Study Design: Bench research.
Introduction: Although information on the range of motion (ROM) required to perform activities is important when setting ROM goals to enable patients to engage in them, there are few studies reporting the required ROM of fingers.
Purpose Of The Study: To analyze the range of joint motion required of the finger MCP joint to perform activities and to compare the maximum flexion and maximum extension angle required of the finger MCP joints in the individual fingers.
Methods: We used an electrogoniometer to measure the ROM of four finger MCP joints in the dominant hand in healthy adults (n = 20) performing 19 activities. Finger MCP joint angles were analyzed throughout each of the 19 tasks.
Results: The mean ROM of finger MCP joints of the index, middle, ring, and little fingers required to perform all 19 activities ranged from -10 to 60°, -10 to 75°, -10 to 80°, and -10 to 85°, respectively. The mean maximum flexion angle of the finger MCP joints gradually increased as the finger MCP joints were compared moving from the radial to the ulnar side.
Conclusion: The data obtained in this study on MCP joint motions that are required to perform activities may be beneficial in setting ROM goals for patients with finger MCP joint impairment.
Level Of Evidence: NA.
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http://dx.doi.org/10.1016/j.jht.2012.10.004 | DOI Listing |
Microsurgery
January 2025
Department of Orthopedic Surgery and Plastic Surgery, Emory University, Atlanta, Georgia, USA.
Background: Loss of key-pinch sensation after median nerve injury poses significant functional detriment. Nerve transfers are utilized to improve function after nerve injury and size matching of donor and recipient nerves is important to optimize success. This anthropometric study investigates the anatomy of the superficial branch of the radial nerve (SBRN) to the thumb and index finger and explores radial to median sensory nerve transfers, a necessary but not heavily discussed facet of nerve transfers for the hand.
View Article and Find Full Text PDFJ Hand Surg Glob Online
November 2024
Florida Orthopaedic Institute, Tampa, FL.
Purpose: The purpose of this study was to evaluate the biomechanical properties of SutureTape as an alternative technique for arthrodesis of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joint arthrodesis when compared with surgical steel wire.
Methods: A total of 32 fingers (index, long, ring, and small) from two matched pair cadaveric hands were used. K-wire and surgical steel wire were used for MCP and PIP joint arthrodesis of the control group (group I), whereas K-wire and SutureTape were used for the experimental group (group II).
J Neuroeng Rehabil
December 2024
The BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Pisa, Italy.
Background: In the context of post-traumatic hand rehabilitation, stiffness of the hand joints limits the range of motion (ROM), grip strength, and the possibility of performing simple grasps. Robotic rehabilitation has been widely adopted for hand treatment with neurological patients, but its application in the orthopaedic scenario remains limited. In this paper, a pilot study targeting this population is presented, where the rehabilitation is performed using a powered finger exoskeleton, namely I-Phlex.
View Article and Find Full Text PDFRheumatol Int
December 2024
Department of Radiology, University Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.
Objective: To describe agreement in detection of joint swelling as the mandatory key of the diagnostic algorithm used in rheumatoid arthritis (RA). This was done by comparing clinical examinations, ultrasonography (US), Magnetic Resonance Imaging (MRI) and patient self-evaluation of the joints in the wrist and fingers (metacarpophalangeal joints (MCP) and proximal interphalangeal joints (PIP)) in an early untreated RA cohort.
Methods: 14 patients (8 women and 6 men, mean age ± standard deviation: 54.
J Orthop Case Rep
December 2024
Department of Medicine, TATA Main Hospital, Dhanbad, Jharkhand, India.
Introduction: Metacarpophalangeal (MCP) joint dislocation and its pathoanatomy was first discussed in detail in an article written by Kaplan et al . ,in 1957. They had identified certain features of complex, that is irreducible MCP joint dislocation through closed method to differentiate from a simple MCP joint dislocation, that is MCP joint dislocation that can be reduced by closed method.
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