Role of Active Range of Motion in Hand and Wrist Joint Photography: A Preliminary Analysis.

Abstract:

INTRODUCTION:Hand photography is effective and advantageous for assessing functional deficits and improvements related to surgery. In this study, it is aimed to investigate whether the correct active range of motion (ROM) is masked by the passive ROM in a wrist joint. METHOD:Eleven patients who were treated for unilateral wrist fractures were included in the study. Photography was performed in all patients by the same surgeon according to the conventional hand surgery photography approach and the active ROM photography approach. Differences between the noninjured side and injured side were assessed. RESULTS:No differences were found between the active ROM and passive ROM during the extension and flexion movements in the noninjured side group. However, in the injured side group, the results from the photographs obtained with the conventional method were significantly better than the results from the photographs obtained when the wrist was actively moved. CONCLUSION:These findings suggest that photographs of wrists during passive motion may affect the results of a treatment or study by showing false positivity. We propose obtaining images of active ROM instead of passive ROM in hand photography.

journal_name

Ann Plast Surg

authors

Yildiran G,Sutcu M,Akdag O,Isik C,Tosun Z

doi

10.1097/SAP.0000000000001845

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

636-638

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

82

pub_type

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