
pmid: 19762264
The range-of-motion of the trapeziometacarpal joint is difficult to assess clinically. The purpose of our study was to constitute a range-of-motion database from normal active trapeziometacarpal joints.Two hundred hands from 101 healthy subjects (50 female and 51 male) with a mean age of 23.1 years (range: 22 to 35 years) have been evaluated. An optoelectronic device (Polaris) was used to analyse the thumbs range-of-motion. Splints were fitted so as to isolate the trapeziometacarpal joint and retroreflective markers were placed both on the splints and on the thumb. After active flexion-extension, abduction-adduction, axial rotation and circumduction, the different range-of-motion parameters were calculated.The mean range-of-motion of the trapeziometacarpal joint was 41 degrees for flexion-extension, 51 degrees for abduction-adduction and 21 degrees for axial rotation. Comparisons between female and male subjects showed significant differences concerning flexion-extension, abduction-adduction axial rotation and circumduction. No significant differences were noted between right and left hands except for the abduction-adduction movement.One hundred and one healthy subjects were analysed for the development of a database of normal active range-of-motion parameters of the trapeziometacarpal joint, with an in vivo protocol. This database should allow comparing the range-of-motion of patients with osteoarthritic trapeziometacarpal joint and assessing surgical outcome.
Adult, Male, Young Adult, Trapezium Bone, Reference Values, Humans, Carpometacarpal Joints, Female, Range of Motion, Articular
Adult, Male, Young Adult, Trapezium Bone, Reference Values, Humans, Carpometacarpal Joints, Female, Range of Motion, Articular
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