{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:44:58Z","timestamp":1792395898099,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Carpal tunnel pressure (CTP) is affected by flexion\/extension and radioulnar deviation of the wrist. The purpose of this study was to investigate the elevations in CTP as a function of dynamic wrist motion in cadaveric hands. A goniometer was attached on hand dorsal side of cadaveric hands (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20095). A micro\u2010tip catheter pressure transducer was placed inside the carpal tunnel. With a baseline pressure set around 30\u2009mmHg, the wrist was dynamically and randomly moved in its flexion\/extension and radioulnar workspace while position and CTP were simultaneously recorded. CTP as a function of flexion\/extension and radioulnar wrist angle was fitted with a third\u2010degree polynomial. A two\u2010way repeated measures ANOVA was used to determine the effect of flexion\/extension and radioulnar deviation on CTP (\u03b1\u2009=\u20090.05). Flexion\u2013extension or radioulnar deviation significantly affected CTP (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05). CTP increased beyond 20\u00b0 of flexion\/extension or radioulnar deviation. The polynomial function captured the relationship of CTP with flexion\/extension and radioulnar deviation with a coefficient of determination of\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090.90\u2009\u00b1\u20090.06. At 50\u00b0 of flexion and 50\u00b0 of extension, the CTP, on average, was 160.7 and 172.0\u2009mmHg, respectively, more than 5 times greater than baseline CTP. CTP was dependent on the direction of the deviation. For the same ulnar deviation at 10\u00b0, the CTP at 50\u00b0 of extension was 46% greater than that at 50\u00b0 of flexion. CTP remains near baseline for small degrees of flexion\/extension and radioulnar deviation and becomes increasingly elevated for greater deviations.\n                  <\/jats:p>","DOI":"10.1002\/jor.70294","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:38:52Z","timestamp":1791621532000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Change in Carpal Tunnel Pressure With Dynamic Wrist Flexion\/Extension and Radioulnar Deviation: A Cadaveric Study"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9636-7012","authenticated-orcid":false,"given":"Zong\u2010Ming","family":"Li","sequence":"first","affiliation":[{"name":"Hand Research Laboratory, Departments of Orthopaedic Surgery and Biomedical Engineering University of Arizona Tucson Arizona USA"},{"name":"Current address: Faculty of Biomedical Engineering Shenzhen University of Advanced Technology Shenzhen  China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2530-4751","authenticated-orcid":false,"given":"David","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","first-page":"679","article-title":"Measurement of Pressure in the Carpal Canal Before and After Endoscopic Management of Carpal Tunnel Syndrome","volume":"71","author":"Okutsu I.","year":"1989","journal-title":"Journal of Bone & Joint Surgery"},{"issue":"11","key":"e_1_2_8_3_1","first-page":"1695","article-title":"Position of the Wrist Associated With the Lowest Carpal\u2010Tunnel Pressure: Implications for Splint Design","volume":"77","author":"Weiss N. 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