Role of muscles in the stabilization of ligament-deficient wrists

Mireia Esplugas, Marc Garcia-Elias, Alex Lluch, Manuel Llusá Pérez

    Research output: Contribution to journalArticleResearchpeer-review

    16 Citations (Scopus)

    Abstract

    © 2016 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved. This article reviews the results of a series of cadaver investigations aimed at clarifying the role of muscles in the stabilization of ligament-deficient wrists. According to these studies, isometric contraction of some forearm muscles induces midcarpal (MC) supination (ie, the abductor pollicis longus, extensor carpi radialis longus, and flexor carpi ulnaris), whereas other muscles induce MC pronation (ie, the extensor carpi ulnaris). Because MC supination implies tightening of the volar scaphoid-distal row ligaments, the MC supination muscles are likely to prevent scaphoid collapse of wrists with scapholunate ligament insufficiency. MC pronator muscles, by contrast, would be beneficial in stabilizing wrists with ulnar-sided ligament deficiencies owing to their ability to tighten the triquetrum-distal row ligaments. Should these laboratory findings be validated by additional clinical research, proprioceptive reeducation of selected muscles could become an important tool for the treatment of dynamic carpal instabilities.
    Original languageEnglish
    Pages (from-to)166-174
    JournalJournal of Hand Therapy
    Volume29
    Issue number2
    DOIs
    Publication statusPublished - 1 Apr 2016

    Keywords

    • Lunotriquetral instability
    • Midcarpal instability
    • Muscular control
    • Scapholunate instability
    • Wrist stability

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