Advertisement
Research Article| Volume 60, ISSUE 4, P368-371, April 2007

Download started.

Ok

Nomenclature for fingers and phalanges: to name or to number?

      Summary

      Introduction

      Two systems exist for describing fingers and phalanges: Naming and Numbering. This can cause confusion for clinicians. We compared the two systems to see if one was better understood.

      Methods

      Thirty-eight clinicians were asked a questionnaire to identify 11 terms on hand outline drawings.

      Results

      Naming was better understood than Numbering both overall (McNemar's test, p=0.000026) and with just abbreviations (p=0.0017) or full terms (p=0.000074). Radial/ulnar was superior to medial/lateral for laterality (p=0.046). Within the Naming system, the full terms were less ambiguous than abbreviations (p=0.000012).
      Our study suggests that Naming is better understood than Numbering and that full terms are preferable to abbreviations. To describe laterality, radial and ulnar are less ambiguous that medial and lateral.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Singleton F.B.
        Numbering fingers.
        Can Med Assoc J. 1983; 128: 372
        • Bertelsen A.
        • Capener N.
        Fingers, compensation and King Canute.
        J Bone Joint Surg. 1960; 42B: 390-392
      1. International Federation of Societies for Surgery of the Hand. Terminology for hand surgery, 1st ed. London, 1970. p. 2, 6 and 31–33.

      2. International Federation of Societies for Surgery of the Hand.
        Terminology for hand surgery. 4th ed. Harcourt Health Sciences, London2001 ([pp. 6–8, 17–18, 39–40, 44 and 48])
        • International Anatomical Nomenclature Committee
        Nomina Anatomica.
        6th ed. Churchill Livingstone, London1989 ([p. A14 and A23])
        • Kumar G.
        • Kamath V.
        • Murali S.R.
        Nomenclature in the journal of hand surgery.
        J Hand Surg (British and European Volume). 2004; 29B: 85-86