The Journal of Bone and Joint Surgery (American). 2009;91:2730-2739.
© 2009 The Journal of Bone and Joint Surgery, Inc.
Reconstruction of Posttraumatic Disorders of the Forearm
Jesse B. Jupiter, MD1,
Diego L. Fernandez, MD2,
L. Scott Levin, MD3 and
Robert W. Wysocki, MD4
1 Hand and Upper Limb Service, Massachusetts General Hospital, Yawkey Building, Suite 2100, 55 Parkman Street, Boston, MA 02114. E-mail address: jjupiter1@partners.org
2 Department of Orthopaedic Surgery, University of Berne, Lindenhof Hospital, Bremgartenstrasse 19, CH-3012 Berne, Switzerland. E-mail address: diegof@bluewin.ch
3 Penn Orthopaedic Institute, Hospital of the University of Pennsylvania, 2 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104. E-mail address: scott.levin@uphs.upenn.edu
4 Department of Orthopaedic Surgery, Rush University Medical Center, 1725 West Harrison, Suite 1042, Chicago, IL 60612. E-mail address: robertwysocki@mac.com
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
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Forearm Kinesiology
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Look for this and other related articles in Instructional Course Lectures, Volume 59, which will be published by the American Academy of Orthopaedic Surgeons in March 2010:- "The Management of Complex Fractures and Fracture-Dislocations of the Hand," by Jesse Jupiter, MD, Hill Hastings, MD, and John T. Capo,MD
| Forearm rotation is the most important contribution to the rotational mobility of the upper limb1. The two-bone unit with its proximal and distal radioulnar joints, and its rotational axis connecting the centers of the two, have been viewed as a single bicondylar joint. When combined with rotational motion of the shoulder, forearm rotation permits the hand to be positioned through an entire 360° arc of motion. With the shoulder fully abducted, nearly all of the rotational motion of the upper limb occurs through the forearm1. Activities such as accepting objects in the palm of the hand require nearly full . . . [Full Text of this Article]

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