biomechanics of the
forearm
Amaranth S et al. Krukenberg operation: The "lobster claw" for traumatic amputation of the left
hand. 2014
Proximal
ulna
Distal radius
Proximal
radius
Distal ulna
and ligaments
Assemblage
nucleus
Posterior view
1,1 to 2,6 cm
2,7-3,5 cm
57%
7,7 cm
25
13,2 cm
32%
Anterior view
Distinct patterns
Central band: 1,3 mm thick /
1 cm large
Accessory bands on either
sides: 1 mm thick
Rigidity:
Composition
Prolongation of the
periosteum of ulna and
radius
Collagen (60-90%) and
elastin
Central band
Convergent transverse
forces are controlled by
bony architecture
Radioulnar abutment can
be seen after radial head or
ulnar head resection
Longitudinal stability
g.Fig.
1. Specimen
mounted
on frame.
Hand
passed
through
slot on
2. DVRT
sutured
to thetocentral
band of
the ofinterosseous
1. Specimen
mounted
on frame.
Hand
passed
through
slot on Fig. Fig.
2. DVRT
sutured
the central
band
the interos
tating
device
andand
gripped
around
metacarpals.
membrane.
rotating
device
gripped
around
metacarpals.
membrane.
Longitudinal stability
At the wrist, about 80% of axial
loads go through the radius
At the elbow, ulna carries about
60% of axial loads
Transfer of loads is made possible
by the orientation of the fibers of the
interosseous membrane
Major displacement
Elbow:
Forearm :
Wrist :