Now showing 1 - 8 of 8
  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","680"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Journal of Orthopaedic Research"],["dc.bibliographiccitation.lastpage","686"],["dc.bibliographiccitation.volume","27"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Kauer, Fritz"],["dc.contributor.author","Bohr, Stefan"],["dc.contributor.author","Schmidtmann, Ulrich"],["dc.contributor.author","Knopp, Werner"],["dc.contributor.author","Engelhardt, Thomas"],["dc.contributor.author","Stuermer, Ewa Klara"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.date.accessioned","2018-11-07T08:30:23Z"],["dc.date.available","2018-11-07T08:30:23Z"],["dc.date.issued","2009"],["dc.description.abstract","This article is about the evaluation of possible differences in biomechanical or histomorphological properties of bone healing between saw osteotomy and random fracturing after 6 months. A standardized, 30 oblique monocortical saw osteotomy of sheep tibia was carried out, followed by fracture completion of the opposed cortical bone. Fixation was performed by bridge plating (4.5 mm, LCDCP, broad). X-rays were taken immediately after surgery and at the end of the study. Polychrome fluorescent staining was performed according to a standardized protocol in the 2nd, 4th, 6th, 10th, 14th, 18th, 22th and 26th week. Ten sheep were comprehensively evaluated. Data For stiffness and histomorphology are reported. The average bending stiffness of the operated bone was higher (1.7 (SD 0.3) with plate (MP) vs. 1.5 without plate) than for the intact bone (1.4 (SD 0.2) though no significant differences in bending stiffness were observed (P > 0.05). Fluorescence staining revealed shows numbers of blood vessels and less fragment resorption and remodeling in the osteotomy gap. Bone healing after saw osteotomy shows a very close resemblance to 'normal' fracture healing. However, vascular density, fragment resorption, fragment remodeling, and callus remodeling are reduced at the osteotomy. (C) 2008 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 27:680-686, 2009"],["dc.identifier.doi","10.1002/jor.20795"],["dc.identifier.isi","000265009900017"],["dc.identifier.pmid","18988260"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6273"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16887"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","John Wiley & Sons Inc"],["dc.relation.issn","0736-0266"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Long-Term Effects of Saw Osteotomy versus Random Fracturing on Bone Healing and Remodeling in a Sheep Tibia Model"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","147"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","European Journal of Trauma and Emergency Surgery"],["dc.bibliographiccitation.lastpage","152"],["dc.bibliographiccitation.volume","35"],["dc.contributor.author","Stuermer, Ewa Klara"],["dc.contributor.author","Sehmisch, Stephan"],["dc.contributor.author","Frosch, Karl-Heinz"],["dc.contributor.author","Rack, Thomas"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Tezval, Mohammad"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.date.accessioned","2018-11-07T08:31:04Z"],["dc.date.available","2018-11-07T08:31:04Z"],["dc.date.issued","2009"],["dc.description.abstract","Rigid plate osteosynthesis with compression is still the treatment of choice for forearm fractures to gain anatomic reposition, provide proper rotation and avoid a bridging callus. Due to necessary operative dissection there is a serious risk for infection and malunion. Based on good clinical results with elastic bridge plating at femur, humerus and tibia, this technique was also started to be used for forearm fractures in our clinic in 1995. In a prospective study, 86 of 124 consecutive patients at the age of 35.2 +/- 14.7 years with 129 diaphyseal fractures of the radius or ulna (AO: 37 type A, 36 type B, 13 type C) were analyzed between January 1998 and December 2003. All fractures were stabilized by bridge plating. Radiographic union and clinical outcome were documented. Of the 129, 122 diaphyseal fractures (94.5%) healed within 10.2 +/- 3.4 weeks without complications (no nerve lesions, nonunion, synostosis callus). One re-osteosynthesis, one secondary lag screw, and five cancellous bone grafts were necessary before final healing. About 79.1% of the patients had a perfect clinical outcome; 17.4% had additional severe injuries of the same arm. Bridge plating, without interfragmentary compression is a reliable surgical procedure even for forearm fractures with low risk of infection and nonunion."],["dc.identifier.doi","10.1007/s00068-008-8002-3"],["dc.identifier.isi","000265340900011"],["dc.identifier.pmid","26814768"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/5045"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/17036"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Urban & Vogel"],["dc.relation.issn","1863-9933"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","The Elastic Bridge Plating of the Forearm Fracture: A Prospective Study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2008Journal Article
    [["dc.bibliographiccitation.firstpage","9"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","The Journal Of Hand Surgery"],["dc.bibliographiccitation.lastpage","18"],["dc.bibliographiccitation.volume","33A"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Albus, Gerlind"],["dc.contributor.author","Kubein-Meesenburg, Dietmar"],["dc.contributor.author","Fanghaenel, Jochen"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.contributor.author","Naegerl, Hans"],["dc.date.accessioned","2018-11-07T11:20:12Z"],["dc.date.available","2018-11-07T11:20:12Z"],["dc.date.issued","2008"],["dc.description.abstract","Purpose To study and to clarify the curvature morphology of the articular surfaces of the proximal interphalangeal (PIP) joint and to relate joint morphology and joint kinematics. Methods The radii and centers of curvature of 40 PIP joints were determined by sagittal and transverse intersections of highly precise replicas that were prepared by dental methods. Results The PIP joint is proved to be a nonconforming joint: the articular surface of the proximal end of the middle phalanx has lesser curvatures than the condyles of the proximal phalanx, In intersections through the apex of the radial and ulnar condyles, the measured differences of the radii between the articular surfaces of the PIP joint were sagittally about 30% and transversely about 49% of the respective radii of the condyles. Incongruity of the joint results in 2 morphologically given axes for extension respective to flexion: (1) an axis given by the articular surfaces of both condyles of the proximal phalanx; and (2) a second axis given by the articular surface of the proximal end of the middle phalanx. Both articulating surfaces have 2 contact points in the transverse plane, one each, central to the apex of radial and ulnar condyles, respectively. In the middle of the joint, in the intercondylar groove, a small joint cavity was present in 37 of 40 joints, Conclusions The physiological incongruity of the 2 articular surfaces of the PIP joint was defined quantitatively. This allows the derivation of a theoretical model for PIP joint function that explains the kinematics and mechanical stability of the joint as well as the lubrication and nutrition of the cartilaginous structures."],["dc.identifier.doi","10.1016/j.jhsa.2007.09.001"],["dc.identifier.isi","000253214200003"],["dc.identifier.pmid","18261659"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/55480"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","W B Saunders Co-elsevier Inc"],["dc.relation.issn","0363-5023"],["dc.title","Morphology of the interphalangeal joint surface and its functional relevance"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2014Journal Article
    [["dc.bibliographiccitation.firstpage","1411"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Skeletal Radiology"],["dc.bibliographiccitation.lastpage","1420"],["dc.bibliographiccitation.volume","43"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Lerzer, Sebastian"],["dc.contributor.author","Vafa, Morad Ali"],["dc.contributor.author","Tezval, Mohammad"],["dc.contributor.author","Dechent, Peter"],["dc.contributor.author","Sturmer, Klaus Michael"],["dc.contributor.author","Lotz, Joachim"],["dc.date.accessioned","2018-11-07T09:34:59Z"],["dc.date.available","2018-11-07T09:34:59Z"],["dc.date.issued","2014"],["dc.description.abstract","To assess ligament lesions and subluxations of the carpometacarpal joints of the thumbs (CMC I) of asymptomatic volunteers and of patients with CMC I osteoarthritis using advanced magnetic resonance imaging (MRI). A total of 20 CMC I joints of 14 asymptomatic volunteers (6x both sides) and 28 CMC I joints of 22 patients (6x both sides) with symptomatic and X-ray-diagnosed osteoarthritis of CMC I joints were studied. During extension, flexion, abduction and adduction of the thumb, the anterior oblique (AOL), intermetacarpal (IML), posterior oblique (POL) and dorsal radial (DRL) ligaments were evaluated using 3-T MRI on two standard planes, and translation of metacarpal I (MC I) was assessed. The MRI demonstrated that ligament lesions of the AOL and IML are frequent. Isolated rupture of the AOL was found in 6 of 28 (21 %), combined rupture of the AOL + IML in 5 of 28 (18 %) and isolated IML rupture in 4 of 28 (14 %) joints. The patients had a significantly increased dorsal translation of MC I during extension with a median of 6.4 mm vs. 5.4 mm in asymptomatic volunteers (p < 0.05). MRIs of CMC I in two standardized planes frequently show combined ligament ruptures. The dorsal subluxation of MC I, which is increased in patients, correlates with OA severity based on X-ray and can be quantified by MRI. For joint-preserving surgical procedures and for prosthesis implantation of the CMC I, we recommend performing an MRI in two planes of the thumb-extension and abduction-to evaluate the ligaments and dorsal subluxation of MC I."],["dc.identifier.doi","10.1007/s00256-014-1955-x"],["dc.identifier.isi","000341098200009"],["dc.identifier.pmid","25081633"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32294"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2161"],["dc.relation.issn","0364-2348"],["dc.title","Osteoarthritis of the carpometacarpal joint of the thumb: a new MR imaging technique for the standardized detection of relevant ligamental lesions"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2010Journal Article
    [["dc.bibliographiccitation.artnumber","Doc13"],["dc.bibliographiccitation.journal","German medical science : GMS e-journal"],["dc.bibliographiccitation.volume","8"],["dc.contributor.author","Kolios, Leila"],["dc.contributor.author","Kolios, Georg"],["dc.contributor.author","Beyersdorff, Marius"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Stromps, Jan"],["dc.contributor.author","Freytag, Sebastian"],["dc.contributor.author","Stuermer, Klaus"],["dc.date.accessioned","2019-07-09T11:53:05Z"],["dc.date.available","2019-07-09T11:53:05Z"],["dc.date.issued","2010"],["dc.description.abstract","Extended traumatic wounds require extended reconstructive operations and are accompanied by long hospitalizations and risks of infection, thrombosis and flap loss. In particular, the frequently used Topical Negative Pressure (TNP) Therapy is regarded as cost-intensive. The costs of TNP in the context of traumatic wounds is analyzed using the method of health economic evaluation. All patients (n=67: 45 male, 22 female; average age 54 y) with traumatically acquired wounds being treated with TNP at the university hospital of Goettingen in the period 01/01/2005-31/12/2007 comprise the basis for this analysis. The concept of activity-based costing based on clinical pathways according to InEK (National Institute for the Hospital Remuneration System) systematic calculations was chosen for cost accounting. In addition, a special module system adaptable for individual courses of disease was developed. The treated wounds were located on a lower extremity in 83.7% of cases (n=56) and on an upper extremity in 16.3% of cases (n=11). The average time of hospitalization of the patients was 54 days. Twenty-five patients (37.31%) exceeded the \"maximum length of stay\" of their associated DRG (Diagnosis Related Groups). The total PCCL (patient clinical complexity level = patient severity score) of 2.99 reflects the seriousness of disease. For the treatment of the 67 patients, total costs were ,729,922.32 (1,249,176.91 euro). The cost calculation showed a financial deficit of ehB210,932.50 (-152,314.36 euro). Within the entire treatment costs of 18,848.07 (158,030.19 euro), 12.65% per case were created by TNP with material costs of 02,528.74 (74,036 euro), representing 5.92% of entire costs. The cost of TNP per patient averaged ,266.39 (2,358.66 euro). The main portion of the costs was not - as is often expected - due to high material costs of TNP but instead to long-term treatments. Because of their complexity, the cases are insufficiently represented in the lump-sum calculation of the InEK. A differentiated integration of complex TNP-treatment in the DRG system (e.g., as an expanded DRG I98Z) would be a step towards cost recovery. In addition, the refunding of outpatient TNP-treatment would lead to enhanced quality of life for the patients and to a reduction of hospital costs and length of stay."],["dc.identifier.doi","10.3205/000102"],["dc.identifier.fs","575231"],["dc.identifier.pmid","20577642"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6898"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60339"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1612-3174"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.subject.mesh","Costs and Cost Analysis"],["dc.subject.mesh","Female"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Hospital Costs"],["dc.subject.mesh","Hospitalization"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Infection"],["dc.subject.mesh","Length of Stay"],["dc.subject.mesh","Male"],["dc.subject.mesh","Middle Aged"],["dc.subject.mesh","Negative-Pressure Wound Therapy"],["dc.subject.mesh","Nursing Staff, Hospital"],["dc.subject.mesh","Reconstructive Surgical Procedures"],["dc.subject.mesh","Surgical Flaps"],["dc.subject.mesh","Thrombosis"],["dc.subject.mesh","Wounds and Injuries"],["dc.title","Cost analysis of Topical Negative Pressure (TNP) Therapy for traumatic acquired wounds."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2007Journal Article
    [["dc.bibliographiccitation.firstpage","491"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","The Journal Of Hand Surgery"],["dc.bibliographiccitation.lastpage","496"],["dc.bibliographiccitation.volume","32A"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Fuchs, Michael"],["dc.contributor.author","Burchhardt, Helmut"],["dc.contributor.author","Appelt, Daniel"],["dc.contributor.author","Bohr, Stefan"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.date.accessioned","2018-11-07T11:03:36Z"],["dc.date.available","2018-11-07T11:03:36Z"],["dc.date.issued","2007"],["dc.description.abstract","Purpose: To present the clinical results of a study of unstable metacarpal fractures treated with absorbable plates. Methods: Between July 2004 and June 2006, 12 patients (14 fractures) who presented with displaced, unstable, metacarpal fractures had open reduction and internal fixation. The overall clinical follow-up results and radiographic controls at 6, 12, and 26 weeks after surgery are reported. The clinical outcome was assessed by the Disabilities of the Arm, Shoulder, and Hand score and the visual analogue pain scale. Results: The involved fingers showed an average final total active motion of 234 degrees (range, 220 degrees-265 degrees). No deformity of rotation >50 degrees was observed in any patient in the clinical follow-up evaluation. One patient had a loss of reduction with a palmar angle of the metacarpal axis of 20 degrees in the sagittal plane. A second patient with secondary loss of reduction required surgical revision, at which time internal fixation was performed by using a titanium plate. Complications included keloid formation and prolonged soft-tissue swelling for more than 6 weeks in 3 patients. No wound margin necrosis, infection, pseudarthrosis, sinus formation, or osteolysis was observed. Bone consolidation was achieved reliably within 6 weeks both clinically and radiologically. The Disabilities of the Arm, Shoulder, and Hand score results 6 weeks after surgery were an average of 30 points compared with 13 after 12 weeks and 3 points after 26 weeks. The visual pain scale showed mean values of 18 after 6 weeks, 2 after 12 weeks, and 0.2 after 26 weeks. Conclusions: Absorbable plates are suitable for use in hand surgery and allow early range of motion in combination with an additional orthosis of the hand (as described) for 3 weeks. In the early and medium-term postoperative course, no osteolysis or sterile sinus formation was observed. Metal plates are still the gold standard; however, surgical implants made of amorphous copolymer of L-lactide and glycolic acid in combination with an orthosis constitute a useful and reliable means of metacarpal fracture treatment."],["dc.identifier.doi","10.1016/j.jhsa.2007.02.005"],["dc.identifier.isi","000245641400009"],["dc.identifier.pmid","17398359"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/51658"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","W B Saunders Co-elsevier Inc"],["dc.relation.issn","0363-5023"],["dc.title","Clinical results of absorbable plates for displaced metacarpal fractures"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2007Journal Article
    [["dc.bibliographiccitation.firstpage","538"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Journal of Orthopaedic Trauma"],["dc.bibliographiccitation.lastpage","543"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Tezval, Mohammad"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.date.accessioned","2018-11-07T10:59:10Z"],["dc.date.available","2018-11-07T10:59:10Z"],["dc.date.issued","2007"],["dc.description.abstract","Objective: To determine the prognostic reliability, sensitivity, and specificity of the Hawkins sign. The Hawkins sign is a subchondral radiolucent band in the talar dome that is indicative of viability at 6 to 8 weeks after a talus fracture. It is visible in the anterior-posterior view, but seldom appears on lateral radiographs. Design: Retrospective study. Setting: University hospital. Patients and Methods: Between January 1995 and December 2000, a total of 41 patients (13 female, 28 male) with displaced talar fractures were operated on in our hospital. Thirty-four patients with a mean age of 35 years (range 12-60) were followed for more than 36 months (range 36-52). The prognostic reliability of the Hawkins sign was studied in 31 of these patients using a two-by-two table. The Ankle-Hindfoot scale of the American Orthopaedic Foot and Ankle Society (AOFAS) was used as an outcome measure. Results: No Hawkins sign was found in the five patients who developed avascular necrosis (AVN) of the talus. In the remaining 26 patients who did not develop AVN, a positive (full) Hawkins sign was observed 11 times, a partially positive Hawkins sign 4 times, and a negative Hawkins sign 11 times. The Hawkins sign thus showed a sensitivity of 100% and a specificity of 57.7%. The Hawkins sign (if present) appeared between the 6th and the 9th week after trauma. Mean [range] AOFAS scores were: Pain, 31 [10-40] out of 40; Function, 39 [14-50] out of 50; and Alignment, 7 [0-10] out of 10. The clinical results were satisfactory. Conclusion: The Hawkins sign is a good indicator of talus vascularity following fracture. If a full or partial positive Hawkins sign is detected, it is unlikely that AVN will develop at a later stage after injury."],["dc.identifier.doi","10.1097/BOT.0b013e318148c665"],["dc.identifier.isi","000249549400004"],["dc.identifier.pmid","17805020"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50635"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Lippincott Williams & Wilkins"],["dc.relation.issn","0890-5339"],["dc.title","Prognostic reliability of the Hawkins sign in fractures of the talus"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2009Journal Article
    [["dc.bibliographiccitation.firstpage","317"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","The Journal Of Hand Surgery"],["dc.bibliographiccitation.lastpage","325"],["dc.bibliographiccitation.volume","34A"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Ziehn, Claudia"],["dc.contributor.author","Kubein-Meesenburg, Dietmar"],["dc.contributor.author","Fanghaenel, Jochen"],["dc.contributor.author","Stuermer, Klaus Michael"],["dc.contributor.author","Naegerl, Hans"],["dc.date.accessioned","2018-11-07T08:33:09Z"],["dc.date.available","2018-11-07T08:33:09Z"],["dc.date.issued","2009"],["dc.description.abstract","Purpose To study and quantify the morphology of the curvature of the surfaces of metacarpophalangeal metacarpophalangeal joints and to relate joint morphology to joint function. Methods Forty metacarpophalangeal joints of the index, middle, ring, and small fingers from 5 right and 5 left hands were taken from female cadavers. The articulating surfaces of the metacarpal head and the base of the proximal phalanx were copied in a true-to-scale fashion. The hard plaster models were sliced in 7 sagittal and 7 transverse planes. The curvatures of the section contours were determined with circular gauges. Statistical analyses were performed by analysis of variance and paired Student t-tests. Results In the sagittal plane, the cartilaginous surface of the metacarpal head is divided into 2 functional regions and a third dorsal region that does not articulate with the base of the proximal phalanx. The articulating surface of the base of the proximal phalanx approximates a circle in the midsagittal plane. The mean median sagittal radius of curvature of the dorsal articulating aspect of the metacarpal head (6.9 mm) is 33% smaller than that of the base of the proximal phalanx (10.3 mm). The palmar articulating aspect of the metacarpal head (5.8 mm) is 44% smaller than that of the base of the proximal phalanx (10.3 mm). In the median transverse section, the mean radius of curvature of the metacarpal head (7.3 mm) is 18% smaller than that of the base of the proximal phalanx (8.9 mm). Conclusions The data demonstrate the highly significant incongruity in the curvature of the articulating pair. This incongruity provides a joint space with its greatest dimension in the sagittal plane. From a mechanical perspective, the metacarpophalangeal joint mechanically represents a joint with 5 kinematic degrees of freedom: 2 for flexion and extension, 2 for abduction and adduction, and 1 for axial rotation. (J Hand Surg 2009;34A:317-325. (C) 2009 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)"],["dc.identifier.doi","10.1016/j.jhsa.2008.10.004"],["dc.identifier.isi","000263134000019"],["dc.identifier.pmid","19181233"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/17509"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","W B Saunders Co-elsevier Inc"],["dc.relation.issn","0363-5023"],["dc.title","Quantified Contours of Curvature in Female Index, Middle, Ring, and Small Metacarpophalangeal Joints"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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