The advantage of throwing the first stone: how understanding the evolutionary demands of Homo sapiens is helping us understand carpal motion.

The advantage of throwing the first stone: how understanding the evolutionary demands of Homo sapiens is helping us understand carpal motion.
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DOI:
10.5435/00124635-201001000-00007
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发表时间:
2010-01
期刊:
The Journal of the American Academy of Orthopaedic Surgeons
影响因子:
--
通讯作者:
Wolfe SW
Wolfe SW
中科院分区:
其他
文献类型:
--
作者:
Rohde RS;Crisco JJ;Wolfe SW

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与人体中的任何其他关节不同,“腕关节”由八根腕骨、远端桡骨、远端尺骨和五根掌骨之间的许多关节组成。腕骨彼此之间以及与桡骨远端、尺骨远端和掌骨基部之间形成关节。人们提出了多种解释腕骨间运动的理论;然而,关于两排腕骨中各个腕骨在不同运动平面内的运动程度和方向存在争议。最近的调查表明,传统的解释腕骨运动可能不完全占腕骨运动的所有平面。通过使用先进的成像技术和人类解剖学和功能进化的同时欣赏更好地理解腕关节运动的复杂性,导致了腕关节的“飞镖投掷运动”是人类独有的假设。腕关节运动学研究和当前骨科手术和人类学的发展强调了飞镖投掷运动在人类功能活动中的重要性,以及这些概念对骨科手术和康复的临床意义。
Unlike any other diarthrodial joint in the human body, the “wrist joint” is composed of numerous articulations between eight carpal bones, the distal radius, the distal ulna, and five metacarpal bones. The carpal bones articulate with each other as well as with the distal radius, distal ulna, and the metacarpal bases. Multiple theories explaining intercarpal motion have been proposed; however, controversy exists concerning the degree and direction of motion of the individual carpal bones within the two carpal rows during different planes of motion. Recent investigations have suggested that traditional explanations of carpal bone motion may not entirely account for carpal motion in all planes. Better understanding of the complexities of carpal motion through the use of advanced imaging techniques and simultaneous appreciation of human anatomic and functional evolution have led to the hypothesis that the “dart thrower’s motion” of the wrist is uniquely human. Carpal kinematic research and current developments in both orthopaedic surgery and anthropology underscore the importance of the dart thrower’s motion in human functional activities and the clinical implications of these concepts for orthopaedic surgery and rehabilitation.
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