Abstract
Background
Studies that investigate the relationships between the main elbow flexion crease and the underlying osseous anatomy are lacking.
Methods
The relationship between the flexion skin crease and osseous anatomy of the elbow joint was studied. Markers were placed along the main flexion skin crease of both elbows in 50 healthy volunteers. Measurements were expressed in millimeters of perpendicular distance from each skin crease to the osseous structures of the elbow joint including medial and lateral epicondyles, tip of the olecranon, and radial head.
Results
The mean perpendicular distances between the elbow crease from osseous structures were found to be as follows: from medial epicondyle, 6.93 mm; from lateral epicondyle, −0.25 mm; from olecranon, 9.97 mm; and from radial head, −21.97 mm. There was no statistical significant difference between the dominant versus non-dominant hand.
Conclusions
The association between the main flexion elbow crease and the bony structures observed in this study seems to support that the elbow crease can be a useful surface anatomy landmark and expected to aid in the placement of surgical incisions.
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References
Basmajian JV (1980) Grant’s method of anatomy, 10th edn. Williams & Wilkins, Baltimore, pp 370–384
Bass HN, Caldwell S, Brooks BS (1993) Michelin tire baby syndrome: familial constriction bands during infancy and early childhood in four generations. Am J Med Genet 45:370–372
Bugbee WD, Botte MJ (1993) Surface anatomy of the hand. The relationships between palmar skin creases and osseous anatomy. Clin Orthop 296:122–126
Jazrawi LM, Rokito AS, Gallagher Birdzell M et al (2001) Biomechanics of the elbow. In: Nordin M, Frankel VH (eds) Basic biomechanics of the musculoskeletal system, 3rd edn. Lippincott Williams & Wilkins, Baltimore, pp 340–357
Kimura S, Kitagawa T (1986) Embryological development of human palmar, plantar, and digital flexion creases. Anat Rec 216:191–197
Kimura S, Terashima T, Schaumann BA et al (2000) Pads and flexion creases on the plantar surface of hammertoe mutant mouse (Hm). Anat Rec 260:26–32
Moore KL (1992) Clinically oriented anatomy, 3rd edn. Williams & Wilkins, Baltimore, pp 501–635
Popich GA, Smith DW (1970) The genesis and significance of digital and palmar hand creases: preliminary report. J Pediatr 77:1017–1023
Symeonides PP (1996) Orthopaedics. Injuries and diseases of the musculoskeletal system, 2nd edn. University Studio Press, Thessaloniki, pp 383–422
Wachtler F, Rizzi C (1996) The development of the digital flexion creases in humans. Acta Anat (Basel) 107:1–7
Wiedemann HR (1987) Multiple benign circumferential skin creases on limbs: a congenital anomaly existing from the beginning of mankind. Am J Med Genet 28:225–226
Wyre HW Jr (1979) The diagonal earlobe crease: a cutaneous manifestation of coronary artery disease. Cutis 23:328–331
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Itamura, J.M., Papadakis, S.A., Vaishnav, S. et al. The relationship between main elbow flexion skin crease and osseous anatomy of the elbow joint. Surg Radiol Anat 31, 55–58 (2009). https://doi.org/10.1007/s00276-008-0385-7
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DOI: https://doi.org/10.1007/s00276-008-0385-7