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Journal of Hand Surgery (British and European Volume)
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Articles

Thumb Joint Flexion

What is normal?

M. JENKINS
H. B. BAMBERGER
L. BLACK
R. NOWINSKI

From Ohio University College of Osteopathic Medicine and the Grandview Hospital and Medical Center, Dayton, USA

Correspondence: Dr H.B. Bamberger Orthopedic Associates of Southwest Ohio, 425 Grand Avenue, Suite 1003, Dayton, Ohio 45405, USA.

The purpose of this study was to measure the amount of active flexion from a neutral position in normal thumb metacarpophalangeal and interphalangeal joints and compare the results with previously published reports. One hundred and nineteen subjects (238 thumbs) volunteered to have active flexion of the metacarpophalangeal (MP) and interphalangeal (IP) joints of the thumb measured with a computerized Greenleaf goniometer by a certified hand therapist. The mean MP flexion was 59° and IP flexion was 67°. The results of this study suggest that the accepted normal values of thumb flexion should be reconsidered, particularly as a guide for determining impairment.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 6, 796-797 (1998)
DOI: 10.1016/S0266-7681(98)80100-9
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