Afework Mekbeb
Department of Anatomy, School of Medicine, College of Health Sciences, Addis Ababa University.
Ethiop J Health Sci. 2019 May;29(3):391-400. doi: 10.4314/ejhs.v29i3.12.
Studies have suggested that identification of aberrant palmar creases may give clues for an early and noninvasive method of diagnosis of certain disease conditions. Toward this purpose, awareness of the normal variants of palmar creases must be first recognized. Accordingly, this study aimed to investigate the patterns of palmar creases in healthy Ethiopian population among Medical and Dental Students in Addis Ababa.
Right and left palm pictures from 318 (177 females and 141 males) participants were taken using a mobile camera, and evaluated qualitatively. Observations were analyzed by Fisher's exact test, and significance levels for comparisons were set at p<0.05.
Aberrant creases were observed in 13.8% of the palms. Simian crease was the most common among the aberrant crease types, followed by Suwon and Sydney. Palmar creases with two and three points of origin were significantly more common, respectively, in males and the females. Minor variants as accessory to the radial longitudinal crease and middle longitudinal crease were also observed.
This study suggests that aberrant crease types at the observed frequencies may not be indicative of known disease conditions as they occurred in apparently healthy Ethiopians. However, the results of this study, besides revealing the patterns of palmar creases among Ethiopians, could give a baseline for studies aimed at diagnosis of disease conditions based on palmar crease configurations. Further qualitative and quantitative studies of palmar creases in wider populations with various conditions, including ethno-geographic factors, are recommended.
研究表明,识别异常掌纹可能为某些疾病状况的早期非侵入性诊断方法提供线索。为此,必须首先认识到掌纹的正常变异。因此,本研究旨在调查亚的斯亚贝巴医学和牙科专业学生中健康埃塞俄比亚人群的掌纹模式。
使用手机摄像头拍摄318名参与者(177名女性和141名男性)的左右手掌图片,并进行定性评估。观察结果采用Fisher精确检验进行分析,比较的显著性水平设定为p<0.05。
在13.8%的手掌中观察到异常掌纹。猿线是异常掌纹类型中最常见的,其次是水原线和悉尼线。有两个和三个起点的掌纹分别在男性和女性中明显更常见。还观察到作为桡侧纵纹和中间纵纹附属的微小变异。
本研究表明,在明显健康的埃塞俄比亚人中出现的观察频率下的异常掌纹类型可能并不表明已知的疾病状况。然而,本研究的结果除了揭示埃塞俄比亚人的掌纹模式外,还可为基于掌纹形态的疾病状况诊断研究提供基线。建议在包括民族地理因素在内的各种条件下的更广泛人群中对掌纹进行进一步的定性和定量研究。