Functional anatomy of the hand
DOI:
https://doi.org/10.15574/PP.2024.4(100).131139Keywords:
functional anatomy, hand, upper extremity, humanAbstract
The last war years led to a significant increase in interest in the anatomy and surgery of the hand and fingers, which became the object of a separate scientific specialization. The study of the anatomy of the hand and fingers has evolved into a functional anatomy focused on every day and professional activities. Modern hand anatomy is important both for understanding normal function and for treatment and recovery from traumatic injuries.
Аim - analyze and summarize modern data on the functional capabilities of the hand.
The analysis of patterns of functioning of the upper extremities becomes extremely important in the context of training surgeons and orthopedists. Prosthetics of the hands have a significant potential for success, especially if based on a deep understanding of their functional anatomy. Knowing the anatomy of the hand allows you to design and adjust prostheses in such a way that they reproduce natural movements and functions as much as possible. The important role of the thumb in providing support and mobility of the other fingers when grasping objects is noted, which is emphasized as an important feature of the anatomy of the human hand. The process of opposing the thumb to other fingers is described, which allows a person to control the taken objects according to his intentions. It is noted that the absence or incomplete development of any element of movement limits the possibilities of grasping and work of the hand.
Conclusions. А deep understanding of the functional anatomy of the hand contributes to the improvement of prosthetic technologies to significantly improve the lives of patients after various types of traumatic injuries.
No conflict of interests was declared by the authors.
References
Al Aboud AM, Yarrarapu SNS. Corns. (Updated 2023, Jul 24). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; URL: https://www.ncbi.nlm.nih.gov/books/NBK470374/.
Amangeldy N, Kudubayeva S, Kassymova A, Karipzhanova A, Razakhova B, Kuralov S. (2022, Sep 1). Sign Language Recognition Method Based on Palm Definition Model and Multiple Classification. Sensors. 22(17): 6621. https://doi.org/10.3390/s22176621; PMid:36081076 PMCid:PMC9460639
Butler AA, Héroux ME, Tess van Eijk, Gandevia SC. (2019, Nov 28). Stability of perception of the hand's aperture in a grasp. Journal of physiology. 597(24): 5973-5984. https://doi.org/10.1113/JP278630; PMid:31671476
Cammas C, Carmès S, Brunelli F, Dumontier C. (2024). Surgical anatomy of the nail. Hand surgery & rehabilitation. 43S: 101644. Epub 2024 Jan 18. https://doi.org/10.1016/j.hansur.2024.101644; PMid:38244692
Chan E, Robertson BF, Johnson SM. (2019, Jun 1). Kanavel signs of flexor sheath infection: a cautionary tale. British Journal of General Practice. 69(683): 315-316. URL: https://bjgp.org/content/69/683/315. https://doi.org/10.3399/bjgp19X704081; PMid:31147342 PMCid:PMC6532803
Chavez TJ, Morrell NT. (2022, Feb). The Evolution of the Human Hand From an Anthropologic Perspective. The Journal of Hand Surgery. 47(2): 181-185. https://doi.org/10.1016/j.jhsa.2021.07.006; PMid:34446334
Chopna VV, Honyshniuk DA, Rybinskyi MV, Dubovyi OO, Kolomiiets VV. (2024). Analiz struktury boiovoi travmy pid chas ATO/OOS ta povnomasshtabnoi viiny, prava, harantii zakhyshchenosti ta zabezpechennia dopomizhnymy zasobamy reabilitatsii osib z invalidnistiu v Ukraini [Internet]. dspace.vnmu.edu.ua. Primedia eLaunch [cited 2024 May 22]. URL: https://dspace.vnmu.edu.ua/123456789/6528.
Dębek A, Zbigniew Czyrny, Nowicki P. (2014, Mar 31). Zmiany patologiczne ręki w badaniu ultrasonograficznym. Journal of Ultrasonography. 14(56): 74-88. https://doi.org/10.15557/JoU.2014.0007; PMid:26675521 PMCid:PMC4579729
Dunn JC, Lenhart MK, Higgins JP, Nesti LJ. (2020, Apr). How the US Army Forged Hand Surgery. The Journal of Hand Surgery. 45(4): 354-357. https://doi.org/10.1016/j.jhsa.2019.10.008; PMid:31813587
Gonzalez M, Green S. (2023, Mar 1). Evolution of the Human Hand from Early Hominid to Today. Bull Hosp Jt Dis (2013). 81(1): 34-39. PMID: 36821733.
Gracia-Ibáñez V, Sancho-Bru JL, Vergara M, Roda-Sales A, Jarque-Bou NJ, Bayarri-Porcar V. (2020, Sep). Biomechanical function requirements of the wrist. Circumduction versus flexion/abduction range of motion. Journal of Biomechanics. 110: 109975. https://doi.org/10.1016/j.jbiomech.2020.109975; PMid:32827773
Graham EM, Hendrycks R, Baschuk CM, Atkins DJ, Keizer L, Duncan CC et al. (2021, Feb). Restoring Form and Function to the Partial Hand Amputee. Hand Clinics. 37(1): 167-187. https://doi.org/10.1016/j.hcl.2020.09.013; PMid:33198915
Green DJ, Jordan KP, Protheroe J, van der Windt DA. (2016, Mar). Development of hand phenotypes and changes in hand pain and problems over time in older people. Pain. 157(3): 569-76. https://doi.org/10.1097/j.pain.0000000000000402; PMid:26529269 PMCid:PMC4751742
Hage JJ. (2017, Dec 14). History Off-Hand: Bunnell's No-Man's Land. HAND. 14(4): 570-574. https://doi.org/10.1177/1558944717744337; PMid:29239250 PMCid:PMC6760071
Khmara TV, Khmara AB. (2022, May 6). The Use of Mnemonic Techniques in Teaching Human Anatomy. Ukraïnsʹkij žurnal medicini, bìologìï ta sportu. 7(2): 220-230. https://doi.org/10.26693/jmbs07.02.220
Kollmer J, Bendszus M. (2021, Mar 1). Bildgebung der Hand. Der Radiologe. 61(4): 375-381. https://doi.org/10.1007/s00117-021-00823-5; PMid:33646343
Kovalenko VO, Huminskyi YuI, Tykholaz VO, Kovalenko TP, Kovalenko SV, Kondor YuIu. (2021). Suchasni aspekty vkladu M. I. Pyrohova v rozvytok suspilstva, pedahohiky, medytsyny ta anatomii liudyny. dspacevnmueduua [Internet]. [cited 2024 May 22]; URL: https://dspace.vnmu.edu.ua/123456789/5431.
Kryvych IP, Chumak YuYu, Gusieva HM. (2021, Sep 1). Modern state of the health of the popuation in Ukraine. Dovkìllâ ta zdorov'â. 100(3) :4-12. https://doi.org/10.32402/dovkil2021.03.004
Liu Y, Zeng B, Jiang L, Liu H, Ming D. (2021, Nov 15). Quantitative Investigation of Hand Grasp Functionality: Thumb Grasping Behavior Adapting to Different Object Shapes, Sizes, and Relative Positions. Applied Bionics and Biomechanics. 2021: 1-17. https://doi.org/10.1155/2021/2640422; PMid:34819994 PMCid:PMC8608516
Li X, Wen R, Dehao Duanmu, Huang W, Wan K, Hu Y. (2023, Jun 8). Finger Kinematics during Human Hand Grip and Release. Biomimetics [Internet]. [cited 2024 Mar 15];8(2):244-4. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10296280/. https://doi.org/10.3390/biomimetics8020244; PMid:37366839 PMCid:PMC10296280
Manske PR. (2006, Jul). The Art of Hand Surgery. The Journal of Hand Surgery. 31(6): 881. https://doi.org/10.1016/j.jhsa.2006.03.018; PMid:16843144
Marshall K, Patapoutian A. (2020, Jun 18). Getting a grip on touch receptors. Science. 368(6497): 1311-1312. https://doi.org/10.1126/science.abc7610; PMid:32554582
Maw J, Wong KY, Gillespie P. (2016, Mar 2). Hand anatomy. British Journal of Hospital Medicine. 77(3): C34-40. https://doi.org/10.12968/hmed.2016.77.3.C34; PMid:26961458
Nadeem M, Loss JG, Li ZM, Seitz WH. (2022, Feb). Ulnar Extension Coupling in Functional Wrist Kinematics During Hand Activities of Daily Living. J Hand Surg Am. 47(2): 187.e1-187.e13. Epub 2021 May 26. https://doi.org/10.1016/j.jhsa.2021.03.026; PMid:34049729
Noble F, Xu M, Alam F. (2023, Mar 24). Static Hand Gesture Recognition Using Capacitive Sensing and Machine Learning. Sensors. 23(7): 3419. https://doi.org/10.3390/s23073419; PMid:37050481 PMCid:PMC10099234
Park J, Pažin N, Friedman J, Zatsiorsky VM, Latash ML. (2014, Feb). Mechanical properties of the human hand digits: Age-related differences. Clinical Biomechanics. 29(2): 129-137. https://doi.org/10.1016/j.clinbiomech.2013.11.022; PMid:24355703 PMCid:PMC3943624
Ramalho BL, Moly J, Raffin E, Bouet R, Harquel S, Farnè A et al. (2022, Jan). Face-hand sensorimotor interactions revealed by afferent inhibition. Eur J Neurosci. 55(1): 189-200. Epub 2021 Dec 8. https://doi.org/10.1111/ejn.15536; PMid:34796553
Rangel ML, Souza L, Rodrigues EC, Oliveira JM, Miranda MF, Galves A et al. (2021, Feb 20). Predicting Upcoming Events Occurring in the Space Surrounding the Hand. Neural plasticity. 2021: 1-10. https://doi.org/10.1155/2021/6649135; PMid:33688339 PMCid:PMC7914383
Romano D, Tamè L, Amoruso E, Azañón E, Maravita A, Longo MR. (2019). The standard posture of the hand. Journal of experimental psychology. Human perception and performance. 45(9): 1164-1173. https://doi.org/10.1037/xhp0000662; PMid:31144857
Scherer KR, Moors A. (2019, Jan 4). The Emotion Process: Event Appraisal and Component Differentiation. Annual Review of Psychology. 70(1): 719-745. https://doi.org/10.1146/annurev-psych-122216-011854; PMid:30110576
Shestopal N. (2021, Dec 20). Reabilitatsiine obstezhennia patsiientiv pislia vohnepalnykh poranen kysti i peredplichchia. Sportivna medicina, fìzična terapìâ ta ergoterapìâ. (2): 133-139.
Soubeyrand M, Assabah B, Bégin M, Laemmel E, Dos Santos A, Crézé M. (2017, Feb). Pronation and supination of the hand: Anatomy and biomechanics. Hand Surgery and Rehabilitation [Internet]. 36(1): 2-11. URL: https://www.sciencedirect.com/science/article/pii/S2468122916301591. https://doi.org/10.1016/j.hansur.2016.09.012; PMid:28137437
Thirkannad SM, Patil R. (2021, Apr). The Story of the Hand. Indian Journal of Plastic Surgery. 54(02): 106-113. https://doi.org/10.1055/s-0041-1729771; PMid:34239230 PMCid:PMC8257305
Topoliuk AP, Miatyha IV, Topoliuk AP, Miatyha IV. (2023). Fizychna terapiia pry ushkodzhenniakh kysti. dspacenupheduua [Internet]. [cited 2024 May 22]. URL: http://dspace.nuph.edu.ua/handle/123456789/31038.
Tsai DF-C. (2005, Mar 1). The bioethical principles and Confucius' moral philosophy. Journal of Medical Ethics [Internet]. 31(3): 159-163. URL: https://jme.bmj.com/content/31/3/159.short. https://doi.org/10.1136/jme.2002.002113; PMid:15738437 PMCid:PMC1734104
Valevicius AM, Boser QA, Lavoie EB, Murgatroyd GS, Pilarski PM, Chapman CS et al. (2018, Jun 21). Characterization of normative hand movements during two functional upper limb tasks. Nordez A, editor. PLOS ONE. 13(6): e0199549. URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0199549. https://doi.org/10.1371/journal.pone.0199549; PMid:29928022 PMCid:PMC6013217
Van Carlen M, Ghini F, Mallina R, Jose R. (2021, Jun). Price of a Finger. J Hand Surg Asian Pac Vol. 26(2): 305-307. https://doi.org/10.1142/S2424835521200034; PMid:33928863
Van Duinen H, Gandevia SC. (2011, Dec 1). Constraints for control of the human hand. The Journal of Physiology. 589; Pt 23: 5583-5593. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249034/. https://doi.org/10.1113/jphysiol.2011.217810; PMid:21986205 PMCid:PMC3249034
Venkatramani H, Varadharajan V. (2020, Feb). Adipofascial, Transposition, and Rotation Flaps. Hand Clinics. 36(1): 9-18. https://doi.org/10.1016/j.hcl.2019.08.002; PMid:31757351
Whibley D, Martin KR, Lovell K, Jones GT. (2015, Jun 30). A systematic review of prognostic factors for distal upper limb pain. British Journal of Pain. 9(4): 241-255. https://doi.org/10.1177/2049463715590885; PMid:26526466 PMCid:PMC4616981
Wollstein R. (2020, Sep 22). Structure and Function in the Wrist. Current Rheumatology Reviews. 16(3): 169-169. https://doi.org/10.2174/157339711603200922105536; PMid:32967606
Yan Y, Goodman JM, Moore DD, Solla SA, Bensmaia SJ. (2020, Jul 16). Unexpected complexity of everyday manual behaviors. Nature Communications. 11(1). https://doi.org/10.1038/s41467-020-17404-0; PMid:32678102 PMCid:PMC7367296
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