Alterations to wrist tendon forces following flexor carpi radialis or ulnaris sacrifice: a cadaveric simulator study
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Published version
Author(s)
Shah, Darshan
Middleton, Claire
Gurdezi, Sabahat
Horwitz, Maxim
Kedgley, AE
Type
Journal Article
Abstract
Tenotomies, tendon transfers or nerve injuries can result in partial or complete loss of the flexor carpi radialis (FCR) or flexor carpi ulnaris (FCU) function. The aim of this study was to observe alterations in the distribution of muscle forces at the wrist due to the absence of each of these flexors. Cyclic planar and complex wrist motions were actively simulated in cadaveric specimens by applying tensile loads to six muscle tendons using a validated physiological wrist simulator. The absence of FCR or FCU resulted in higher forces in synergists, coupled with lower forces in antagonists, and an overall decrease in the total force of all tendons. Thus, alterations in wrist tendon forces following reconstructive procedures utilising a tendon may have clinical implications, such as muscle fatigue or reduced strength.
Date Issued
2018-10-01
Date Acceptance
2018-05-20
Citation
Journal of Hand Surgery (European Volume), 2018, 43 (8), pp.886-888
ISSN
0266-7681
Publisher
SAGE Publications
Start Page
886
End Page
888
Journal / Book Title
Journal of Hand Surgery (European Volume)
Volume
43
Issue
8
Copyright Statement
© The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Sponsor
Arthritis Research UK
The Royal Society
Identifier
https://journals.sagepub.com/doi/10.1177/1753193418783176
Grant Number
20556
RG130400
Subjects
flexor carpi radialis
flexor carpi ulnaris
tenotomy
wrist simulator
muscle forces
Publication Status
Published
Date Publish Online
2018-06-27