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The Relationship Between the Wrist Flexion Creases and the Volar Radiocarpal Joint: A Cadaveric Study
1The Ohio State University College of Medicine, Columbus, USA.
Hand (New York, N.Y.)
|December 24, 2023
Summary
Wrist flexion creases reliably indicate the volar radiocarpal joint
Area of Science:
- Anatomy
- Orthopedic Surgery
Background:
- Traditional volar radiocarpal joint surgery involves extensive incisions, potentially leading to poor wound healing and wrist denervation.
- Minimally invasive and percutaneous techniques aim to reduce these complications.
- Accurate localization of the volar radiocarpal joint is crucial for these approaches.
Purpose of the Study:
- To investigate the relationship between volar wrist flexion creases and the volar radiocarpal joint.
- To determine if wrist flexion creases can serve as reliable landmarks for locating the joint.
Main Methods:
- Ten cadaveric upper-extremity specimens were utilized.
- Measurements were taken from the proximal and distal wrist flexion creases to the volar radiocarpal joint using fluoroscopy and dissection.
Main Results:
- The volar radiocarpal joint was consistently located proximal to the wrist flexion creases in all specimens.
- The joint was found to be 7 mm proximal to the proximal crease and 16 mm proximal to the distal crease.
- Radiographic findings correlated well with dissected anatomical structures.
Conclusions:
- Volar wrist flexion creases are dependable superficial landmarks for identifying the volar radiocarpal joint.
- These landmarks can assist clinicians in physical examinations and minimally invasive surgical procedures.
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