Gliding resistance of the extensor pollicis brevis tendon and abductor pollicis longus tendon within the first dorsal compartment in fixed wrist positions

Keiji Kutsumi, Peter C Amadio, Chunfeng D Zhao, Mark E. Zobitz, Kai N. An

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Purpose: While the etiology of de Quervain's disease is unknown, repetitive motion coupled with awkward wrist position and septation within the first dorsal compartment are considered causative factors. We hypothesize that these conditions might produce high gliding resistance, which could then induce micro-damage of the tendons and retinaculum. The purpose of this study was to measure the gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons within the first dorsal compartment in a human cadaver model. Methods: Fifteen human cadaver wrists, which included eight septation and seven non-septation wrists in the first dorsal compartment, were used. Gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons was measured in seven wrist positions: 60° extension, 30° extension, 0°, 30° flexion, 60° flexion in neutral deviation and 30° ulnar deviation, 15° radial deviation in neutral extension/flexion. Results: The overall gliding resistance was not different between septation and non-septation wrists (0.21 versus 0.19 N for abductor pollicis longus and 0.21 versus 0.15 N for extensor pollicis brevis, respectively), but there was a significant effect on gliding resistance due to wrist position (p < 0.05) in both tendons. Interaction between wrist position and septation status was observed in the extensor pollicis brevis tendon (p < 0.05). With septation, the gliding resistance of the extensor pollicis brevis was significantly higher in 60° wrist flexion (0.51 N) compared to all other wrist positions tested (all less than 0.26 N) (p < 0.05). In the non-septation group, gliding resistance was significantly higher in 60° flexion (0.20 N) and 60° extension (0.22 N) compared to the other five wrist positions (all less than 0.15 N) (p < 0.05). Although no significant difference was observed, the extensor pollicis brevis tendon with septation tended to have higher gliding resistance than that without septation in wrist flexion. In 60° of wrist flexion the abductor pollicis longus tendon had significantly higher gliding resistance (0.33 N) than the other wrist positions (all less than 0.26 N) (p < 0.05). Conclusions: A combination of septation and wrist position significantly affected extensor pollicis brevis tendon gliding resistance in this cadaver model. These factors may contribute to the development of de Quervain°s disease.

Original languageEnglish (US)
Pages (from-to)243-248
Number of pages6
JournalJournal of Orthopaedic Research
Volume23
Issue number2
DOIs
StatePublished - Mar 2005

Fingerprint

Wrist
Tendons
De Quervain Disease
Cadaver

Keywords

  • Biomechanics
  • De Quervain's disease
  • Extensor retinaculum
  • Gliding resistance
  • Tendon

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

@article{058ad68e38e547938be0b865ec294a76,
title = "Gliding resistance of the extensor pollicis brevis tendon and abductor pollicis longus tendon within the first dorsal compartment in fixed wrist positions",
abstract = "Purpose: While the etiology of de Quervain's disease is unknown, repetitive motion coupled with awkward wrist position and septation within the first dorsal compartment are considered causative factors. We hypothesize that these conditions might produce high gliding resistance, which could then induce micro-damage of the tendons and retinaculum. The purpose of this study was to measure the gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons within the first dorsal compartment in a human cadaver model. Methods: Fifteen human cadaver wrists, which included eight septation and seven non-septation wrists in the first dorsal compartment, were used. Gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons was measured in seven wrist positions: 60° extension, 30° extension, 0°, 30° flexion, 60° flexion in neutral deviation and 30° ulnar deviation, 15° radial deviation in neutral extension/flexion. Results: The overall gliding resistance was not different between septation and non-septation wrists (0.21 versus 0.19 N for abductor pollicis longus and 0.21 versus 0.15 N for extensor pollicis brevis, respectively), but there was a significant effect on gliding resistance due to wrist position (p < 0.05) in both tendons. Interaction between wrist position and septation status was observed in the extensor pollicis brevis tendon (p < 0.05). With septation, the gliding resistance of the extensor pollicis brevis was significantly higher in 60° wrist flexion (0.51 N) compared to all other wrist positions tested (all less than 0.26 N) (p < 0.05). In the non-septation group, gliding resistance was significantly higher in 60° flexion (0.20 N) and 60° extension (0.22 N) compared to the other five wrist positions (all less than 0.15 N) (p < 0.05). Although no significant difference was observed, the extensor pollicis brevis tendon with septation tended to have higher gliding resistance than that without septation in wrist flexion. In 60° of wrist flexion the abductor pollicis longus tendon had significantly higher gliding resistance (0.33 N) than the other wrist positions (all less than 0.26 N) (p < 0.05). Conclusions: A combination of septation and wrist position significantly affected extensor pollicis brevis tendon gliding resistance in this cadaver model. These factors may contribute to the development of de Quervain°s disease.",
keywords = "Biomechanics, De Quervain's disease, Extensor retinaculum, Gliding resistance, Tendon",
author = "Keiji Kutsumi and Amadio, {Peter C} and Zhao, {Chunfeng D} and Zobitz, {Mark E.} and An, {Kai N.}",
year = "2005",
month = "3",
doi = "10.1016/j.orthres.2004.06.014",
language = "English (US)",
volume = "23",
pages = "243--248",
journal = "Journal of Orthopaedic Research",
issn = "0736-0266",
publisher = "John Wiley and Sons Inc.",
number = "2",

}

TY - JOUR

T1 - Gliding resistance of the extensor pollicis brevis tendon and abductor pollicis longus tendon within the first dorsal compartment in fixed wrist positions

AU - Kutsumi, Keiji

AU - Amadio, Peter C

AU - Zhao, Chunfeng D

AU - Zobitz, Mark E.

AU - An, Kai N.

PY - 2005/3

Y1 - 2005/3

N2 - Purpose: While the etiology of de Quervain's disease is unknown, repetitive motion coupled with awkward wrist position and septation within the first dorsal compartment are considered causative factors. We hypothesize that these conditions might produce high gliding resistance, which could then induce micro-damage of the tendons and retinaculum. The purpose of this study was to measure the gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons within the first dorsal compartment in a human cadaver model. Methods: Fifteen human cadaver wrists, which included eight septation and seven non-septation wrists in the first dorsal compartment, were used. Gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons was measured in seven wrist positions: 60° extension, 30° extension, 0°, 30° flexion, 60° flexion in neutral deviation and 30° ulnar deviation, 15° radial deviation in neutral extension/flexion. Results: The overall gliding resistance was not different between septation and non-septation wrists (0.21 versus 0.19 N for abductor pollicis longus and 0.21 versus 0.15 N for extensor pollicis brevis, respectively), but there was a significant effect on gliding resistance due to wrist position (p < 0.05) in both tendons. Interaction between wrist position and septation status was observed in the extensor pollicis brevis tendon (p < 0.05). With septation, the gliding resistance of the extensor pollicis brevis was significantly higher in 60° wrist flexion (0.51 N) compared to all other wrist positions tested (all less than 0.26 N) (p < 0.05). In the non-septation group, gliding resistance was significantly higher in 60° flexion (0.20 N) and 60° extension (0.22 N) compared to the other five wrist positions (all less than 0.15 N) (p < 0.05). Although no significant difference was observed, the extensor pollicis brevis tendon with septation tended to have higher gliding resistance than that without septation in wrist flexion. In 60° of wrist flexion the abductor pollicis longus tendon had significantly higher gliding resistance (0.33 N) than the other wrist positions (all less than 0.26 N) (p < 0.05). Conclusions: A combination of septation and wrist position significantly affected extensor pollicis brevis tendon gliding resistance in this cadaver model. These factors may contribute to the development of de Quervain°s disease.

AB - Purpose: While the etiology of de Quervain's disease is unknown, repetitive motion coupled with awkward wrist position and septation within the first dorsal compartment are considered causative factors. We hypothesize that these conditions might produce high gliding resistance, which could then induce micro-damage of the tendons and retinaculum. The purpose of this study was to measure the gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons within the first dorsal compartment in a human cadaver model. Methods: Fifteen human cadaver wrists, which included eight septation and seven non-septation wrists in the first dorsal compartment, were used. Gliding resistance of the extensor pollicis brevis and abductor pollicis longus tendons was measured in seven wrist positions: 60° extension, 30° extension, 0°, 30° flexion, 60° flexion in neutral deviation and 30° ulnar deviation, 15° radial deviation in neutral extension/flexion. Results: The overall gliding resistance was not different between septation and non-septation wrists (0.21 versus 0.19 N for abductor pollicis longus and 0.21 versus 0.15 N for extensor pollicis brevis, respectively), but there was a significant effect on gliding resistance due to wrist position (p < 0.05) in both tendons. Interaction between wrist position and septation status was observed in the extensor pollicis brevis tendon (p < 0.05). With septation, the gliding resistance of the extensor pollicis brevis was significantly higher in 60° wrist flexion (0.51 N) compared to all other wrist positions tested (all less than 0.26 N) (p < 0.05). In the non-septation group, gliding resistance was significantly higher in 60° flexion (0.20 N) and 60° extension (0.22 N) compared to the other five wrist positions (all less than 0.15 N) (p < 0.05). Although no significant difference was observed, the extensor pollicis brevis tendon with septation tended to have higher gliding resistance than that without septation in wrist flexion. In 60° of wrist flexion the abductor pollicis longus tendon had significantly higher gliding resistance (0.33 N) than the other wrist positions (all less than 0.26 N) (p < 0.05). Conclusions: A combination of septation and wrist position significantly affected extensor pollicis brevis tendon gliding resistance in this cadaver model. These factors may contribute to the development of de Quervain°s disease.

KW - Biomechanics

KW - De Quervain's disease

KW - Extensor retinaculum

KW - Gliding resistance

KW - Tendon

UR - http://www.scopus.com/inward/record.url?scp=14244261235&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=14244261235&partnerID=8YFLogxK

U2 - 10.1016/j.orthres.2004.06.014

DO - 10.1016/j.orthres.2004.06.014

M3 - Article

VL - 23

SP - 243

EP - 248

JO - Journal of Orthopaedic Research

JF - Journal of Orthopaedic Research

SN - 0736-0266

IS - 2

ER -