A biomechanical study of the finger pulley system during repair

This paper addresses the mechanics of the finger/pulley system when subjected to various excisions and repairs. Several cadaver hands were used to study the finger/pulley's function, finger joint dynamics, and the relationship between tendon excursion and finger joint angles of rotation. By using a method of continuous and simultaneous data acquisition of the entire finger joint's motion, a more detailed analysis was achieved. Our experimental investigation is based on the use of four micro-potentiometers inserted at the finger's joints and a pulley system to simulate tendon excursion. Using this procedure, a detailed kinematic analysis of the entire finger was performed. This included analysis of the intact hand, various pulley excisions, and reconstruction. In addition to introducing a new method of acquisition, a mathematical model was developed for the inverse dynamic analysis of the finger pulley system. From this model, the torques required at the joints for the motion were computed. The results provided new insight into possible ways of characterizing kinematic changes resulting from pulley damage and repair.