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Effects of Different Extents of Pulley Release on Tendon Excursion Efficiency and Tendon Moment Arms
Author(s) -
Lu SzuChing,
Yang TaiHua,
Kuo LiChieh,
Jou IMing,
Sun YungNien,
Su FongChin
Publication year - 2015
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.22747
Subject(s) - excursion , pulley , tendon , cadaveric spasm , moment (physics) , anatomy , rotation (mathematics) , range of motion , metacarpophalangeal joint , orthodontics , medicine , surgery , mathematics , physics , structural engineering , thumb , engineering , geometry , classical mechanics , political science , law
To compare the excursion efficiency and moment arms of flexor digitorum superficialis (FDS) and profundus (FDP) among different conditions of pulley integrity related to trigger finger treatment, cadaveric fingers were first tested with an intact pulley system, and then the first (A1) and second (A2) annular pulleys were released gradually from the proximal to distal part. Linear position sensors and a motion capture system were used to measure the tendon excursion and joint rotation simultaneously. The tendon excursion efficiency was defined as the range of motion of the involved joints per unit of tendon excursion, and the tendon moment arm was determined by the slope of the linear fitting result of tendon excursion versus metacarpophalangeal (MCP) joint rotation. No significant differences were found between the release of the A1 pulley and the release extending to half the proximal part of the A2 pulley in the FDP excursion efficiency and the moment arms of FDS and FDP with respect to the MCP joint. These results imply that the release could extend to half the proximal A2 pulley, if necessary, without significantly decreasing the FDP excursion efficiency and increasing the moment arms of FDS and FDP with respect to the MCP joint. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:224–228, 2015.