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A Biomechanical and Morphological Analysis of Human Hand Joints
(Englisch)
Advances in Anatomy, Embryology and Cell Biology 80
J. Koebke

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Functional morphology seeks to establish the relationship between form and function: the deillegalscription of anatomic phenomena is used as a basis for defining functional factors which themselves, long term, affect the development of the form. This kind of basic study is essential for our understanding of quadruped and human motion and has been discussed by Pauwels (1948,1955, 1960) and Kummer (1956, 1959, 1962, 1978). Biomechanical analysis of human upper and lower limb joints has resulted in causal therapy in cases of joint disease (Pauwels 1935, 1961, 1976; Maquet 1976). Studies of the functional strain on the shoulder joint socket and the elbow joint have been carried out by Pauwels (1955, 1959, 1963) and Tillmann (1971, 1978). Joints of the human hand and wrist have been discussed from a phylogenetic, onto­ genetic, anatomic-deillegalscriptive, and clinical point of view (Thilenius 1895; Corner 1898; Zrubecky 1960; Lewis 1970; Blauth and Schneider-Sickert 1976; et al.), but so far no studies of these joints have been undertaken with a view to investigating the functional connection between morphology and specific strain. This study aims to establish the relationship between the form and the normal or disturbed functioning of three important joints of the human hand: the proximal wrist joint, the saddle joint of the thumb, and the metacarpophalangeal joints, and to evaluate the findings biomechanically and clinically.
1 General Introduction.- 2 The Proximal Wrist Joint.- 2.1 Introduction.- 2.2 Material and Methods.- 2.2.1 Arthrographic and Macroscopic Examinations.- 2.2.2 Production and Documentation of Split Lines.- 2.2.3 Production and Histological Examination of Sawn Sections.- 2.2.4 Experiments.- 2.3 Results.- 2.3.1 Arthrographic, Macroscopic, and Split Line Findings.- 2.3.2 Histological Findings.- 2.3.3 Experimental Results.- 2.4 Discussion.- 2.5 Conclusions.- 3 Carpometacarpal Thumb Joint.- 3.1 Introduction.- 3.2 Material and Methods.- 3.2.1 Roentgenographic, Equidensitometric, and Histological Examinations.- 3.2.2 Macroscopic Examination, Production of Split Lines, and Photoelastic Experiments.- 3.3 Results.- 3.3.1 Results from Roentgenography and Macroscopic and Split Line Examinations.- 3.3.2 Photoelastic Findings.- 3.3.3 Density Measurements and Histological Findings.- 3.4 Discussion.- 3.5 Conclusions.- 4 Metacarpophalangeal Joints.- 4.1 Introduction.- 4.2 Material and Methods.- 4.2.1 Macroscopic Examination and Split Line Production and Documentation.- 4.2.2 Photoelastic Experiments.- 4.2.3 Roentgenograms, Equidensity Measurements, and Histological Examination.- 4.3 Results.- 4.3.1 Macroscopic Findings and Results of Split Line Examination.- 4.3.2 Roentgenographic, Equidensity and Histological Findings.- 4.4 Discussion.- 5 General Conclusion.- 6 Summary.- References.
Functional morphology seeks to establish the relationship between form and function: the deillegalscription of anatomic phenomena is used as a basis for defining functional factors which themselves, long term, affect the development of the form. This kind of basic study is essential for our understanding of quadruped and human motion and has been discussed by Pauwels (1948,1955, 1960) and Kummer (1956, 1959, 1962, 1978). Biomechanical analysis of human upper and lower limb joints has resulted in causal therapy in cases of joint disease (Pauwels 1935, 1961, 1976; Maquet 1976). Studies of the functional strain on the shoulder joint socket and the elbow joint have been carried out by Pauwels (1955, 1959, 1963) and Tillmann (1971, 1978). Joints of the human hand and wrist have been discussed from a phylogenetic, onto genetic, anatomic-deillegalscriptive, and clinical point of view (Thilenius 1895; Corner 1898; Zrubecky 1960; Lewis 1970; Blauth and Schneider-Sickert 1976; et al.), but so far no studies of these joints have been undertaken with a view to investigating the functional connection between morphology and specific strain. This study aims to establish the relationship between the form and the normal or disturbed functioning of three important joints of the human hand: the proximal wrist joint, the saddle joint of the thumb, and the metacarpophalangeal joints, and to evaluate the findings biomechanically and clinically.
1 General Introduction.- 2 The Proximal Wrist Joint.- 2.1 Introduction.- 2.2 Material and Methods.- 2.3 Results.- 2.4 Discussion.- 2.5 Conclusions.- 3 Carpometacarpal Thumb Joint.- 3.1 Introduction.- 3.2 Material and Methods.- 3.3 Results.- 3.4 Discussion.- 3.5 Conclusions.- 4 Metacarpophalangeal Joints.- 4.1 Introduction.- 4.2 Material and Methods.- 4.3 Results.- 4.4 Discussion.- 5 General Conclusion.- 6 Summary.- References.

Inhaltsverzeichnis



1 General Introduction.- 2 The Proximal Wrist Joint.- 2.1 Introduction.- 2.2 Material and Methods.- 2.3 Results.- 2.4 Discussion.- 2.5 Conclusions.- 3 Carpometacarpal Thumb Joint.- 3.1 Introduction.- 3.2 Material and Methods.- 3.3 Results.- 3.4 Discussion.- 3.5 Conclusions.- 4 Metacarpophalangeal Joints.- 4.1 Introduction.- 4.2 Material and Methods.- 4.3 Results.- 4.4 Discussion.- 5 General Conclusion.- 6 Summary.- References.


Klappentext



Functional morphology seeks to establish the relationship between form and function: the deillegalscription of anatomic phenomena is used as a basis for defining functional factors which themselves, long term, affect the development of the form. This kind of basic study is essential for our understanding of quadruped and human motion and has been discussed by Pauwels (1948,1955, 1960) and Kummer (1956, 1959, 1962, 1978). Biomechanical analysis of human upper and lower limb joints has resulted in causal therapy in cases of joint disease (Pauwels 1935, 1961, 1976; Maquet 1976). Studies of the functional strain on the shoulder joint socket and the elbow joint have been carried out by Pauwels (1955, 1959, 1963) and Tillmann (1971, 1978). Joints of the human hand and wrist have been discussed from a phylogenetic, onto­ genetic, anatomic-deillegalscriptive, and clinical point of view (Thilenius 1895; Corner 1898; Zrubecky 1960; Lewis 1970; Blauth and Schneider-Sickert 1976; et al.), but so far no studies of these joints have been undertaken with a view to investigating the functional connection between morphology and specific strain. This study aims to establish the relationship between the form and the normal or disturbed functioning of three important joints of the human hand: the proximal wrist joint, the saddle joint of the thumb, and the metacarpophalangeal joints, and to evaluate the findings biomechanically and clinically.




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