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Elbow Position (elbow + position)
Selected AbstractsEffect of elbow position on canine flexor digitorum profundus tendon tensionJOURNAL OF ORTHOPAEDIC RESEARCH, Issue 2 2005Tatsuro Tanaka Abstract Tendon injury in the finger remains a clinical challenge to hand surgeons. A canine model is commonly used to study biological effects of tendon injuries and their treatment. There is an important anatomical difference between human and canine anatomy that may be overlooked, however, namely that most of the flexor digitorum profundus (FDP) muscle in dogs takes its origin from the medial epicondyle of the humerus, whereas in humans this muscle arises purely from the forearm. Therefore, elbow position can affect the tension of this muscle in dogs, while having no effect in humans. The purpose of this study was to measure the effect of elbow position on tendon tension in the canine digit in vitro. Elbow position had a significant effect on tendon tension. Digit motion with the elbow fully flexed resulted in significantly higher tendon tension compared to digit motion with the elbow flexed 90° or fully extended, regardless of digit or wrist position (p < 0.05). The tension with the elbow flexed 90° was also significantly higher than with the elbow fully extended (p < 0.05). The maximum tendon tension with the elbow fully flexed was more than eight times larger than that of the fully extended elbow (p < 0.05). We conclude that, in the canine model, elbow position is an important parameter that affects the passive tension applied to the flexor digitorum profundus, and, by implication, to any repair of that tendon. Dog flexor tendon rehabilitation protocols should therefore specify elbow position, in addition to wrist and digit position. © 2004 Orthopaedic Research Society. Published by Elsevier Ltd. All rights reserved. [source] Technical note: Forearm pronation efficiency analysis in skeletal remainsAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 3 2009Ignasi Galtés Abstract This work presents an original methodology for analyzing forearm-pronation efficiency from skeletal remains and its variation with regard to changes in the elbow position. The methodology is based on a biomechanical model that defines rotational efficiency as a mathematical function expressing a geometrical relationship between the origin and insertion of the pronator teres. The methodology uses humeral distal epiphysis photography, from which the geometrical parameters for the efficiency calculus can be obtained. Rotational efficiency is analyzed in a human specimen and in a living nonhuman hominoid (Symphalangus syndactylus) for a full elbow extension (180°) and an intermediate elbow position (90°). In both specimens, the results show that this rotational-efficiency parameter varies throughout the entire rotational range and show a dependency on the elbow joint position. The rotational efficiency of the siamang's pronator teres is less affected by flexion of the forearm than that of the human. The fact that forearm-pronation efficiency can be inferred, even quantified, allows us to interpret more precisely the functional and evolutionary significance of upper-limb skeletal design in extant and fossil primate taxa. Am J Phys Anthropol 2009. © 2009 Wiley-Liss, Inc. [source] Muscle spindle signals combine with the sense of effort to indicate limb positionTHE JOURNAL OF PHYSIOLOGY, Issue 3 2005J. A. Winter Experiments were carried out to test the hypothesis that, in the absence of vision, position sense at the human forearm is generated by the combined input from muscle spindles in elbow flexor muscles and signals of central origin giving rise to a sense of effort. In a forearm position-matching task, to remove a possible contribution from the sense of effort, the reference arm was held supported at the test angle. Subjects were less accurate in matching elbow position of the supported forearm than when it was unsupported. Adding a 2 kg weight to the unsupported reference arm led subjects to make matching errors consistent with an increase in the effort signal. Evidence of a contribution from muscle spindles was provided by showing that the direction of position matching errors could be systematically altered by flexion or extension conditioning of the reference arm before its placement at the test angle. Such changes in errors with conditioning could be shown to be present when the reference arm was supported, unsupported, or unsupported and weighted. It is concluded that both peripheral signals from muscle spindles and signals of central origin, associated with the motor command required to maintain arm position against the force of gravity, can provide information about forearm position. [source] |