Authors
Jelena Zvekić-Svorcan1,2, Nataša Igić2
1 Specijalna bolnica za reumatske bolesti Novi Sad, Srbija
2 Katedra za medicinsku rehabilitaciju, Medicinski fakultet Novi Sad, Univerzitet u Novom Sadu, Srbija.
• The paper was received on 11.11.2015. / Accepted on 22.11.2015.
Abstract
The human arm is the paramount of evolutionary development among living beings. One of main human properties is the opposing thumb, enabling precise and strong grip. The thumb is of key importance for hand function in everyday activities. It has three joints: interphalangeal, metacarpophalangeal and trapeziometacarpal or carpometacarpal (CMC) joint. The oposition/reposition movement is characteristic for humans only due to the CMC joint, unique saddle-shaped joint enabling three-plane movements. This considerably improves its mobility, but also is a source of constant load which often leads to osteoarthritic changes. There are several thumb-using hand grips. Some are precision grips, including pincer, tripod, pinch and key grips. Others are power grips, including oblique palmar grip, ball grip, span grip and cylinder grip.
References
- Ladd AL, Crisco JJ, Hagert E, Rose J, Weiss AP. The 2014 ABJS Nicolas Andry Award: The puzzle of the thumb: mobility, stability, and demands in opposition. . Clin Orthop Relat Res.2014;472 (12):3605-3622.
- Luker KR, Aguinaldo A, Kenney D, Cahill-Rowley K, Ladd AL. Functional task kinematics of the thumb carpometacarpal joint. Clin Orthop Relat Res. 2014;472(4):1123-1129.
- Palastanga N, Soames R. Anatomy and Human Movement: Structure and Function. 6th ed. Churchill Livingstone, Elsevier, 2012
- http://www.slideshare.net/ssuserc33ffb/palac-digitus-primus-manus-pollex-54625646
- Dias R, Chandrasenan J, Rajaratnam V, Burke FD. Basal thumb arthritis. Postgrad Med J.2007;83(975):40-43.
- Flatt AE.Our thumb. Proc(Bayl Univ Med cent).2002;15( 4):380-387.
- Haara MM, Heliovaara M, Kroger H, Arokoski JP, Manninen P, Karkkainen A, Knekt P, Impivaara O, Aromaa A. Osteoarthritis in the carpometacarpal joint of the thumb. Prevalence and associations with disability and mortality. J Bone Joint Surg Am. 2004;86:1452–1457.
- Sonne-Holm S, Jacobsen S. Osteoarthritis of the first carpometacarpal joint: a study of radiology and clinical epidemiology. Results from the Copenhagen Osteoarthritis Study. Osteoarthritis Cartilage. 2006;14:496–500. doi: 10.1016/j.joca.2005.12.001
- Marshall M, van der Windt D, Myers H, Hay E, Dziedzic. Radiographic hand osteoarthritis: patterns and associations with hand pain and function in a community-dwelling sample. Osteoarthritis and Cartilage. 2009 ; 17(11): 1440-1447. doi: http://dx.doi.org/10.1016/j.joca.2009.05.009
- Spaans, A.J, van Minnen L.P, Kon, M, Schuurman A.H, Schreuders A.R, Vermeulen G.M. Conservative treatment of thumb base osteoarthritis: a systematic review. J Hand Surg Am. 2015; 40: 16–21.
- Zvekić-Svorcan J, Filipović K, Janković T, Nenadov N, Vasić J, Kučević I. Osteoartroza šake-dijagnostički i terapijski pristup. MD-Medical Data.2014;6(4):379-382.
- Incel NA, Ceceli E, Durukan PB, Erdem HR, Yorgancioglu ZR. Grip strength: effect of hand dominance. Singapore Med J.2002;43(5):234-237.
- Ladd AL, Weiss AP, Crisco JJ, Hagert E, Wolf JM, Glickel SZ, et al. The thumb carpometacarpal joint: anatomy, hormones, and biomechanics. Instr Course Lect.2013;62:165-179.
- Angst F, Drerup S, Werle S, Herren D, Simmen BR, Goldhahn J, et al. Prediction of grip and key pinch strength in 978 healthy subject. BMC Musculoskeletal Disord.2010;11:94. doi: 10.1186/1471-2474-11-94.
- Martin JA, Ramsay J, Hughes C, Peters DM, Edwards MG. Age and grip strength predict hand dexterity in adults. Macaluso A, ed. PLoS ONE. 2015;10(2):e0117598. doi:10.1371/journal.pone.0117598.
- Puh U. Age related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res.2010;33(1):4-11.
- Hogrel JY. Grip strength measured by high precision dynamometry in healthy subject from 5 to 80 years. BMC Musculoskeletal Disorders.2015;16:139. doi: 10.1186/s12891-015-0612-4
PDF Zvekić-Svorcan J. and Igić N • MD-Medical Data 2015;7(4): 307-310