Attending Orthopedic Surgeon, Hospital for Special Surgery
Professor of Orthopedic Surgery, Weill Medical College of Cornell University
Clinical Director of Orthopedic Surgery, Hospital for Special Surgery
Chief, Hand Surgery, Hospital for Special Surgery
Crisco JJ, Pike S, Hulsizer-Galvin DL, Akelman E, Weiss AP, and Wolfe SW: Carpal bone postures and motions are abnormal in both wrists of patients with unilateral scapholunate interosseous ligament tears. J Hand Surg [Am] 28(6): 926-937, 2003.
Neu CP, Crisco JJ, Wolfe SW: In vivo kinematic behavior of the radio-capitate joint during wrist flexion-extension and radio-ulnar deviation. J Biomech 34(11): 1429-1438, 2001.
Merrell GA, Barrie KA, Katz DL, and Wolfe SW: Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature. J Hand Surg 26A(2): 303-314, 2001.
Wolfe SW, Neu C, Crisco JJ: In vivo scaphoid lunate and capitate kinematics in flexion and extension. J Hand Surg 25A(5): 860-869, 2000.
Wolfe SW, Lorenze M, Austin G, Swigart CR, Panjabi MM: Load-Displacement Behavior in a Distal Radius Fracture Model Effects of Simulated Partial Healing. J Bone Joint Surg 81A: 53-59, 1999.
For more publications, please see the PubMed listing.The eight small bones of the carpus exhibit complex but coordinated motions during wrist flexion-extension and radioulnar deviation. Small perturbations in these coordinated motions, such as might be caused by fracture or ligament injury, can result in changes in joint loading and progressive carpal collapse and degenerative arthritis. Previous techniques to study carpal motion have been limited by the need to place invasive markers. We developed a technique using high resolution computed tomography to accurately identify and reconstruct surface contours and analyze rotation and translation of each bone throughout all planes of wrist motion. We have identified a plane of motion that requires almost no contribution from the proximal carpal row, and propose that this so-called "dart-throwers" plane may represent the functional plane of wrist motion and may have evolutionary significance.
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