Palmar Side Research Articles

Comparison of Image Data and Visually Confirmed Sketches to Evaluate the Technique of Handwashing

Hand hygiene is crucial in preventing healthcare-associated infections. In this study, we aimed to quantify the accuracy of subjective evaluation of hand washing through visual inspection and objective evaluation through images. The participants were 24 consenting nursing students, and the study used black light and fluorescent paint to generate sketches and captured images of the unwashed areas, which were processed. Handwashing training was conducted once a week for four consecutive weeks. We collected data in the first and fourth training sessions. We found that the percentage of the unwashed palmar areas was significantly higher in the images than in the sketches (p<0.05). The percentage of the uncleaned area as recognized visually significantly increased for sketches (p=0.01) and decreased for images (p=0.009) in the fourth session. The difference between the percentages of the image and sketch area notably decreased in the fourth session (p=0.002). When we checked the recognition percentage of the unwashed area by dividing the right-hand palmar side into six areas, the fingertips had the highest percentage, and the ball of the thumb had the lowest percentage. The recognition of the unwashed areas was low when comparing the subjective visual assessment with the objective imagery assessment. In addition, the percentage of the unwashed areas decreased with repeated training, indicating a decrease in the difference between the subjective and objective ratings.

Use of crowdsourced images for determining 2D:4D and relationship to pro-environmental variables.

The primary purpose of this study was to examine whether 2D:4D ratios (a putative measure of prenatal androgen exposure) could be determined using participant-submitted hand images. The secondary purpose was to examine whether 2D:4D ratio was associated with pro-environmental behaviors, attitudes, and empathy, given the recent literature linking sex to environmental attitudes and actions. Participants (N = 1065) were asked via an online survey to submit a clear photograph of their right hand, palm side up. Participants also completed a questionnaire to assess (a) demographics, (b) dispositional empathy, and (c) environmental attitudes and behavior. A 2D:4D ratio was calculated for each participant, and the quality of each image was classified as poor, moderate, or good. We then examined the reliability of the 2D:4D image measurements, and the relationship between 2D:4D and our environmental measures. 2D:4D ratios fell somewhat outside of previously reported ranges, but the measurements did show acceptable intra-rater consistency. Although we did not find a sex difference in 2D:4D, we did find a sex by ratio interaction for both empathy and the number of pro-environmental behaviors in which individuals had engaged. Specifically, as 2D:4D ratio increased, males reported lower empathy and less engagement in pro-environmental behaviors, whereas females reported more engagement in pro-environmental behaviors (but no differences in empathy). These findings were contrary to expectations, as we anticipated that greater digit ratios (i.e., feminized) would be associated with greater empathy and pro-environmental behaviors. Overall, the findings of this study present a preliminary examination of the utility of measuring digit ratio with online samples. Furthermore, our results provide information regarding the complex relationship between sex and pro-environmental behaviors.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10211-022-00401-5.

Reappraisal of arterial anatomy of thumb.

The nomenclature of arteries supplying the thumb and its sources arteries differs between the studies. This makes difficulty in understanding the irrigation pattern to the thumb. The main purpose of this study was to identify the proper digital arteries supplying the thumb on its radial and ulnar side from both the palmar and dorsal aspect. Also this study aimed to trace its source and classify with proper definition with the review of blood supply to thumb. Dissection was carried out in 55 hands form 28 freshly embalmed adult human cadavers of both genders. The proper digital arteries to the thumb and its source arteries were carefully traced and defined. Thumb receives its dominant blood supply mostly from its palmar side. The ulnar palmar digital artery was seen in all the dissected hand (100.0%) whereas; the radial palmar digital artery was present in 53 hands (96.4%). The radial dorsal digital artery and ulnar dorsal digital artery were observed in only 10.0% and 7.3%. The most common source of both the palmar digital arteries to thumb was from first palmar metacarpal artery (FPMA). In majority of the hands, in addition to the radial or ulnar palmar digital arteries from the FPMA, there were also additional palmar digital arteries arising from the superficial palmar arterial system. The universal naming of the proper digital arteries to the thumb as well as its source arteries is mandatory for the proper understanding of normal as well as variant arterial anatomy of thumb.

Profile of Transepidermal Water Loss (TEWL), Skin Hydration, and Skin Acidity (pH) in Indonesian Batik Workers.

Chemical substances used during batik processing may affect the physiological function of the batik worker's skin barrier. This study assessed the level of transepidermal water loss (TEWL), skin hydration, and skin acidity in 61 batik workers from the batik center in Paseseh village, Tanjung Bumi subdistrict, Madura Island, Indonesia. Forty-five batik workers involved in dry work including drawing patterns on the cloth with wax and sixteen batik workers involved in wet work including dyeing the cloth with a dye bath were included in this study. The mean TEWL level in the dry work section was 59.87 ± 11.94 g/m2/h on the palmar and 29.00 ± 13.09 g/m2/h on the dorsal side of the hand, while the mean TEWL in the wet work section were 47.39 ± 9.66 g/m2/h on the palmar and 37.07 ± 10.00 g/m2/h on the dorsal side of the hand. The mean skin hydration level in the dry work section was 49.80 ± 19.16 arbitrary units (a.u.) for the palmar side and 52.77 ± 16.21 a.u. for the dorsal side of the hand, while the mean levels of skin hydration in the wet work section were 47 ± 12.73 a.u. and 62.94 ± 10.09 a.u. for palmar and dorsal side, respectively. The mean levels of skin acidity in the dry work section were 5.45 ± 0.19 for the palmar side and 5.30 ± 0.20 for the dorsal side of the hand, while the wet work section had 5.30 ± 0.19 and 5.10 ± 0.19 for the palmar and dorsal side of the hand, respectively. The TEWL levels were found to be higher on the palmar side of the hand in both the dry work and wet work sections, which was consistent with the measurement of skin hydration levels that were lower on the palmar side of the hand. The mean skin pH levels for both work sections were considered within the normal range.

Mu-desynchronization, N400 and corticospinal excitability during observation of natural and anatomically unnatural finger movements.

The action observation networks (AON) (or the mirror neuron system) are the neural underpinnings of visuomotor integration and play an important role in motor control. Besides, one of the main functions of the human mirror neuron system is recognition of observed actions and the prediction of its outcome through the comparison with the internal mental motor representation. Previous studies focused on the human mirror neurons (MNs) activation during object-oriented movements observation, therefore intransitive movements observation effects on MNs activity remains relatively little-studied. Moreover, the dependence of MNs activation on the biomechanical characteristics of observed movement and their biological plausibility remained highly underexplored. In this study we proposed that naturalness of observed intransitive movement can modulate the MNs activity. Event-related desynchronization (ERD) of sensorimotor electroencephalography (EEG) rhythms, N400 event-related potentials (ERPs) component and corticospinal excitability were investigated in twenty healthy volunteers during observation of simple non-transitive finger flexion that might be either biomechanically natural or unnatural when finger wriggled out toward the dorsal side of palm. We showed that both natural and unnatural movements caused mu/beta-desynchronization, which gradually increased during the flexion phase and returned to baseline while observation of extension. Desynchronization of the mu-rhythm was significantly higher during observation of the natural movements. At the same time, beta-rhythm was not found to be sensitive to the action naturalness. Also, observation of unnatural movements caused an increased amplitude of the N400 component registered in the centro-parietal regions. We suggest that the sensitivity of N400 to intransitive action observation with no explicit semantic context might imply the broader role of N400 sources within AON. Surprisingly, no changes in corticospinal excitability were found. This lack of excitability modulation by action observation could be related with dependence of the M1 activity on the observed movement phase.

Operative Approaches to the distal radioulnar Joint and distal Ulna

At the distal radioulnar joint (DRUJ) and the ulnocarpal joint several anatomical structures are in a limited space. Therefore, the operative approach has to consider the pathology to be treated. The DRUJ may be approached from the dorsal or the palmar side. Procedures to treat the arthrotically destroyed DRUJ involving bone resection of the ulnar head and destabilizing ligamentous injuries of the triangular fibrocartilage complex (TFCC) are best approached from the dorsal side. This approach allows excellent visualization of the ulnar head and the ulnar and radial attachment of the TFCC. The arthroscopic, half open refixation of the ulnar avulsion of the TFCC may be performed using a variety of limited and small approaches over the dorsal or lateral ulnar head. Pathologies with an origin at the palmar aspect of the DRUJ as the palmar dislocation of the ulnar head in the DRUJ or the shrinkage and scaring of the palmar capsule with consecutive pronation contracture require a palmar approach. Reduction and osteosynthesis of fractures in the area of the ulnar head are preformed using a lateral approach along the styloid process and the ulnar head between the flexor and the extensor carpi ulnaris tendons. Along the ulnar shaft elective ulnar shortening osteotomy as well as fracture reduction and osteosynthesis are best performed from an ulno palmar approach.

Verrucous Carcinoma of the Wrist: A Case Report

A 49 years old male patient, with no particular pathological history, presented for two years with an exophytic, hyperkeratotic infiltrating lesion of the palm side of the left wrist with muscular atrophy of the hand and blockage of the wrist joint, with no palpable enlarged lymph nodes. A magnetic resonance imaging of the hand was performed, showing a loss of substance of the anterior side of the wrist and the hand associated with an infiltration of the subcutaneous soft tissues and muscles of the thenar eminence with Long palmar tendon sheathing. The patient was treated by surgery consisting on a wrist and forearm Amputation and Histological examination finally concluded to a verrucous carcinoma with clear resection margins. The evolution was favorable, with no recurrence after 13 months of follow-up.

Anatomical variations of the superficial palmar arch in human fetuses.

The superficial palmar arch is an important anatomical structure that contributes to the arterial supply of the palmar side of the hand in the upper extremity. However, there is limited information on the embryological morphological structure of the superficial palmar arch in the literature. We studied the types of the superficial palmar arch and determined their variations by dissecting 80 upper extremities of 40 formalin-fixed human fetuses (19 males, 21 females) 18-37weeks of age. The types and variations of the superficial palmar arch were examined, and the median artery was imaged. The superficial palmar arch type was complete in 58 hands (72.5%) and incomplete in 22 hands (27.5%). The complete group consisted of type A (47.5%), type B (16.25%), type C (3.75%), type D (1.25%), and type E (3.75%). On the other hand, the incomplete group consisted of type F (15%), type G (8.75%), type H (2.5%), and type I (1.25%). A median artery that originated from the ulnar artery and passed through the carpal tunnel during its course was detected in two hands (2.5%). Knowledge of the superficial palmar arch variations will contribute to hand microsurgery particularly in vascular graft and free flap application interventions for arterial bleeding in the palmar region.

Development of wearable system for carpal tunnel syndrome

PurposeCarpal tunnel syndrome (CTS) is a hand disease caused by the pressing of the median nerve present in the palmar side of the wrist. It causes severe pain in the wrist, triggering disturbance during sleep. Different products like splints, braces and gloves are available in the market to alleviate this disease but there was still a need to improve the wearability, comfort and cost of the product. This study was about designing a comfortable and cost-effective wearable system for mild-to-moderate CTS. Transcutaneous electrical nerve stimulation (TENS) therapy has been used to reduce the pain in the wrist.Design/methodology/approachAfter simulation by using Proteus software (which allowed the researchers to draw and simulate electrical circuits using ISIS, ARES and PCB design tools virtually), the circuit with optimum frequency, i.e. 33 Hz was selected, and the circuit was developed on a printed circuit board (PCB). The developed circuit was integrated successfully into the half glove structure.FindingsThe developed product had good thermophysiological comfort and hand properties as compared to the commercially available product of the same kind. In vivo testing (It involves the testing with living subjects like animals, plants or human beings) was performed which resulted in 85% confirmed viability of the product against CTS. A glove with an integrated circuit was developed successfully to accommodate various sizes without any sex specifications in a cost-effective way to mitigate the issue of CTS.Research limitations/implicationsIndustrial workers, individuals frequently using their hands or those diagnosed with CTS may wish to use this product as therapy. The attention could not be paid to the aesthetic or visual appeal of the developed product.Originality/valueA very comfortable glove with integrated TENS electrodes was developed successfully to accommodate various sizes without any sex specifications in a cost-effective way to mitigate the issues of CTS.

Optimal Center of Rotation for Ball-And-Socket Thumb Carpometacarpal Arthroplasty Identified Using Three-Dimensional Kinematic Analysis: A Pilot Study.

Total joint arthroplasty is one of the surgical option for thumb carpometacarpal (CMC) joint arthritis, however the optimal position the center of rotation (COR) has not been quantified. The purpose of this study is to identify ideal ball-and-socket thumb carpometacarpal joint implants and the optimal position of the COR. We obtained eight right thumb computed tomography images each from ten healthy men, comprising four images each of thumbs at various angles of flexion-extension and abduction-adduction. We reconstructed 3D bone models on 3D CAD, created virtual ball-and-socket implants with three variables (neck offset, implant height, neck rotation), and found the optimal COR where the position change in the COR was smallest across various thumb positions. When the offset was 4.5 mm, neck rotation angle was 130.6° from the radial side to the palmar side of the first metacarpal, and implant height from the distal end of the metacarpal was 43.6 mm, we could restore almost normal kinematics. This study could serve as a reference for implant development and surgical technique guidelines.

Covers

Next article FreeCoversPDFPDF PLUSFull Text Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinked InRedditEmailQR Code SectionsMoreFront cover: View of the front or palmar side of the Kell Hand. Wood, bark cloth, cord, and pigments, 21 cm (length of hand not including the cord).Back cover: View of the back or dorsal side of the Kell Hand.Inside front cover: Inner palm edge of the Kell Hand below the fifth digit, showing bird-like symbols painted on the bark cloth covering and various markings inscribed on the wood.Inside back cover: Back of the Kell Hand below the fourth and fifth digits, showing bird-like symbols and other designs painted on the bark cloth covering.Photos: © R. M. Schoch, taken with the permission of the anonymous owner. Next article DetailsFiguresReferencesCited by Res Volume 77-78Spring-Autumn 2022 Published in association with the Peabody Museum of Archaeology and Ethnology, Harvard University Article DOIhttps://doi.org/10.1086/724728 © 2022 the President and Fellows of Harvard College. All rights reserved.PDF download Crossref reports no articles citing this article.

Classic Type of Epithelioid Sarcoma of the Distal Upper Extremity: Clinical and Oncological Characteristics.

The classic type of epithelioid sarcoma (ES) is a rare, aggressive soft tissue neoplasm that most commonly affects the distal upper extremities of young patients. This study aimed to assess clinical features and provide a long-term report of the oncological outcome. We retrospectively analyzed our clinical database for patients with ES of the distal upper extremities. Twenty-three patients with ES of the distal upper extremity were treated surgically between January 1990 and August 2018. ES affected most commonly the palmar side of young patients. The most common site affected by a sarcoma was the wrist in 47.8% of cases, followed by metacarpals and fingers with 34.8% and 17.4%, respectively. Most of the patients were treated according to the protocols of interdisciplinary tumor boards with multimodal therapy. A local recurrence was observed in 7 patients (30.4%). The 5 - and 10-year recurrence-free survival was 80.4% (95% confidence interval [CI]: 68.6-76.8) and 60.9% (95% CI: 53.5-68.3), respectively. The 5- and 10-years disease-specific survival was 89.9% (95% CI: 87-92.8) and 61.9% (95% CI: 56.5-67.3), respectively. Five patients (21.7%) had metastasis in regional lymph nodes. The classic type of ES represents a group of high-grade sarcomas, which affect the dominantly distal upper extremity. Specific clinical, diagnostic, and oncological characteristics make it difficult to diagnose and therapy. Wide tumor resection as a part of multimodal therapy remains a more viable and common treatment option for patients with ES on distal extremities. High rates of lymph node metastasis are typical for ES.

Hand Print Recognition System based on FP-Growth Algorithm

Hand print recognition system received great interest in the recent few years such as human-computer interaction, computer vision, and computer graphics. In this paper, proposed system for recognition human handprint based on FP-growth algorithm, the system consists of three-stage. The first stage the detection algorithm using HSV color space, canny algorithm and contrast enhancement for grayscale. In this stage separate skin area in-handprint image through first HSV color space converting RGB to HSV color space as well as conducting specific rules for determining the skin area. And then applies skin hand segmentation for the split of non skin and skin areas where hand skin color detection. After the hand detection stage, the first stage in edge detection is image smoothing through using a Gaussian filter then converted to a grayscale image after then contrast enhancement is an important step in the algorithm detection hand. Finally applying canny edge detection. The second stage extract features through apply seven moment invariants. The three-stage applying FP-growth algorithm for recognition handprint image. The system which has been proposed utilize handprint images databases, the database proposed a large data-set of human hand images, 11K Hands, that consists of palmar and dorsal sides of the human hand images dataset that collective database from 190 various subject’s handprint images is made publicly obtainable. The handprint recognition system achieved rate of 92.70%.

Height estimation by evaluating morphometric measurements of hands and fingers

Biological bodily integrity is often lost in deaths due to undesirable situations such as femicides, natural disasters and plane crashes. For forensic scientists, accurate estimation of the person's stature is important for identification. In our study, it was aimed to obtain simple and multiple linear regression formulas required for stature calculation from hand and finger morphometric measurement values of young women. This study was carried out with the voluntary participation of 65 healthy young adult women between the ages of 18-24. Measurements were made on the palmar side of the hand using a digital caliper. In the study participants, the mean values of the measured variables; stature 164.45 cm, hand length 17.40 cm, hand width 7.70 cm, palm length 9.92 cm. Simple and multiple regression equations were obtained for stature estimation. The most reliable one of the regression equations obtained for stature estimation was the equation based on hand length. There was no correlation between thumb length and stature. The correlation value between index finger and stature was greater than the values obtained from other fingers (r=0.344, p<0.01). The correlation value between palm length and stature was higher than the correlation value between fingers and stature (r=385, p<0.01). Moderate and high positive correlation values were found between finger lengths and each other. The highest correlation value was between middle finger length and 4th finger length (r=872, p<0.01). The correlation value between thumb and little finger lengths was the smallest (r=415 p<0.01). The correlation value between hand length and stature is higher than the values obtained from finger lengths. In cases where total hand length cannot be measured, linear regression formula based on palm length should be preferred. Regression analysis results showed that palm length gave a better estimation of stature compared to finger length measurements.

The MCP2 and the wrist plus two extensor compartments are the most affected and responsive joints/tendons out of the US7 score in patients with rheumatoid arthritis-an observational study

BackgroundThere is no international consensus on an optimal ultrasound score for monitoring of rheumatoid arthritis (RA) on patient-level yet. Our aim was to reassess the US7 score for the identification of the most frequently pathologic and responsive joint/tendon regions, to optimize it and contribute to an international consensus. Furthermore, we aimed to evaluate the impact of disease duration on the performance of the score.MethodsRA patients were assessed at baseline and after 3 and 6 months of starting/changing DMARD therapy by the US7 score in greyscale (GS) and power Doppler (PD). The frequency of pathologic joint/tendon regions and their responsiveness to therapy were analyzed by Friedman test and Cochrane-Q test respectively, including the comparison of palmar vs. dorsal regions (chi-square test). The responsiveness of different reduced scores and the amount of information retained from the original US7 score were assessed by standardized response means (SRM)/linear regression. Analyses were also performed separately for early and established RA.ResultsA total of 435 patients (N = 138 early RA) were included (56.5 (SD 13.1) years old, 8.2 (9.1) years disease duration, 80% female). The dorsal wrist, palmar MCP2, extensor digitorum communis (EDC) and carpi ulnaris (ECU) tendons were most frequently affected by GS/PD synovitis/tenosynovitis (wrist: 45%/43%; MCP2: 35%/28%; EDC: 30%/11% and ECU: 25%/11%) and significantly changed within 6 months of therapy (all p ≤0.003 by GS/PD). The dorsal vs. palmar side of the wrist by GS/PD (p < 0.001) and the palmar side of the finger joints by PD (p < 0.001) were more frequently pathologic. The reduced US7 score (GS/PD: palmar MCP2, dorsal wrist, EDC and ECU, only PD: dorsal MCP2) showed therapy response (SRM 0.433) after 6 months and retained 76% of the full US7 score’s information.No major differences between the groups of early and established RA could be detected.ConclusionsThe wrist, MCP2, EDC, and ECU tendons were most frequently pathologic and responsive to therapy in both early and established RA and should therefore be included in a comprehensive score for monitoring RA patients on patient-level.

Association of Digit Ratio With Depression and Hopelessness in Females

Introduction: Depression is regarded as the main cause of individual’s incapacity. One of the component of depression is hopelessness. This study was planned to examine if the digit ratio associates with depression and hopelessness status in the Iranian women. Methods: This cross-sectional study sample included 358 women aged between 20 to 32 years old. The palm side of both hands of individuals was photographed and then the length of index and ring fingers was measured by ImageJ. The Beck’s depression inventory II and Beck’s hopelessness scale (BHS) were used to measure the levels of depression and hopelessness respectively. ANOVA and Student’s t test was applied to compare the study groups in respect to the continuous data. Results: The results showed that the means of 2D:4D ratio of neither right nor left hands were significantly different between the depression study groups. The same insignificant results were derived with hopelessness status too. However, reanalyzing the data, while combination of depression and hopelessness was considered, showed a significantly lower digit ratio of the right hand in the women whit neither depression nor hopelessness (group 1) compared to the women with moderate/severe depression while holding a degree of hopelessness (group 2) (ratio mean for group 1: 0.978 ± 0.003 and for group 2: 0.992 ± 0.005; t = -2.417, P = 0.017). Conclusion: Our data suggested that the 2D:4D ratio of the right hand in the women associates with the severity of depression when accompanied by hopelessness.

Digital vascular lesions detected by transillumination.

Abnormalities of the capillaries of the digits in hereditary hemorrhagic telangiectasia can be detected by shining through a narrow beam of light through the dorsal side and visualizing the vasculature on the palmar side, a procedure termed transillumination. This study was performed to determine if this method can detect digital vascular abnormalities in aortopathies and arteriopathies. Transillumination was performed in patients with Marfan syndrome (MFS), thoracic aortic aneurysm and dissection (TAAD), vascular Ehlers-Danlos syndrome (vEDS), bicuspid aortic valve with aortopathy, and arteriopathies without aortopathy. Subjects with no known vascular disorders were controls. Digital vascular abnormalities were present in some patients with all of the disorders and were especially frequent in MFS, TAAD, and vEDS. All patients had significantly more digital vascular abnormalities than control subjects. Transillumination can detect vascular abnormalities in digits of patients with a variety of conditions with aortopathy or arteriopathy.

Bioinspired buckling of scaled skins

Natural flexural armors combine hard, discrete scales attached to soft tissues, providing unique combinations of surface hardness (for protection) and flexibility (for unimpeded motion). Scaled skins are now inspiring synthetic protective materials which offer attractive properties, but which still suffer from limited trade-offs between flexibility and protection. In particular, bending a scaled skin with the scales on the intrados side jams the scales and stiffen the system significantly, which is not desirable in systems like gloves where scales must cover the palm side. Nature appears to have solved this problem by creating scaled skins that can form wrinkles and folds, a very effective mechanism to accommodate large bending deformations and to maintain flexural compliance. This study is inspired from these observations: we explored how rigid scales on a soft membrane can buckle and fold in a controlled way. We examined the energetics of buckling and stability of different buckling modes using a combination of discrete element modeling and experiments. In particular, we demonstrate how scales can induce a stable mode II buckling, which is required for the formation of wrinkles and which could increase the overall flexural compliance and agility of bioinspired protective elements.

The effect of winter swimming on body's external temperature

Background and Study Aim. The main aim was to compare the changes in external body temperature of students who gave in an immersion of winter swimming.&#x0D; Material and Methods. The study group consisted of 15 students, including 7 males and 8 females. The average age of the subjects was 22.4+1.12 years. The group was tested by measuring outer body temperature at 30 spots across their bodies by using a FLUXE 64 MAX pyrometer. Afterwards, subjects entered ice-cold water for 3 minutes. Immediately after leaving the water the second temperature measurements at the same 30 spots were conducted, and the third measurements were done 15 minutes after leaving the water. After 15 days of testing the comparison was made: temperature values from before and after the immersion.&#x0D; Results. The students showed significantly higher average body temperature values before the testing (34.96°C ± 2.21 to 21.85 ± 3.68) and the lowest after the testing (29.86°C ± 4.91 to 6.26°C ± 1.04). The highest difference in average temperatures was obtained in the measurement of the left lower leg - front, the examination before and after (20.73°C), and the lowest in the measurement of the right hand - palm side, the examination after and 15 minutes after (0.19°C).&#x0D; Conclusions. Winter swimming is becoming an increasingly popular sport activity. Conducted research shows the positive influence of winter swimming on human body and organism. The presented research should be further continued in order to learn more about the influence of cold on human body.

Impact of postural variation on hand measurements: Three-dimensional anatomical analysis.

In this article, the impact of postural variations on hand anthropometry and distribution of skin strain ratios has been investigated. The literature suggests the glove fit directly affects hand functions. However, gloves currently manufactured based on a static posture failed to provide optimum fit. Workers often do not wear protective gloves due to discomfort caused by improper design, which increases the risk of hand injury. Full-color three-dimensional scans of the hands are captured with thirty healthy subjects (20 females, 10 males) to analyze the hand measurements and skin deformation with various postures. 42 of the 57 hand dimensions were found to have significant differences (p >0.05) related to hand posture. The skin strain ratios further suggest that the slant of the web space, dorsal-length and surface area should be increased, while the angles of the web space and length of the palm reduced to advance glove patterns. This research contributes to constructing gloves with optimum fit, performance, and comfort. Results show that in consideration of hand postures, the angle of the slant of web space between digits 2 and 5 and the finger length on the dorsal side should be increased, whilst the finger length on the palm side should be reduced in glove pattern design. Gloves currently constructed based on a splayed posture cannot provide a good fit. Consideration should be given to hand measurements in dynamic postures.