Second Triennial International

Hand & Wrist Biomechanics Symposium

San Francisco, CA, USA, September 10-11, 1995


David Nelson, MD

Kai-Nan An, PhD

Organizing Committee

Kai-Nan An, PhD

William Cooney, MD

Marc Garcia-Elias, MD

Louis Gilula, MD

David L. Nelson, MD

Frederic Schuind, MD, PhD


Mayo Clinic/Mayo Foundation

American Foundation for Surgery of the Hand


Sunday, September 10th

8:00- 8:15 Opening Remarks: Nelson, An

8:15- 10:00 Plenary Session: Invited Papers-Wrist Moderator: Nelson

Keynote Talk: Ronald Linscheid: The History of the Study of the Wrist


Invited Talk #1 Richard Berger: Wrist Ligamentous Anatomy

Invited Talk #2 Steven Viegas: Load Mechanics of the Wrist


10:00-11:30 Session One: Wrist Kinematics

Paper #1 Measurement of Carpal Bones in a Wrist Joint Motion Simulator. Werner,

Short, Fortino, Palmer

Paper #2 Normal Kinematics of Carpal Bones. Kobayashi, Ritt, Linscheid, Berger, An

Paper #3 Kinematics of the Normal Trapeziometacarpal Joint. Imaeda, An, Cooney,


Paper #4 The Lunotriquetral Joint: Kinematic Effects of Sequential Ligament Sectioning,

Ligament Repair, and Arthrodesis. Ritt, Linscheid, Cooney, Berger, An

Paper #5 Ulnar Variance and Lunotriquetral Mechanincs. Glowacki, Alford, Moore,

Crisco, Weiss

Paper #6 The Efficacy of Dynamic External Fixation for Treatment of Distal Radius

Fractures Using 3D Kinematics Analysis. Patterson, Viegas, Nicodemus,

Buford, Rosenblatt

11:30- 12:00 Roundup: Cooney, Garcia-Elias

12:00- 1:00 Lunch

1:00- 3:45 Concurrent Sessions

Session Two: Clinical Wrist

Paper #7 Kienbock’s Disease Stage III: Mechanical and Histological Aspects with Some

Surgical Implications. Hashizume, Miyake, Nishida, Inoue, Nagayama

Paper #8 The Effects of Exercise on Scaphiod Mechanincal Properties. Wolf, Crisco,

Chelikani, Brown

Paper #9 A Biomechanical Model to Study Dynamic Scaphoid Instability. Short,

Werner, Fortino, Mann

Paper #10 Comparison of LT and CLTH Arthrodesis in LT Dissociation. Yang, Ryu,

Han, Kish

Paper #11 The Natural Progression of Scaphoid Instability and Scapholunate

Interosseous Ligament Rupture. Watson, Weinzweig, Zeppierid

Paper #12 Triquetral Impingement Ligament Tear (TILT). Watson, Weinzweig,


Paper #13 An In Vivo Triscaphe Arthodesis Analysis in a Full Range Wrist

Circumduction. A Six Revolute Instrumental Spatial Linkage Study. Salvia,

Schuind, Fumiere, David, Klein, Rooze.

Paper #14 Scapho-trapezio-trapeziod Ligaments: Their importance in Determining

Dissociative Carpal Instability. Brunelli, Brunelli.

Paper #15 Radio-Metacarpal Rotation. Roux, Mikaleff, Allieu

Paper #16 Radiocarpal Articular Pressures During the Reduction of Distal Radius

Fractures. Schuind, Fabeck, Burny

Session Three: Hand

Paper #17 An Analysis of the congruence of the Thumb Carpometacarpal Joint. Xu,

Ahmad, Strauch, Wang, Wang, Rosenwasser, Pawluk, Blankevoort, Mow,


Paper #18 Mechanical Properties of the Thumb Carpometacarpal Cartilage. Wang, Xu,

Wang, Ahmad, Strauch, Rosenwasser, Pawluk, Blankevoort, Ateshian, Mow

Paper #19 Digital Motion Analysis. Belliappa, Rash, Gupta

Paper #20 Simulation of Thumb Carpometacarpal Joint Saddle Shape with Surfaces of

Revolution for Offset Axes of Rotation. Truman, Hollister

Paper #21 Intraoperative Laser Diffraction and Biomechanical Modeling for Surgical

Tendon Transfer. Lieber, Shoemaker, Loren, Friden

Paper #22 The Complete Thumb. Giurintano, Mathews, Hollister

Paper #23 Finite Element Models of Finger Bones with Artificial Implants. Targowski,

Ledoux, Lamblin, Guerlement.

Paper #24 Musculoskeletal Interactions which Limit Fingertip Forces. Valer-Cuevas,

Burgar, Van Der Loos, McGill, Lum, Zajac, Hentz, An

Paper #25 Laboratory Development of a Nonconstrainted, Noncemented, Modular

Metacarpophalangeal Prosthesis. Beevers, Seedhorn

Paper #26 EMG Observations of Biceps, Brachii Muscle in Elbow Flexion Correlated

with Analogous Morphohistochemical Data. Meded, Bobinac, Sentija

4:00-4:30 Round up: Schuind, Viegas

4:30- 5:30 Panel Discussion: The Scapholunate Ligament

Moderator: Nelson

Panel Members: Watson, Sennwald, Linscheid, Berger, Masem

Monday, September 11th

8:00- 8:05 Opening Remarks: Nelson, An

8:05- 10:00 Plenary Session: Invited Papers- Hand

Moderator: An

Keynote Talk: Johan Landsmeer: Perspectives on Hand Research


Invited Talk #3 Michael Botte: Extensor Tendon Anatomy

Invited Talk #4 Paul Manske: Tendon Healing


10:00- 11:30 Session Four: Clincial Wrist and Hand

Paper #27 Gliding Pattern of Tendon Through Pulley: Differences Between Canine and

Human Model. Uchiyama, Smutz, Amadio, An

Paper #28 Biomechanics of Dorsal Plating of the Distal Radius. Gesensway, Putnam,

Nelson, Mente, Lewis

Paper #29 Evolutionary Perspective on Human Thumb/Index Finger Biomechanics

Relating to Precision Gripping. Marzke, Marzke, Linscheid, An

Paper #30 Biomechanical Behavior of the Median Nerve In and About the Carpal Tunnel.

Bay, Sharkey, Szabo

Paper #31 Wrist Posture and Crapal Tunnel Pressure. Rempel

Paper #32 Force Transmission Across the Wrist and Forearm. Ledoux, Lamblin, Algrian

11:30- 12:00 RoundUp: Botte, Giluia

12:00-1:00 Lunch

1:00-2:00 Plenary Session: Invited Papers- Hand

Moderator: Garcia- Eilias

Invited Talk #5 David Nelson: Functional Wrist Motion

Invited Talk #6 Kirk Watson: Wrist Exam

1:50-2:00 Break

2:00-4:00 Session Five: Kinematics, Fractures, and Models

Paper #33 Noninvasive Measurement of Distal Radius Fracture Instability. Waters,

Mintzer, Hipp, Snyder

Paper #34 Carpal Kinematics in a Displaced Lunate Fossa Fractured. Daniel, DesJardins,

Baratz, Anderson, Imbriglia

Paper #35 Quantitative Analysis of Carpal Kinematics in Malunion of Colles’ Fracture.

Li, Ryu, Han, Kish

Paper #36 Alterations of Carpal Bone motion in Motocross Pilots. Feipel, Vigelle,

Rooze, Lemort.

Paper #37 In Vitro Intercarpal and Radiocarpal Simulated Fusions in Wrist

Circumduction: A 6 Degree of Freedom Spatial Linkage Study. Salvia,

Flament, David, Klein, Rooze

Paper #38 A Finite Element Analysis of the Radiocarpal Joint. Anderson, Daniel

Paper #39 Mathematical Analysis of Errors Resulting from Choice of Reference Frame

Coordinates in Measuring Human Joint Motion. Hollerbach, Hollister

3:45- 4:00 Break

2:00- 4:00 Session Six: Hand, Tendon, and Ligament

Paper #40 A Biomechanical Study of the Flexor Digitorum Superficialis: Effects of

Digital Pulley Excision and Loss of the Flexor Digitorum Profundus.

Hamman, Ali, Phillips, Cunningham, Mass

Paper #41 Forearm Flexor Tendon Radii of Curvature as Determined from Magnetic

Resonance Imaging (MRI) Keir, Wells

Paper #42 Finger Extensor Mechanism: Passive Resistance for Different IP Joint

Positions. Hollister, Dennerlein, Rempel

Paper #43 Plate Fixation of Midshaft Fractures of the Proximal Phalanges with and

without Soft Tissues: A Biomechanical Study of the Tension Band Effect.

Ouellette, Latta, Milne, Makowski

Paper #44 Quantitative and Qualitative Investigation of the Distal Interphalangeal Link.

Han, Krimmer

Paper #45 Development and Use of a Dynamic Model of Hand Function. Esteki,


Paper #46 A Biomechanical Analysis of Fifth Finger Flexion in the Boxer’s Fracture.

Ali, Hamman, Mass

3:45- 4:00 Break

4:00-4:30 Roundup: Schuind, Viegas, Botte

4:30- 5:30 Panel Discussion: Distal Radioulnar Joint

Moderator : Cooney

Panel Members: Linscheid, Berger, Manske, Botte, Watson

5:00-5:15 Closing: Nelson, An