Price of a Finger
Martin Van Carlen1, Francesca Ghini1, Ravi Mallina1
1The Hand Centre, Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.
The Journal of Hand Surgery Asian-Pacific Volume
|April 30, 2021
Summary
The little finger is as crucial as the index finger for power grip strength. Our study found no significant difference in grip strength when either the index or little finger was excluded, challenging traditional compensation models.
Area of Science:
- Hand biomechanics
- Occupational health
- Ergonomics
Background:
- Traumatic finger loss compensation often undervalues the little finger's role.
- The little finger is critical for effective power grip.
- Existing compensation models may underestimate the functional impact of little finger loss.
Purpose of the Study:
- To test the hypothesis that little finger loss results in equal or greater grip strength reduction than index finger loss.
- To compare the functional impact of index versus little finger loss on power grip.
- To inform compensation practices for traumatic finger injuries.
Main Methods:
- Grip strength was measured in 12 healthy volunteers using a JAMAR hand dynamometer.
- Measurements were taken for full hand grip, excluding the index finger, and excluding the little finger.
- Grip strength was calculated as a percentage of full hand strength and analyzed using a two-tailed T-test.
Main Results:
- Excluding the index finger reduced grip strength to 65.8% of full capacity.
- Excluding the little finger reduced grip strength to 66.2% of full capacity.
- No statistically significant difference in grip strength reduction was observed between index and little finger exclusion (p = 0.92).
Conclusions:
- Simulated index or little finger loss had a comparable impact on power grip in healthy individuals.
- The functional importance of the little finger in power grip is underestimated.
- Findings suggest a need to re-evaluate compensation for traumatic finger loss.
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