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Sam B -> Re: Thumb movements (September 4, 2003 5:33:00 PM)
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Hi,
You'll find your answers in Kapandji: Physiology of the Joints ( your professors will know of this book; it is the biomechanics bible to some)It has great mechanical drawings that make the complex look simple. The axis for flexion/ ext, abd/add etc is related to the anteromedial placement of the trapezium, to place the metacarpal joint in an optimal position for opposition. This causes the oblique plane for the convex distal end of trapezius. The radial rotation of the metacarpal as an adjunct rotation is also important to note, as this is frequently a problem in patients with CMC problems and EPL tendonitis ( de Quervains) Am happy to help with any questions you have.
Sam B
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