By Dr. Gontran Sennwald (auth.)
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Additional info for The Wrist: Anatomical and Pathophysiological Approach to Diagnosis and Treatment
Example text
20). Tbe middle third has a course that is parallel to the underlying radio-triquetralligament, an analogous funetion and a eommon point of attaehment. - The distal third is eomposed of fibres attaehing partly to the apooeurosis of the abductor digiti minimi aod partly to the base of the fiftb metacarpal. The Radial Points o[ Anchorage These three massive points of attachment are to be found between the radial eompartments. Only the fibres of the middle third are involved. The fibres of the proximal third fuse with the palmar antebraehial fascia after having surrounded the flexor carpi radialis.
This has the same origin as the triangular fibrocartilage, at thc;: medial side of the articulation of the 25 radius. According to Taleisnik (1976), the meniscus immediately separates from the triangular fibrocartiJage to become attached to the triquetrum, leaving aspace between these two structures: the prestyloid recess. This cartilaginous structure, also known as the radio-triquetral ligament, is clearly separate from the triangular fibrocartilage. Despite Palmer's work, the situation is far from being clear.
Hopefully the near future will bring developments that allow us to progress on smaller computer systems. The result of this is that, while the studies of Youm el al. (1978) are still valuable, it is necessary to be aware of their limitations, related to their experimental method. Our kinematic study allows us to state: 1. The three bones of the proximal carpal row form a functional modular unit. 2. The wrist joint has both rotational and translational components to its motion and therefore does not have a single centre of rotation.