Changes of elbow muscle moment arms after total elbow arthroplasty

F. Schuind, S. W. O'Driscoll, S. Korinek, K. N. An, B. F. Morrey

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

The changes of muscle moment arms on the elbow during simulated active motion were calculated from the simultaneous kinematic and tendon excursion in six cadaver specimens. The results after four different Coonrad-Morrey total elbow arthroplasty positions of implantation were compared with those of the intact elbow. With optimal total elbow arthroplasty implantation, the general pattern of change of the muscle moment arms with elbow flexion resembled that of the intact elbow, but with increased flexor dominance over the extensors with elbow flexion. No significant modification of the muscle moment arms was related to the changes of positioning of the implants, except with 60° elbow flexion, a slight increase of the brachialis muscle moment arms with distal placement of the humeral component. The malplacements of the humeral component in varus/valgus or in internal/external rotation were found to significantly affect the muscle moment arms.

Original languageEnglish (US)
Pages (from-to)191-199
Number of pages9
JournalJournal of Shoulder and Elbow Surgery
Volume3
Issue number4
DOIs
StatePublished - 1994

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Schuind, F., O'Driscoll, S. W., Korinek, S., An, K. N., & Morrey, B. F. (1994). Changes of elbow muscle moment arms after total elbow arthroplasty. Journal of Shoulder and Elbow Surgery, 3(4), 191-199. https://doi.org/10.1016/S1058-2746(09)80035-9