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Middle-phalanx-base radiographic morphology and its clinical implications
Poi Hoon Tay1, Zhixue Lim1, Andre Eu Jin Cheah1
1Department of Hand & Reconstructive Microsurgery, National University Hospital, National University Health System, Singapore.
The Journal of Hand Surgery, European Volume
|January 31, 2024
Summary
This study established normal teardrop angle values for the middle phalanx base, finding a consistent mean range of 50°-51° across all digits. These findings provide a reliable reference for clinical and research applications in hand anatomy.
Area of Science:
- Orthopedic surgery
- Hand anatomy
- Radiographic measurement
Background:
- The teardrop angle is a critical radiographic measurement at the base of the middle phalanx.
- Establishing normative values is essential for diagnosing and managing hand and finger pathologies.
- Variability in teardrop angle can indicate underlying skeletal abnormalities.
Purpose of the Study:
- To determine normative values for the teardrop angle at the base of the middle phalanx.
- To assess potential differences in teardrop angle between different digits.
- To provide a standardized reference for clinical interpretation.
Main Methods:
- Retrospective analysis of radiographic images.
- Measurement of the teardrop angle using standardized digital calipers.
- Statistical comparison of mean teardrop angles across digits.
Main Results:
- A consistent mean teardrop angle was observed in the range of 50°-51°.
- No statistically significant differences were found in the teardrop angle between the different digits.
- The study established reliable normative values for this specific anatomical landmark.
Conclusions:
- The mean teardrop angle at the base of the middle phalanx is consistently between 50°-51°.
- Digit laterality does not significantly influence the teardrop angle.
- These normative values are valuable for radiographic assessment in hand surgery and related fields.

