Analysis on anatomy and biomechanics of ligaments in carpometacarpal joints of the thumb and clinical significance
10.16156/j.1004-7220.2017.03.13
- VernacularTitle:拇指腕掌关节韧带的解剖力学分析及临床意义
- Author:
Jian-feng LI
1
;
Huan-bo XIAO
2
;
Hai-lei LI
1
;
Jing-da LIU
1
;
Liang ZHAO
1
;
Da-cun LI
1
Author Information
1. Department of Upper Extremity Surgery, Beijing Shunyi District Hospital, China Medical University
2. Department of Health statistics, Capital Medical University Yanjing Medical School
- Publication Type:Journal Article
- Keywords:
Thumb;
Carpometacarpal (CMC) joint;
Ligament;
Anatomy;
Biomechanics
- From:
Journal of Medical Biomechanics
2017;32(3):E284-E287
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the anatomic and biomechanical characteristics of the dorsal radial ligament and anterior oblique ligament in carpometacarpal (CPC) joints of the thumb, so as to provide references for ligament repair. Methods Forty fresh hand specimens of adult male cadavers were dissected to make specimen of trapezium bone- ligament-the first metacarpal bone, of which 20 cases retained the dorsal radial ligament and 20 cases retained the anterior oblique ligament, respectively. The ligaments were tested on the biomechanical testing machine, and their length, width, thickness, the maximum load, elastic modulus and elongation rate were measured and calculated. Results For the dorsal radial ligament and anterior oblique ligament, their maximum load was (213.5±72.4) and (168.7±35.2) N, their elastic modulus was (17.2±6.7) and (9.3±2.5) N/mm2, their elongation rate was (116.2±21.3)% and (92.7±22.4)%, respectively. The maximum load, elastic modulus and elongation of the dorsal radial ligament were larger than that of the anterior oblique ligament. Conclusions In the capsular ligament in CPC joints of the thumb, the dorsal radial ligament has a higher stiffness and stronger toughness, which plays an important role in maintaining the stability of the joint. The stiffness of the anterior oblique ligament is smaller, the toughness is poor, which is easy to be damaged. The anterior oblique ligament is suggested to be reconstructed firstly to treat arthritis of CMC joints, and material whose elastic modulus and elongation rate is similar with the dorsal radial ligament should be selected.
