title: A Novel Adhesion Index for Verifying the Extent of Adhesion for the Extensor Digitorum Communis in Patients with Metacarpal Fractures.
abstract: This study aims to determine if the relative displacement between the extensor digitorum communis (EDC) tendon and its surrounding tissues can be used as an adhesion index (AI) for assessing adhesion in metacarpal fractures by comparing two clinical measures, namely single-digit-force and extensor lag (i.e., the difference between passive extension and full active extension). The Fisher-Tippett block-matching method and a Kalman-filter algorithm were used to determine the relative displacements in 39 healthy subjects and 8 patients with metacarpal fractures. A goniometer was used to measure the extensor lag, and a force sensor was used to measure the single-digit-force. Measurements were obtained twice for each patient to evaluate the performance of the AI in assessing the progress of rehabilitation. The Pearson correlation coefficient was calculated to quantify the various correlations between the AI, extensor lag, and single-digit-force. The results showed strong correlations between the AI and the extensor lag, the AI and the single-digit-force, and the extensor lag and the single-digit-force (r = 0.718, -0.849, and -0.741; P = 0.002, P < 0.001, and P = 0.001, respectively). The AI in the patients gradually decreased after continuous rehabilitation, but remained higher than that of healthy participants.
authors: Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
authors: Ting-Yu
authors: TY
authors: Lai
authors: Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.
authors: Hsiao-I
authors: HI
authors: Chen
authors: Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
authors: Cho-Chiang
authors: CC
authors: Shih
authors: Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.
authors: Li-Chieh
authors: LC
authors: Kuo
authors: Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
authors: Hsiu-Yun
authors: HY
authors: Hsu
authors: Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
authors: Chih-Chung
authors: CC
authors: Huang
mesh_terms: D000328:Adult; D000368:Aged; D050723:Fractures, Bone / Q000473:pathology* / Q000534:rehabilitation*; D006801:Humans; D015601:Injury Severity Score; D050279:Metacarpal Bones / Q000293:injuries* / Q000473:pathology*; D008875:Middle Aged; D013710:Tendons / Q000473:pathology*; D000267:Tissue Adhesions / Q000473:pathology*; D055815:Young Adult