{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:52Z","timestamp":1740126832296,"version":"3.37.3"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Versteifung des Fingerendgelenks ist eine bew\u00e4hrte\n                    Methode zur Behandlung der Endgelenksarthrose. Da es sich bei der oberen\n                    Gliedma\u00dfe um eine Gliederkette handelt, die von vernetzten,\n                    gelenk\u00fcbergreifenden Muskel-Sehnen-Einheiten bewegt wird, sind durch die\n                    Versteifung eines Gelenks Auswirkungen auf die Beweglichkeit und die\n                    Kraftentwicklung beim Greifen zu erwarten. Hierzu fehlt bislang eine\n                    quantitative Analyse in Echtzeit.<\/jats:p><jats:p>\n          Material und Methoden Die Bewegung der Finger und die Kraftentwicklung\n                    beim Greifen wurde an 19 gesunden Probanden mit simulierter Versteifung eines\n                    Fingerendgelenks mit dem TUB-(Technische Universit\u00e4t\n                    Berlin)-Sensorhandschuh beim Faustschluss und bei zwei Varianten des Kraftgriffs\n                    im Vergleich zum physiologischen Griff dynamisch gemessen und quantitativ\n                    analysiert.<\/jats:p><jats:p>\n          Ergebnisse Beim physiologischen Faustschluss betrug der mittlere\n                    Beugungswinkel am Grundgelenk 71,5\u00b0, am Mittelgelenk 76,8\u00b0 und\n                    am Endgelenk 37,3\u00b0. Bei simulierter Endgelenksversteifung fiel er am\n                    Mittelgelenk auf 49,6\u00b0, w\u00e4hrend er am Grundgelenk auf\n                    77,3\u00b0 leicht zunahm. Ebenso verhielt es sich bei den Kraftgriffen. Beim\n                    Kraftgriff I beliefen sich die Winkel unter physiologischen Bedingungen auf\n                    18,3\u00b0 am Grund-, 39,6\u00b0 am Mittel- und 42,6\u00b0 am\n                    Endgelenk. Bei simulierter Endgelenksversteifung stieg der Winkel am Grundgelenk\n                    auf 28,4\u00b0, w\u00e4hrend er am Mittelgelenk auf 25,2\u00b0 fiel.\n                    Beim Kraftgriff II lagen die physiologischen Werte bei 30,9\u00b0 am Grund-,\n                    36,6\u00b0 am Mittel- und 29,0\u00b0 am Endgelenk. Bei simulierter\n                    Endgelenksversteifung stieg der Winkel am Grundgelenk auf 34,4\u00b0 und fiel\n                    am Mittelgelenk auf 23,3\u00b0. Die bei den Kraftgriffen gemessenen\n                    Kr\u00e4fte verteilten sich unter physiologischen Bedingungen nahezu\n                    gleichm\u00e4\u00dfig auf alle vier Strahlen. Bei simulierter\n                    Endgelenksversteifung fiel die gemessene Kraft des betroffenen Fingers im Mittel\n                    nur um bis zu 1,4%.<\/jats:p><jats:p>\n          Schlussfolgerung Mit der vorliegenden Studie liegt erstmals eine\n                    quantitative Analyse des Greifens bei simulierter Endgelenksarthrodese vor. Sie\n                    zeigt das dynamische Zusammenspiel der Fingergelenke sowie der\n                    Kraftverteilungsmuster an den einzelnen Strahlen der Hand in Echtzeit.<\/jats:p>","DOI":"10.1055\/a-1894-7002","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T22:51:45Z","timestamp":1662591105000},"page":"418-426","source":"Crossref","is-referenced-by-count":0,"title":["Der Einfluss der simulierten Endgelenksversteifung auf die Bewegung\n        und Kraftentwicklung des Fingers"],"prefix":"10.1055","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-0866","authenticated-orcid":false,"given":"Simon","family":"Bauknecht","sequence":"additional","affiliation":[{"name":"Unfall-, Hand-, Plastische u. Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Unfall-, Hand-, Plastische u. Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Vergote","sequence":"additional","affiliation":[{"name":"Unfall-, Hand-, Plastische u. Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myriam","family":"Andreas","sequence":"additional","affiliation":[{"name":"Unfall-, Hand-, Plastische u. Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard-Tobias","family":"Moeller","sequence":"additional","affiliation":[{"name":"Unfall-, Hand-, Plastische u. Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.ocl.2019.05.004","article-title":"Arthritis of the Thumb Interphalangeal and Finger Distal Interphalangeal\n                    Joint","volume":"50","author":"J C Wu","year":"2019","journal-title":"Orthop Clin North Am"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1055\/s-2001-12082","article-title":"Reproduzierbarkeit von Fingergelenkwinkelmessungen mit einem\n                    Sensorhandschuh","volume":"33","author":"M Mentzel","year":"2001","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1016\/j.jhsa.2009.12.031","article-title":"Motion coordination patterns during cylinder grip analyzed with a sensor\n                    glove","volume":"35","author":"J G\u00fclke","year":"2010","journal-title":"J Hand Surg Am"},{"key":"ref4","first-page":"1","article-title":"Bewegungsabl\u00e4ufe und Kraftverteilungsmuster an der Hand bei\n                    prim\u00e4ren Griffen \u2013 Messungen mit dem TUB-Sensorhandschuh\n                    [Habilitation]","author":"M Mentzel","year":"2002","journal-title":"Universti\u00e4t Ulm"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1055\/s-0031-1271805","article-title":"Erfassung der Kraftprofile verschiedener prima\u0308rer Griffe durch\n                    dynamische Kraftmessung mit einem Sensorhandschuh","volume":"43","author":"M Mentzel","year":"2011","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1055\/s-0031-1271804","article-title":"Die Dynamik der Bewegungsabla\u0308ufe der Fingergelenke beim\n                    Faustschluss","volume":"43","author":"M Mentzel","year":"2011","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1055\/s-2001-12083","article-title":"Kraftmessung an der Hand mit einem Sensorhandschuh bei Griffen mit submaximaler\n                    und maximaler Kraft","volume":"33","author":"M Mentzel","year":"2001","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1016\/s0266-7681(05)80139-1","article-title":"Quantitative analysis of the linkage between the interphalangeal joints of the\n                    index finger. 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