HandSplatter: Automated Digital Goniometry from Neural Rendering

Abstract

Hand and finger disorders are leading contributors to musculoskeletal disability, creating a clinical need for precise methods to quantify joint motion. Range of motion (ROM) serves as the metric for diagnosis, rehabilitation monitoring, and evaluating surgical outcomes. Currently, the goniometer is the standard tool for assessing finger flexion and extension. However, manual goniometry is labor-intensive and suffers from inconsistent inter-rater reliability due to variations in examiner technique. While digital alternatives exist, current software-based approaches often lack the necessary accuracy for clinical usage. To address these limitations, we present a novel pipeline for 3-D hand joint location and pose estimation using neural rendering. Unlike previous methods, our approach combines 2-D feature extraction with view synthesis to significantly improve accuracy and clinical viability. Furthermore, we introduce a discrete density hill climbing algorithm that facilitates the meaningful correction of projected landmarks in 3-D space. This system overcomes the inefficiencies of manual measurement and the inaccuracies of existing software, providing a robust tool for objective functional assessment.

Accepted for publication in the Proceedings of the 48th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2026), Full Paper #1985