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Updated: Jun 4, 2025

14:14
Quantification of Strain in a Porcine Model of Skin Expansion Using Multi-View Stereo and Isogeometric Kinematics
Published on: April 16, 2017
11.6K
[CAN NATURAL SKIN CREASE PREDICT OUR PHALANX JOINT ALIGNMENT?]
Dana Avraham1, Maria Oulianski1, Amir Herman1
1Orthopedic Department, Kaplan Medical Center, Israel.
Harefuah
|December 18, 2024
Summary
The palmar proximal interphalangeal skin crease correlates with the joint axis of motion, aiding surgical planning for proximal interphalangeal joint injuries. Findings were consistent across age and handedness.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Radiology
Context:
- Proximal interphalangeal joint (PIPJ) injuries can lead to malalignment.
- External fixation methods, like Suzuki-type fixation, require precise anatomical axis preservation.
- Intraoperative X-rays are crucial for maintaining the phalanx's axis of motion.
Purpose:
- To determine the correlation between the palmar skin crease and the PIPJ axis.
- To enhance perioperative planning for PIPJ fracture fixation.
- To investigate the influence of sex, age, and handedness on this correlation.
Summary:
- A prospective study of 144 digits demonstrated a positive correlation between the palmar skin crease and the PIPJ axis of motion.
- Cobb angle measurements showed significant positive correlations for fingers 2-5.
- No significant differences were observed based on age or handedness; however, finger 2 Cobb angle was higher in females.
Impact:
- The palmar skin crease serves as a reliable indicator for the PIPJ's axis of motion.
- This finding supports improved accuracy in surgical fixation of PIPJ fractures.
- The study provides valuable anatomical data for orthopedic surgeons and hand specialists.
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