{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:30:31Z","timestamp":1791660631850,"version":"4.3.4"},"reference-count":42,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,12,31]],"date-time":"2015-12-31T00:00:00Z","timestamp":1451520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Centre of Research Expertise for the Prevention of Musculoskeletal Disorders"},{"name":"Natural Sciences and Engineering Research Council of Canada under Discovery","award":["#217382-09"],"award-info":[{"award-number":["#217382-09"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:label\/><jats:p>Carpal tunnel syndrome is characterized by non\u2010inflammatory fibrosis of the subsynovial connective tissue (SSCT), a paratenon\u2010like structure inside the carpal tunnel. This pathology suggests repetitive and\/or excessive shear forces are involved in injury development. We assessed relative motion between the flexor digitorum superficialis (FDS) tendon and adjacent paratenon in Zone V using colour Doppler imaging as 16 healthy participants completed three long finger movements (metacarpophalangeal joint flexion, proximal and distal interphalangeal joint flexion, full finger flexion) in three wrist postures (30\u00b0 extension, 0\u00b0, 30\u00b0 flexion). While the type of finger movement did not affect tendon\u2010paratenon relative motion, we found a significant main effect of wrist posture (<jats:italic>p\u2009<\/jats:italic>&lt;\u20090.001). Relative displacement between the FDS tendon and paratenon (as a percentage of tendon displacement) increased from 27.2% (95%CI\u2009=\u200924.8\u201329.5%) in 30\u00b0 wrist extension to 39.9% (95%CI\u2009=\u200937.3\u201342.4%) in 30\u00b0 wrist flexion. Optical motion capture confirmed that wrist posture did not affect metacarpophalangeal joint range of motion (<jats:italic>p\u2009<\/jats:italic>=\u20090.265) or proximal interphalangeal joint range of motion (<jats:italic>p\u2009<\/jats:italic>=\u20090.582). These results indicate that relative motion increased due to paratenon strain when the wrist was flexed. While our findings agree with previous cadaveric research in wrist flexion, we found that relative displacement decreased in 30\u00b0 wrist extension (compared to 0\u00b0). These results differ from cadaveric research, possibly due to challenges maintaining anatomic fidelity of the viscoelastic paratenon tissue in vitro. Overall, our study suggests a greater susceptibility to shear injury during repetitive finger movements, particularly when the wrist is flexed. \u00a9 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1248\u20131255, 2016.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jor.23133","type":"journal-article","created":{"date-parts":[[2015,12,19]],"date-time":"2015-12-19T15:52:45Z","timestamp":1450540365000},"page":"1248-1255","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Relative motion between the flexor digitorum superficialis tendon and paratenon in zone V increases with wrist flexion angle"],"prefix":"10.1002","volume":"34","author":[{"given":"Aaron M.","family":"Kociolek","sequence":"first","affiliation":[{"name":"Occupational Biomechanics Laboratory, Department of Kinesiology McMaster University Hamilton Ontario L8S 4K1 Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Keir","sequence":"additional","affiliation":[{"name":"Occupational Biomechanics Laboratory, Department of Kinesiology McMaster University Hamilton Ontario L8S 4K1 Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.10.610"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000239593.55293.c7"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orthres.2004.03.005"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90070-8"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2007.07.009"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2007.01.004"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21213"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2005.02.001"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2007.09.017"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20252"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2010.01.001"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2011.03.014"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2007.26.2.149"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2342-10-9"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.34.4.679"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.7.1091"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2009.07.004"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20640"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.21181"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.09.021"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22391"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(00)00011-5"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(00)00012-7"},{"key":"e_1_2_7_26_1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.3233\/WOR-2010-1095","article-title":"A comparison of two interventions designed to promote neutral wrist postures during simple computer operations","volume":"37","author":"Ugbolue UC","year":"2010","journal-title":"Work"},{"key":"e_1_2_7_27_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.3233\/WOR-2012-1429","article-title":"A wrist tendon travel assessment of hand movements associated with industrial repetitive activities","volume":"42","author":"Ugbolue UC","year":"2012","journal-title":"Work"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255842.2015.1055733"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2004.05.042"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2014.12.029"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0033(94)90053-1"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2006.10.008"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200203000-00033"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1518\/001872007779598127"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(83)90074-X"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(78)90004-0"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2015.1013575"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.01.010"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01521"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557060-00008"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90371-U"},{"key":"e_1_2_7_42_1","unstructured":"TatJ KociolekAM KeirPJ.2014. Tendon shear is only partially represented by ultrasound shear. 7th World Congress of Biomechanics Boston MA."},{"key":"e_1_2_7_43_1","volume-title":"Diagnostic ultrasonics: principles and use of instruments","author":"McDicken WN","year":"1991"}],"container-title":["Journal of Orthopaedic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjor.23133","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jor.23133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:58:16Z","timestamp":1696402696000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jor.23133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,31]]},"references-count":42,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1002\/jor.23133"],"URL":"https:\/\/doi.org\/10.1002\/jor.23133","archive":["Portico"],"relation":{},"ISSN":["0736-0266","1554-527X"],"issn-type":[{"value":"0736-0266","type":"print"},{"value":"1554-527X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,31]]},"assertion":[{"value":"2015-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}