Dynamic motion analysis of dart throwers motion visualized through computerized tomography and calculation of the axis of rotation

Abstract

We used a dynamic three-dimensional (3D) mapping method to model the wrist in dynamic unrestricted dart throwers motion in three men and four women. With the aid of precision landmark identification, a 3D coordinate system was applied to the distal radius and the movement of the carpus was described. Subsequently, with dynamic 3D reconstructions and freedom to position the camera viewpoint anywhere in space, we observed the motion pathways of all carpal bones in dart throwers motion and calculated its axis of rotation. This was calculated to lie in 27° of anteversion from the coronal plane and 44° of varus angulation relative to the transverse plane. This technique is a safe and a feasible carpal imaging method to gain key information for decision making in future hand surgical and rehabilitative practices.

Keywords

Dart throwers motion carpal kinematics 4D CT musculoskeletal imaging motion mapping axis of rotation midcarpal joint

Get full access to this article

View all access options for this article.

References

Alta

Bell

Troupis

Coghlan

Miller

. The new 4-dimensional computed tomographic scanner allows dynamic visualization and measurement of normal acromioclavicular joint motion in an unloaded and loaded condition. J Comput Assist Tomogr. 2012, 36: 749–54.

Arkless

. Cineradiography in normal and abnormal wrists. Am J Roentgenol Radium Ther Nucl Med. 1966, 96: 837–44.

Berger

Crowninshield

Flatt

. The three-dimensional rotational behaviors of the carpal bones. Clin Orthop Relat Res. 1982, 167: 303–10.

Brigstocke

GHO

Hearnden

Holt

Whatling

. In-vivo confirmation of the use of the dart thrower’s motion during activities of daily living. J Hand Surg Eur. 2014, 39: 373–378.

Bugden

. A proposed method of goniometric measurement of the dart-throwers motion. J Hand Ther. 2013, 26: 77–80.

Charles

. UNSCEAR report 2000: Sources and effects of ionizing radiation. United Nations Scientific Committee on the Effects of Atomic Radiation. J Radiol Prot. 2001, 21: 83–5.

Deák

Grimm

Treitl

. Filtered back projection, adaptive statistical iterative reconstruction, and a model-based iterative reconstruction in abdominal CT: an experimental clinical study. Radiology. 2012, 266: 197–206.

Garcia-Elias

. The non-dissociative clunking wrist: a personal view. J Hand Surg Eur Vol. 2008, 33: 698–711.

Garcia-Elias

Alomar Serrallach

Monill Serra

. Dart-throwing motion in patients with scapholunate instability. A dynamic four-dimensional computed tomography study. J Hand Surg Eur Vol. 2014, 39: 346–352.

10.

Ishikawa

Cooney

Neibur

Minami

Kaneda

. The effects of wrist distraction on carpal kinematics. J Hand Surg Am. 1999, 24: 112–20.

11.

Kamal

Rainbow

Akelman

Crisco

. In vivo triquetrum-hamate kinematics through a simulated hammering task wrist motion. J Bone Joint Surg Am. 2012, 94: e85.

12.

Kulkarni

Uppot

Eisner

Sahani

. Radiation dose reduction at multidetector CT with adaptive statistical iterative reconstruction for evaluation of urolithiasis: how low can we go? Radiology. 2012, 265: 158–66.

13.

Linscheid

Dobyns

Beabout

Bryan

. Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics. J Bone Joint Surg Am. 1972, 54: 1612–32.

14.

Manolakis

. Efficient solution and performance analysis of 3D position estimation by trilateration. Aerospace and Electronic Systems. 1996, 32: 1239–48.

15.

Moojen

Snel

Ritt

Venema

Kauer

Bos

. In vivo analysis of carpal kinematics and comparative review of the literature. J Hand Surg Am. 2003, 28: 81–7.

16.

Moritomo

Murase

Goto

Oka

Sugamoto

Yoshikawa

. Capitate-based kinematics of the midcarpal joint during wrist radioulnar deviation: an in vivo three-dimensional motion analysis. J Hand Surg Am. 2004, 29A: 668–75.

17.

Moritomo

Apergis

Herzberg

Werner

Wolfe

Garcia-Elias

. 2007 IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist. J Hand Surg Am. 2007, 32: 1447–53.

18.

Moritomo

Murase

Oka

Tanaka

Yoshikawa

Sugamoto

. Relationship between the fracture location and the kinematic pattern in scaphoid nonunion. J Hand Surg Am. 2008, 33: 1459–68.

19.

Rohde

Crisco

Wolfe

. The advantage of throwing the first stone: how understanding the evolutionary demands of Homo sapiens is helping us understand carpal motion. J Am Acad Orthop Surg. 2010, 18: 51–8.

20.

Romagnoli

Funel

Meschini

. Optimisation of low-dose CT with adaptive statistical iterative reconstruction in total body examination. Radiol Med. 2012, 117: 1333–46.

21.

Ruby

Cooney

Linscheid

Chao

. Relative motion of selected carpal bones: a kinematic analysis of the normal wrist. J Hand Surg Am. 1988, 13: 1–10.

22.

Savelberg

Otten

Kooloos

Huiskes

Kauer

. Carpal bone kinematics and ligament lengthening studied for the full range of joint movement. J Biomech. 1993, 26: 1389–402.

23.

Singh

Kalra

. Comparison of hybrid and pure iterative reconstruction techniques with conventional filtered back projection: dose reduction potential in the abdomen. J Comput Assist Tomogr. 2012, 36: 347–53.

24.

Tang

Xiao

Jing

Juan

. In vivo length changes of carpal ligaments of the wrist during dart-throwing motion. J Hand Surg Am. 2011, 36: 284–90.

25.

Werner

Green

Short

Masaoka

. Scaphoid and lunate motion during a wrist dart throw motion. J Hand Surg Am. 2004, 29: 418–22.

26.

Wolfe

Crisco

Orr

Marzke

. The dart-throwing motion of the wrist: is it unique to humans? J Hand Surg Am. 2006, 31: 1429–37.

27.

Wolfe

Gupta

Crisco

. Kinematics of the scaphoid shift test. J Hand Surg Am. 1997, 22: 801–6.

28.

Wolfe

Neu

Crisco

. In vivo scaphoid, lunate and capitate kinematis in wrist flexion and extension. J Hand Surg Am. 2000, 25: 860–9.

29.

Yamada

Jinzaki

Hosokawa

. Dose reduction in chest CT: comparison of the adaptive iterative dose reduction 3D, adaptive iterative dose reduction, and filtered back projection reconstruction techniques. Eur J Radiol. 2012, 81: 4185–95.

30.

Yoon

Kim

Lee

. Adaptive statistical iterative reconstruction and Veo: assessment of image quality and diagnostic performance in CT colonography at various radiation doses. J Comput Assist Tomogr. 2012, 36: 596–601.

31.

Young

. Evolution of the human hand: the role of throwing and clubbing. J Anat. 2003, 202: 165–74.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB