An investigation of the relationship between displacements of the finger and wrist joints and the extrinsic finger flexor tendons.

Abstract Several investigators have developed biomechanical models of finger flexor tendon displacements during pinching or gripping exertions of hands. Landsmeer has developed the most comprehensive set of models for this purpose. This paper describes experiments in which various sized cadaver hands were used to statistically evaluate the Landsmeer models. In so doing, the effects of hand and wrist anthropometry are included. The results indicate that the tendons displace in relation to joint positions as described by that Landsmeer model in which the tendon is depicted as sliding over the curved articular surface of the proximal bone of the joint. Joint thickness effects were found to modify the parameters in the model as intuitively expected. An empirical prediction model of the anthropometric effects was developed. Further, the tendon displacements for various wrist orientations were expressed empirically for the first time and were shown to be consistent with expected anatomical considerations.