on for treatment of carpal tunnel syndrome. The tendon forces generated during passive and active motion of the wrist and fingers were recorded. For pinch function, the amount of the applied load was measured with a special pinch meter. Tendon forces in the range of 0.1 to 0.6 kgf were measured during passive mobilization of the wrist. Tendon forces up to 0.9 kgf were present during passive mobilization of the fingers. Tendon forces up to 3.5 kgf were present during active unresisted finger motion. Tendon forces up to 12.0 kgf were recorded during tip pinch, with a mean applied pinch force of 3.5 kgf. These results have potential application in determining the amount of force that a tendon repair would have to resist during passive as well as active postsurgical mobilizations.
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页码:291 / 298
页数:8
相关论文
共 24 条
[1]  
An, Chao, Cooney, Linscheid, Forces in the normal and abnormal hand, J Orthop Res, 3, pp. 202-211, (1985)
[2]  
Chao, Opgrande, Axmear, Three-dimensional force anlaysis of finger joints in selected isometric hand functions, J Biomech, 9, pp. 387-396, (1976)
[3]  
Chao, An, Cooney, Linscheid, Biomechanics of the hand: a basic research study, (1989)
[4]  
Cooney, Chao, Biomechanical analysis of static forces in the thumb during hand function, J Bone Joint Surg, 59 A, pp. 27-36, (1977)
[5]  
Toft, Berme, A biomechanical analysis of the joints of the thumb, J Biomech, 13, pp. 353-360, (1980)
[6]  
Bright, Urbaniak, Direct measurements of flexor tendon tension during active and passive digit motion and its application to flexor tendon surgery, Trans Orthop Res Soc, (1976)
[7]  
Pring, Amis, Coombs, The mechanical properties of human flexor tendons in relation to artificial tendons, J Hand Surg, 10 B, pp. 331-336, (1985)
[8]  
Brand, Beach, Thompson, Relative tension and potential excursion of muscles in the forearm and hand, The Journal of Hand Surgery, 6, pp. 209-218, (1981)
[9]  
Freehafer, Peckham, Keith, Determination of muscle-tendon unit properties during tendon transfer, J Hand Surg, 4, pp. 331-339, (1979)
[10]  
Flatt, Fracture-dislocation of an index metacarpophalanageal joint and an ulnar deviating force in the flexor tendons, J Bone Joint Surg, 48 A, pp. 100-104, (1966)