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In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks
Background The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data. Questions/purposes We documented normal, in vivo CMC joint kinematics during...
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| Published in: | Clinical orthopaedics and related research 2014-04, Vol.472 (4), p.1114-1122 |
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| container_title | Clinical orthopaedics and related research |
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| creator | Halilaj, Eni Rainbow, Michael J. Got, Christopher Schwartz, Joel B. Moore, Douglas C. Weiss, Arnold-Peter C. Ladd, Amy L. Crisco, Joseph J. |
| description | Background
The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data.
Questions/purposes
We documented normal, in vivo CMC joint kinematics during isometric functional tasks. We hypothesized there would be motion of the CMC joint during these tasks and that this motion would differ with sex and age group. We also sought to determine whether the rotations at the CMC joint were coupled and whether the trapezium moved with respect to the third metacarpal.
Methods
Forty-six asymptomatic subjects were CT-scanned in a neutral position and during three functional tasks (key pinch, jar grasp, jar twist), in an unloaded and a loaded position. Kinematics of the first metacarpal, third metacarpal, and the trapezium were then computed.
Results
Significant motion was identified in the CMC joint during all tasks. Sex did not have an effect on CMC joint kinematics. Motion patterns differed with age group, but these differences were not systematic across the tasks. Rotation at the CMC joint was generally coupled and posture of the trapezium relative to the third metacarpal changed significantly with thumb position.
Conclusions
The healthy CMC joint is relatively stable during key pinch, jar grasp, and jar twist tasks, despite sex and age group.
Clinical Relevance
Our findings indicate that directionally coupled motion patterns in the CMC joint, which lead to a specific loading profile, are similar in men and women. These patterns, in addition to other, nonkinematic influences, especially in the female population, may contribute to the pathomechanics of the osteoarthritic joint. |
| doi_str_mv | 10.1007/s11999-013-3063-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3940759</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1504451458</sourcerecordid><originalsourceid>FETCH-LOGICAL-c536t-597a9a4f0ae85f047e622316f30cec07f63a54d640120369a417d601023d3a7a3</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EoqHwA7ggS1y4LMz4c31BQoFCoBKXgLggy3W8jcvuOti7lfLvcUipChIn2_Izr2f8EPIU4SUC6FcF0RjTAPKGg-LN_h5ZoGRtg8jZfbIAANMYht9OyKNSruqRC8kekhPGVYvS6AX5vhrp13id6Kc4hsFN0ReaOjptA11v5-GCLl3epSFMzteN6-nHFMeJvp1zHC8rkkOgq3IAcvT0bB79FNNYubUrP8pj8qBzfQlPbtZT8uXs3Xr5oTn__H61fHPeeMnV1NROnHGiAxda2YHQQTHGUXUcfPCgO8WdFBslABlwVVHUGwUIjG-4046fktfH3N18MYSND-OUXW93OQ4u721y0f59M8atvUzXlhsBWpoa8OImIKefcyiTHWLxoe_dGNJcLEoQQqKQbUWf_4NepTnXkX9TXIsWNVQKj5TPqZQcuttmEOxBnj3Ks1WePciz-1rz7O4UtxV_bFWAHYGyO3x_yHee_m_qL_NzpRo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1503748170</pqid></control><display><type>article</type><title>In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks</title><source>PubMed Central</source><creator>Halilaj, Eni ; Rainbow, Michael J. ; Got, Christopher ; Schwartz, Joel B. ; Moore, Douglas C. ; Weiss, Arnold-Peter C. ; Ladd, Amy L. ; Crisco, Joseph J.</creator><creatorcontrib>Halilaj, Eni ; Rainbow, Michael J. ; Got, Christopher ; Schwartz, Joel B. ; Moore, Douglas C. ; Weiss, Arnold-Peter C. ; Ladd, Amy L. ; Crisco, Joseph J.</creatorcontrib><description>Background
The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data.
Questions/purposes
We documented normal, in vivo CMC joint kinematics during isometric functional tasks. We hypothesized there would be motion of the CMC joint during these tasks and that this motion would differ with sex and age group. We also sought to determine whether the rotations at the CMC joint were coupled and whether the trapezium moved with respect to the third metacarpal.
Methods
Forty-six asymptomatic subjects were CT-scanned in a neutral position and during three functional tasks (key pinch, jar grasp, jar twist), in an unloaded and a loaded position. Kinematics of the first metacarpal, third metacarpal, and the trapezium were then computed.
Results
Significant motion was identified in the CMC joint during all tasks. Sex did not have an effect on CMC joint kinematics. Motion patterns differed with age group, but these differences were not systematic across the tasks. Rotation at the CMC joint was generally coupled and posture of the trapezium relative to the third metacarpal changed significantly with thumb position.
Conclusions
The healthy CMC joint is relatively stable during key pinch, jar grasp, and jar twist tasks, despite sex and age group.
Clinical Relevance
Our findings indicate that directionally coupled motion patterns in the CMC joint, which lead to a specific loading profile, are similar in men and women. These patterns, in addition to other, nonkinematic influences, especially in the female population, may contribute to the pathomechanics of the osteoarthritic joint.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1007/s11999-013-3063-y</identifier><identifier>PMID: 23681597</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Biomechanical Phenomena ; Carpometacarpal Joints - diagnostic imaging ; Carpometacarpal Joints - physiology ; Conservative Orthopedics ; Female ; Hand ; Hand Strength ; Humans ; Isometric Contraction ; Male ; Medicine ; Medicine & Public Health ; Metacarpal Bones - diagnostic imaging ; Metacarpal Bones - physiology ; Middle Aged ; Movement ; Orthopedics ; Radiographic Image Interpretation, Computer-Assisted ; Range of Motion, Articular ; Sex Factors ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Symposium: Thumb Carpometacarpal Arthritis ; Thumb - physiology ; Tomography, X-Ray Computed ; Trapezium Bone - diagnostic imaging ; Trapezium Bone - physiology ; Weight-Bearing ; Young Adult</subject><ispartof>Clinical orthopaedics and related research, 2014-04, Vol.472 (4), p.1114-1122</ispartof><rights>The Association of Bone and Joint Surgeons® 2013</rights><rights>The Association of Bone and Joint Surgeons 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-597a9a4f0ae85f047e622316f30cec07f63a54d640120369a417d601023d3a7a3</citedby><cites>FETCH-LOGICAL-c536t-597a9a4f0ae85f047e622316f30cec07f63a54d640120369a417d601023d3a7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3940759/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3940759/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23681597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Halilaj, Eni</creatorcontrib><creatorcontrib>Rainbow, Michael J.</creatorcontrib><creatorcontrib>Got, Christopher</creatorcontrib><creatorcontrib>Schwartz, Joel B.</creatorcontrib><creatorcontrib>Moore, Douglas C.</creatorcontrib><creatorcontrib>Weiss, Arnold-Peter C.</creatorcontrib><creatorcontrib>Ladd, Amy L.</creatorcontrib><creatorcontrib>Crisco, Joseph J.</creatorcontrib><title>In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><addtitle>Clin Orthop Relat Res</addtitle><description>Background
The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data.
Questions/purposes
We documented normal, in vivo CMC joint kinematics during isometric functional tasks. We hypothesized there would be motion of the CMC joint during these tasks and that this motion would differ with sex and age group. We also sought to determine whether the rotations at the CMC joint were coupled and whether the trapezium moved with respect to the third metacarpal.
Methods
Forty-six asymptomatic subjects were CT-scanned in a neutral position and during three functional tasks (key pinch, jar grasp, jar twist), in an unloaded and a loaded position. Kinematics of the first metacarpal, third metacarpal, and the trapezium were then computed.
Results
Significant motion was identified in the CMC joint during all tasks. Sex did not have an effect on CMC joint kinematics. Motion patterns differed with age group, but these differences were not systematic across the tasks. Rotation at the CMC joint was generally coupled and posture of the trapezium relative to the third metacarpal changed significantly with thumb position.
Conclusions
The healthy CMC joint is relatively stable during key pinch, jar grasp, and jar twist tasks, despite sex and age group.
Clinical Relevance
Our findings indicate that directionally coupled motion patterns in the CMC joint, which lead to a specific loading profile, are similar in men and women. These patterns, in addition to other, nonkinematic influences, especially in the female population, may contribute to the pathomechanics of the osteoarthritic joint.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biomechanical Phenomena</subject><subject>Carpometacarpal Joints - diagnostic imaging</subject><subject>Carpometacarpal Joints - physiology</subject><subject>Conservative Orthopedics</subject><subject>Female</subject><subject>Hand</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Isometric Contraction</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metacarpal Bones - diagnostic imaging</subject><subject>Metacarpal Bones - physiology</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Orthopedics</subject><subject>Radiographic Image Interpretation, Computer-Assisted</subject><subject>Range of Motion, Articular</subject><subject>Sex Factors</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Symposium: Thumb Carpometacarpal Arthritis</subject><subject>Thumb - physiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Trapezium Bone - diagnostic imaging</subject><subject>Trapezium Bone - physiology</subject><subject>Weight-Bearing</subject><subject>Young Adult</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kU1vEzEQhi0EoqHwA7ggS1y4LMz4c31BQoFCoBKXgLggy3W8jcvuOti7lfLvcUipChIn2_Izr2f8EPIU4SUC6FcF0RjTAPKGg-LN_h5ZoGRtg8jZfbIAANMYht9OyKNSruqRC8kekhPGVYvS6AX5vhrp13id6Kc4hsFN0ReaOjptA11v5-GCLl3epSFMzteN6-nHFMeJvp1zHC8rkkOgq3IAcvT0bB79FNNYubUrP8pj8qBzfQlPbtZT8uXs3Xr5oTn__H61fHPeeMnV1NROnHGiAxda2YHQQTHGUXUcfPCgO8WdFBslABlwVVHUGwUIjG-4046fktfH3N18MYSND-OUXW93OQ4u721y0f59M8atvUzXlhsBWpoa8OImIKefcyiTHWLxoe_dGNJcLEoQQqKQbUWf_4NepTnXkX9TXIsWNVQKj5TPqZQcuttmEOxBnj3Ks1WePciz-1rz7O4UtxV_bFWAHYGyO3x_yHee_m_qL_NzpRo</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Halilaj, Eni</creator><creator>Rainbow, Michael J.</creator><creator>Got, Christopher</creator><creator>Schwartz, Joel B.</creator><creator>Moore, Douglas C.</creator><creator>Weiss, Arnold-Peter C.</creator><creator>Ladd, Amy L.</creator><creator>Crisco, Joseph J.</creator><general>Springer US</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140401</creationdate><title>In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks</title><author>Halilaj, Eni ; Rainbow, Michael J. ; Got, Christopher ; Schwartz, Joel B. ; Moore, Douglas C. ; Weiss, Arnold-Peter C. ; Ladd, Amy L. ; Crisco, Joseph J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-597a9a4f0ae85f047e622316f30cec07f63a54d640120369a417d601023d3a7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biomechanical Phenomena</topic><topic>Carpometacarpal Joints - diagnostic imaging</topic><topic>Carpometacarpal Joints - physiology</topic><topic>Conservative Orthopedics</topic><topic>Female</topic><topic>Hand</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Isometric Contraction</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metacarpal Bones - diagnostic imaging</topic><topic>Metacarpal Bones - physiology</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Orthopedics</topic><topic>Radiographic Image Interpretation, Computer-Assisted</topic><topic>Range of Motion, Articular</topic><topic>Sex Factors</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Symposium: Thumb Carpometacarpal Arthritis</topic><topic>Thumb - physiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Trapezium Bone - diagnostic imaging</topic><topic>Trapezium Bone - physiology</topic><topic>Weight-Bearing</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Halilaj, Eni</creatorcontrib><creatorcontrib>Rainbow, Michael J.</creatorcontrib><creatorcontrib>Got, Christopher</creatorcontrib><creatorcontrib>Schwartz, Joel B.</creatorcontrib><creatorcontrib>Moore, Douglas C.</creatorcontrib><creatorcontrib>Weiss, Arnold-Peter C.</creatorcontrib><creatorcontrib>Ladd, Amy L.</creatorcontrib><creatorcontrib>Crisco, Joseph J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Halilaj, Eni</au><au>Rainbow, Michael J.</au><au>Got, Christopher</au><au>Schwartz, Joel B.</au><au>Moore, Douglas C.</au><au>Weiss, Arnold-Peter C.</au><au>Ladd, Amy L.</au><au>Crisco, Joseph J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks</atitle><jtitle>Clinical orthopaedics and related research</jtitle><stitle>Clin Orthop Relat Res</stitle><addtitle>Clin Orthop Relat Res</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>472</volume><issue>4</issue><spage>1114</spage><epage>1122</epage><pages>1114-1122</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background
The thumb carpometacarpal (CMC) joint is often affected by osteoarthritis—a mechanically mediated disease. Pathomechanics of the CMC joint, however, are not thoroughly understood due to a paucity of in vivo data.
Questions/purposes
We documented normal, in vivo CMC joint kinematics during isometric functional tasks. We hypothesized there would be motion of the CMC joint during these tasks and that this motion would differ with sex and age group. We also sought to determine whether the rotations at the CMC joint were coupled and whether the trapezium moved with respect to the third metacarpal.
Methods
Forty-six asymptomatic subjects were CT-scanned in a neutral position and during three functional tasks (key pinch, jar grasp, jar twist), in an unloaded and a loaded position. Kinematics of the first metacarpal, third metacarpal, and the trapezium were then computed.
Results
Significant motion was identified in the CMC joint during all tasks. Sex did not have an effect on CMC joint kinematics. Motion patterns differed with age group, but these differences were not systematic across the tasks. Rotation at the CMC joint was generally coupled and posture of the trapezium relative to the third metacarpal changed significantly with thumb position.
Conclusions
The healthy CMC joint is relatively stable during key pinch, jar grasp, and jar twist tasks, despite sex and age group.
Clinical Relevance
Our findings indicate that directionally coupled motion patterns in the CMC joint, which lead to a specific loading profile, are similar in men and women. These patterns, in addition to other, nonkinematic influences, especially in the female population, may contribute to the pathomechanics of the osteoarthritic joint.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23681597</pmid><doi>10.1007/s11999-013-3063-y</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical orthopaedics and related research, 2014-04, Vol.472 (4), p.1114-1122 |
| issn | 0009-921X 1528-1132 |
| language | eng |
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| source | PubMed Central |
| subjects | Adolescent Adult Age Factors Aged Biomechanical Phenomena Carpometacarpal Joints - diagnostic imaging Carpometacarpal Joints - physiology Conservative Orthopedics Female Hand Hand Strength Humans Isometric Contraction Male Medicine Medicine & Public Health Metacarpal Bones - diagnostic imaging Metacarpal Bones - physiology Middle Aged Movement Orthopedics Radiographic Image Interpretation, Computer-Assisted Range of Motion, Articular Sex Factors Sports Medicine Surgery Surgical Orthopedics Symposium: Thumb Carpometacarpal Arthritis Thumb - physiology Tomography, X-Ray Computed Trapezium Bone - diagnostic imaging Trapezium Bone - physiology Weight-Bearing Young Adult |
| title | In Vivo Kinematics of the Thumb Carpometacarpal Joint During Three Isometric Functional Tasks |
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