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State-of-the-art of preoperative planning for forearm orthopaedic surgeriesis currently limited to simple bone procedures. The increasing interest ofclinicians for more comprehensive analysis of complex pathologies oftenrequires dynamic models, able to include the soft tissue influence into thepreoperative process. Previous studies have shown that the interosseousmembrane (IOM) influences forearm motion and stability, but due to the lack ofmorphological and biomechanical data, existing simulation models of the IOM areeither too simple or clinically unreliable. This work aims to address thisproblematic by generating 3D morphological and tensile properties of theindividual IOM structures. First, micro- and standard-CT acquisitions wereperformed on five fresh-frozen annotated cadaveric forearms for the generationof 3D models of the radius, ulna and each of the individual ligaments of theIOM. Afterwards, novel 3D methods were developed for the measurement of commonmorphological features, which were validated against established opticalex-vivo measurements. Finally, we investigated the individual tensileproperties of each IOM ligament. The generated 3D morphological features canprovide the basis for the future development of functional planning simulationof the forearm.

scientific reports

Digitalization of the IOM: A comprehensive cadaveric study for obtaining  three-dimensional models and morphological properties of the forearm's  interosseous membrane