title: Complex, multidimensional thumb movements generated by individual extrinsic muscles.
abstract: The objective of this study was to investigate three-dimensional thumb joint movements produced by individual extrinsic thumb muscles. Ten cadaveric arms were dissected to expose the musculotendinous junctions of the flexor pollicis longus (FPL), abductor pollicis longus (APL), extensor pollicis brevis (EPB), and extensor pollicis longus (EPL). Each muscle/tendon was loaded to 10% of its maximal force capability whereas three-dimensional angular movements of the carpometacarpal (CMC), metacarpophalangeal (MCP), and interphalangeal (IP) joints were obtained simultaneously. We found that each extrinsic muscle produced unique joint angular trajectories in multiple directions. The FPL, APL, EBP, and EPL generated two, two, three, and six movements, respectively. The extrinsic muscles all together generated eight movements among the multiple thumb joints. High interjoint coordination was shown between the MCP joint flexion and IP joint flexion by FPL loading, as well as between the MCP joint extension and IP joint extension by EPL loading. High intrajoint coordination was observed between extension and supination at the CMC joint by the APL, EPL, and EPB. We concluded that each muscle produces movements in multiple joints and/or in multiple anatomical directions. The findings provide a novel insight into the biomechanical roles of the extrinsic muscles of the thumb.
authors.affiliation: Hand Research Laboratory, Departments of Orthopaedic Surgery and Bioengineering, University of Pittsburgh, 210 Lothrop Street, E1641 BST, Pittsburgh, Pennsylvania 15213, USA. zmli@pitt.edu
authors.forename: Zong-Ming
authors.initials: ZM
authors.lastname: Li
authors.forename: Jie
authors.initials: J
authors.lastname: Tang
authors.forename: Matthew
authors.initials: M
authors.lastname: Chakan
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Kaz
mesh_terms: D001696:Biomechanical Phenomena; D002102:Cadaver; D005260:Female; D005384:Finger Joint / Q000502:physiology*; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000502:physiology*; D008875:Middle Aged; D009068:Movement / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology; D012016:Reference Values; D013933:Thumb / Q000033:anatomy & histology / Q000502:physiology*