Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis

Park, Jay Hoon; Kim, Jihyeung; Bae, Kee Jeong; Lee, Yohan; LI, QINGYUAN; Baek, Goo Hyun

doi:10.5152/j.aott.2021.20114

Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis

Qingyuan LI, (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Jay Hoon PARK, (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Yohan LEE, (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Jihyeung KIM, (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Kee Jeong BAE, (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Goo Hyun BAEK (Seoul National University, College of Medicine, Department of Orthopaedic Surgery, South Korea)

Acta Orthopaedica et Traumatologica Turcica

2 0

Yıl: 2021 Cilt: 55 Sayı: 2 Sayfa Aralığı: 107 - 111 Metin Dili: İngilizce DOI: 10.5152/j.aott.2021.20114 İndeks Tarihi: 29-09-2021

Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis

Öz:

Objective: This study aims to investigate compensatory rotational movements of the wrist joint in patients with proximal congenital radioulnar synostosis (CRUS), using a valid and reliable three-dimensional (3D) motion analysis technique.Methods: A total of 26 patients (6 females, 14 males; mean age=15.3 years; and age range=6-32 years) who were diagnosed withunilateral proximal CRUS but were not operated were enrolled in this study. Patients were then categorized into 2 groups: GroupI included 5 patients younger than 10 years, and Group II included 15 patients older than 10 years. Eighteen light-reflective skinmarkers were placed on the bony landmarks of both upper limbs, and both distal forearms were fixed using a U-shaped device tominimize forearm rotation. Each patient grasped the handle of an instrument that used a goniometer to measure wrist rotation;maximal passive pronation and supination angles of the wrist were measured in this manner and also using 3D motion analysis.Results: There was a significant correlation between measurements by the goniometer and 3D motion analysis (r=0.985, p<0.001).The test-retest reliability of the 3D motion analysis was acceptable for both the affected side (ICC=0.992) and the contralateral normal side (ICC=0.997) with low standard measurement errors (1.3° and 0.8°, respectively). Although no significant difference wasobserved in the range of the wrist rotation between the affected and contralateral sides in Group I (p=0.686), there was a significantdifference in the wrist rotation between the affected and contralateral sides in Group II (p=0.001). Further, the pronation angle of thewrist joint was significantly larger in the affected side than that in the contralateral normal side in Group II (p=0.001).Conclusion: The 3D motion analysis technique seems to be a valid and reliable method to measure the rotation of the wrist joint.Unilateral proximal CRUS patients older than 10 years of age may develop rotational hypermobility of the wrist joint comparedto the contralateral normal side as a compensatory phenomenon.Level of Evidence: Level III, Diagnostic Study

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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	LI Q, Park J, Lee Y, Kim J, Bae K, Baek G (2021). Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. , 107 - 111. 10.5152/j.aott.2021.20114
Chicago	LI QINGYUAN,Park Jay Hoon,Lee Yohan,Kim Jihyeung,Bae Kee Jeong,Baek Goo Hyun Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. (2021): 107 - 111. 10.5152/j.aott.2021.20114
MLA	LI QINGYUAN,Park Jay Hoon,Lee Yohan,Kim Jihyeung,Bae Kee Jeong,Baek Goo Hyun Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. , 2021, ss.107 - 111. 10.5152/j.aott.2021.20114
AMA	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. . 2021; 107 - 111. 10.5152/j.aott.2021.20114
Vancouver	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. . 2021; 107 - 111. 10.5152/j.aott.2021.20114
IEEE	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G "Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis." , ss.107 - 111, 2021. 10.5152/j.aott.2021.20114
ISNAD	LI, QINGYUAN vd. "Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis". (2021), 107-111. https://doi.org/10.5152/j.aott.2021.20114

APA	LI Q, Park J, Lee Y, Kim J, Bae K, Baek G (2021). Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. Acta Orthopaedica et Traumatologica Turcica, 55(2), 107 - 111. 10.5152/j.aott.2021.20114
Chicago	LI QINGYUAN,Park Jay Hoon,Lee Yohan,Kim Jihyeung,Bae Kee Jeong,Baek Goo Hyun Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. Acta Orthopaedica et Traumatologica Turcica 55, no.2 (2021): 107 - 111. 10.5152/j.aott.2021.20114
MLA	LI QINGYUAN,Park Jay Hoon,Lee Yohan,Kim Jihyeung,Bae Kee Jeong,Baek Goo Hyun Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. Acta Orthopaedica et Traumatologica Turcica, vol.55, no.2, 2021, ss.107 - 111. 10.5152/j.aott.2021.20114
AMA	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(2): 107 - 111. 10.5152/j.aott.2021.20114
Vancouver	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(2): 107 - 111. 10.5152/j.aott.2021.20114
IEEE	LI Q,Park J,Lee Y,Kim J,Bae K,Baek G "Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis." Acta Orthopaedica et Traumatologica Turcica, 55, ss.107 - 111, 2021. 10.5152/j.aott.2021.20114
ISNAD	LI, QINGYUAN vd. "Measurement of compensatory wrist joint rotation using three-dimensional motion analysis in patients with unilateral proximal congenital radioulnar synostosis". Acta Orthopaedica et Traumatologica Turcica 55/2 (2021), 107-111. https://doi.org/10.5152/j.aott.2021.20114