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  • Title: Load mechanics of the midcarpal joint.
    Author: Viegas SF, Patterson RM, Todd PD, McCarty P.
    Journal: J Hand Surg Am; 1993 Jan; 18(1):14-8. PubMed ID: 8423300.
    Abstract:
    The midcarpal joint was studied in upper extremities of fresh cadavers with the use of a static positioning frame, pressure-sensitive film, and a microcomputer to analyze the contact prints. The contact area on the proximal side of the midcarpal joint was found to consist generally of four areas; the scaphoid-trapezium-trapezoid, the scaphoid-capitate, the lunate-capitate, and the triquetrum-hamate. The contact areas accounted for less than 40% of the available joint surface, even under loads of 118 pounds. The distribution of load through the midcarpal joint was scaphoid-trapezium-trapezoid 23%, scaphoid-capitate 28%, lunate-capitate 29%, and triquetrum-hamate 20%. The midcarpal joint, like the radiocarpal joint, appears to transmit load through distinct areas and through a relatively small portion of the available joint surface.
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